Femoral sheath removal after cardiac catheterization in the Jordanian hospitals: An explorative study

Abstract

Objectives : The purpose of this study was to investigate the methods of sheath removal (femostop, compressor and manual compression) among Jordanian patients post cardiac catherization. Material and Methods : A descriptive explorative design utilized to collect data from 87 patients underwent cardiac catherization. Data collected on demographics, health remarks and complication pre and post cardiac catherization and in relation to sheath removal methods and complications. Results : The majority of the patients (94.2%, n = 80) had a manual sheath removal compared to 1% (n = 1) compression and 7% (n = 6) had femostop method. Kruskal-Wallis H test revealed there were significance difference in PTT and ACT reports in relation to type of procedures (0.24, p 0.015; 0.32, p = 0.005 respectively). However, there were no significant differences between methods of sheath removal methods in relation to pain level, MAP before, MAP after, and heart rate with p value > 0.05. Patient’s age had negative association with HR after the procedure (BTAU = - 0.19, p = 0.02), while no significant differences found in post catherization complication (hematoma and pain level) and all other health remarks (p > 0.05) in regards to patients’ age and gender. Moreover, patients’ MAP readings were significantly different in relation to number of rest hour that patients had post cardiac catherization (p = 0.049). Conclusion: The study found that most patients and health professionals preferred manual removal methods of sheath post cardiac catherization. Cardiac health professionals, has to consider health remarks and demographic characteristics of their patients when planning care for their patients and more research needed to explore these issues.