The effect of the local cold application on low back pain and vascular complications of patients undergoing coronary angiography

Fariba Ebrahimi-Shalmani (1) , Farideh Hasavari (2) , Salman Nikfarjam (3) , Ehsan Kazemnejad Leili (4) , Nazila Javadi-Pashaki (5)
(1) Cardiovascular Diseases Research Center, Rudsar Shahid Ansari Hospital, Guilan University of Medical Sciences, Rasht, Iran, Iran, Islamic Republic of ,
(2) Cardiovascular Diseases Research Center, Rudsar Shahid Ansari Hospital, Guilan University of Medical Sciences, Rasht, Iran, Iran, Islamic Republic of ,
(3) Department of Cardiology, Cardiovascular Diseases Research Center, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran, Iran, Islamic Republic of ,
(4) Department of Biostatistics, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran, Iran, Islamic Republic of ,
(5) Department of Nursing, Social Determinants of Health Research Center (SDHRC), Guilan University of Medical Sciences, Rasht, Iran, Iran, Islamic Republic of

Abstract

Coronary angiography due to the risk of vascular complications and low back pain development can lead to undesirable outcomes. This clinical trial was performed on 110 patients undergoing CAG through the femoral artery in 2019. Low back pain was assessed by VAS at baseline, 2, 4, 6 and 24 hours after angiography and vascular complications were investigated 9 times in this period. Results of group and time interaction analysis revealed that pain and vascular complications were significantly different between these two groups (P <0.001). After controlling for individual, clinical and technical variables, the scores of low back pain were associated with the intervention group compared to the control group (P <0.001), Body Mass Index (P=0/035) and INR (P <0.001). The extent of hematoma was associated with group (P = 0.003) and also the extent of ecchymosis was associated with group (P = 0.002), education (P = 0.44) and BMI (P = 0.035). In this study, the local cold was effective in back pain and vascular complications in patients undergoing CAG.

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Authors

Fariba Ebrahimi-Shalmani
Farideh Hasavari
Salman Nikfarjam
Ehsan Kazemnejad Leili
Nazila Javadi-Pashaki
n.javadip@gmail.com (Primary Contact)
Fariba Ebrahimi-Shalmani, Farideh Hasavari, Salman Nikfarjam, Ehsan Kazemnejad Leili, & Nazila Javadi-Pashaki. (2020). The effect of the local cold application on low back pain and vascular complications of patients undergoing coronary angiography. International Journal of Research in Pharmaceutical Sciences, 11(4), 7754–7762. Retrieved from https://ijrps.com/home/article/view/2443

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