Competency-driven hemostasis training reduces vascular complications in transradial hemodynamic monitoring: a self-controlled trial with early-career residents
Year: 2025
Type: article
Study design: Clinical Trial
Abstract: BACKGROUND: The manual compression approach is still widely used to achieve hemostasis of the radial artery. This study aimed to evaluate the effectiveness of competency-driven hemostasis training for radial artery among early-career residents. METHODS: This prospective, self-controlled study included 10 residents who had not previously received standard compression hemostasis training (Trial Registration: ChiCTR1900025140, 13/08/2019). Radial artery compression was performed in 100 patients both before and after training. The primary endpoints were 5 min hemostasis success rate, incidence of hematoma/bruise in puncture site, and the secondary endpoints were compression-related neurological sequelae and allergic responses. RESULTS: The analysis demonstrated a significant improvement in the 5-min hemostasis success rate (84.94% vs. 93.62%, P = 0.05) and a substantial reduction in the occurrence of hematoma/bruise (29.03% vs. 13.82%, P = 0.011). There were no significant differences in the frequencies of neurological complications (3.22% vs. 1.06%, P = 0.65) or allergic reactions (4.30% vs. 3.19%, P = 0.32) between the pre- and post-training phases. CONCLUSIONS: The competency-driven hemostasis training for radial artery enhanced hemostatic effectiveness while ensuring procedural safety, as demonstrated by a reduction in hematoma/bruise formation, without elevating the risk of neurological sequelae or allergic responses. The findings established an evidence-based foundation for competency-driven hemostasis training.
Source: BMC Medical Education
Authors: Qin Hou, Bin Zhou, Jing-Ping Kang, Yun-Xia Zuo
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,990
OpenAlex ID: W4415501090