Bed rest: a potentially harmful treatment needing more careful evaluation

摘要: Background Bed rest is not only used in the management of patients who are able to mobilise, but also prescribed as a treatment for large number medical conditions, procedure that has been challenged. We searched literature evidence benefit or harm bed any condition. Methods systematically MEDLINE and Cochrane library, retrieved reports on randomised controlled trials versus early mobilisation condition, including procedures. Findings 39 15 different conditions (total 5777) were found. In 24 investigating following procedure, no outcomes improved significantly eight worsened some procedures (lumbar puncture, spinal anaesthesia, radiculography, cardiac catheterisation). primary treatment, nine (acute low back pain, labour, proteinuric hypertension during pregnancy, myocardial infarction, acute infectious hepatitis). Interpretation should assume efficacy rest. Further studies need be done establish treatment.