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Association between out-of-bed mobilization and complications of immobility in acute phase of severe stroke: A retrospective observational study.
- Source :
-
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association [J Stroke Cerebrovasc Dis] 2020 Oct; Vol. 29 (10), pp. 105112. Date of Electronic Publication: 2020 Jul 09. - Publication Year :
- 2020
-
Abstract
- Background: Medical complications often occur, particularly in the acute phase of severe stroke, and lead to poor outcomes. However, it is unclear whether out-of-bed mobilization (OM) reduces such complications or not in the acute phase of severe stroke. Thus, we investigated the association between OM and complications of immobility in the acute phase of severe stroke.<br />Methods: We enrolled 407 patients diagnosed with ischemic stroke or intracerebral hemorrhage and patients with modified Rankin Scale 5 at discharge in this study. Patients were divided into two groups: OM (303 patients) and bed rest (BR; 104 patients) at discharge based on their medical records. Complications of immobility (such as pneumonia, urinary tract infection, pressure sore, and falls) during hospitalization in each group were recorded.<br />Results: The total complication rate of immobility, incidence of pneumonia, and the incidence of pressure sores were significantly lower in the OM group than in the BR group [60.7% vs. 88.5%, 45.5% vs. 62.5%, and 3.6% vs. 12.5%; odds ratio, 0.20, 0.50, and 0.26; and 95% confidence intervals, 0.11-0.39, 0.32-0.79, and 0.11-0.61, respectively]. Urinary tract infection and falls did not differ significantly between the two groups.<br />Conclusions: In the acute phase of severe stroke, OM was significantly associated with a lower risk of total complication rate of immobility, incidence of pneumonia, and incidence of pressure sore without increasing falls.<br />Competing Interests: Declaration of Competing Interest None.<br /> (Copyright © 2020 Elsevier Inc. All rights reserved.)
- Subjects :
- Accidental Falls prevention & control
Brain Ischemia diagnosis
Brain Ischemia epidemiology
Brain Ischemia physiopathology
Disability Evaluation
Humans
Incidence
Intracranial Hemorrhages diagnosis
Intracranial Hemorrhages epidemiology
Intracranial Hemorrhages physiopathology
Japan epidemiology
Patient Discharge
Pneumonia epidemiology
Pneumonia prevention & control
Pressure Ulcer epidemiology
Pressure Ulcer prevention & control
Recovery of Function
Retrospective Studies
Risk Factors
Severity of Illness Index
Stroke diagnosis
Stroke epidemiology
Stroke physiopathology
Treatment Outcome
Bed Rest adverse effects
Brain Ischemia rehabilitation
Early Ambulation adverse effects
Intracranial Hemorrhages rehabilitation
Mobility Limitation
Stroke therapy
Stroke Rehabilitation adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1532-8511
- Volume :
- 29
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
- Publication Type :
- Academic Journal
- Accession number :
- 32912565
- Full Text :
- https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105112