Relationship between first mobilization following the onset of stroke and clinical outcomes in patients with ischemic stroke in the general ward of a hospital: A cohort study.
clinical outcome
early mobilization
general ward
rehabilitation
stroke
Journal
Physical therapy research
ISSN: 2189-8448
Titre abrégé: Phys Ther Res
Pays: Japan
ID NLM: 101700769
Informations de publication
Date de publication:
2020
2020
Historique:
received:
15
01
2020
accepted:
25
06
2020
entrez:
25
1
2021
pubmed:
26
1
2021
medline:
26
1
2021
Statut:
epublish
Résumé
The purpose of this study was to compare the effects of first mobilization following a stroke with independently performing the activities of daily living at discharge in acute phase ischemic stroke patients in a general ward of a hospital. A total of 158 patients with ischemic strokes were admitted to a general ward from June 1, 2014 to March 31, 2015. Of the 158 patients, 53 met the study's eligibility criteria. First mobilization was defined as the transfer of a patient from the bed to a wheelchair by a rehabilitation therapist. A favorable primary outcome at discharge was defined as a modified Rankin Scale score of < 3. The outcome was analyzed using the proportional hazards analysis and receiver operating characteristic curves. The age of the participants was 78.2 ± 11.7 years, stroke severity evaluated by the National Institutes of Health Stroke Scale scores on admission was 14.3 ± 10.6 points, and first mobilization of this population was 6.4 ± 5.2 days. Thirteen [25%] patients had a favorable outcome. Hazards analysis showed a favorable outcome due to first mobilization (adjusted hazards ratio 0.80, 95% confidence interval 0.65-0.98; p < 0.05). The cutoff point for first mobilization to produce a favorable outcome was 6.5 days after the stroke onset (area under the curve 0.729; p < 0.05). As seen in stroke units, early first mobilization is associated with improved clinical outcomes in ischemic stroke patients admitted to a general ward.
Identifiants
pubmed: 33489661
doi: 10.1298/ptr.E10022
pmc: PMC7814213
doi:
Types de publication
Journal Article
Langues
eng
Pagination
209-215Informations de copyright
2020, JAPANESE PHYSICAL THERAPY ASSOCIATION.
Déclaration de conflit d'intérêts
The authors report no conflict of interest.
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