Effect of early mobilization in patients with stroke and severe disturbance of consciousness: Retrospective study |
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| Affiliation: | 1. Rehabilitation Division, Iwate Medical University Hospital, Japan;2. Department of Rehabilitation Medicine, Iwate Medical University, 2-1-1 Idaidori, Yahaba-cho, Shiwa-gun, Iwate 028-3695, Japan;3. Iwate Prefectural Advanced Critical Care and Emergency Center, Iwate Medical University, Japan;4. Division of Neurology and Gerontology, Department of Internal Medicine, Iwate Medical University, Japan;1. Division of Preventive Medicine, Department of Medicine, Brigham and Women''s Hospital and Harvard Medical School, Boston, MA;2. Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA;3. Department of Neurology, J. Philip Kistler Stroke Research Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA;1. Department of Radiology, University of Washington, 850 Republican St, Seattle, WA 98109, United States;2. Department of Bioengineering, University of Washington, United States;3. Department of Surgery, University of Washington, United States;4. Clinical Research Division, Fred Hutchinson Cancer Research Center, United States;1. Department of Neurology, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Tianjin, China;2. Department of Neurosurgery, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Tianjin, China;1. Department of Neurology, Tekirdag Namik Kemal University, Namik Kemal Kampus Cad No:1, Tekirdag 59030, Turkey;2. Department of Neurology, Osmangazi University, Eskisehir, Turkey;1. Division of Neurocritical Care, Massachusetts General Hospital, 55 Fruit Street, Lunder 644, Boston, MA 02114, USA;2. Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA;3. Department of Pathology, Massachusetts General Hospital, Boston, MA, USA;4. Divisions of Stroke, Cerebrovascular and Critical Care Neurology, Brigham and Women''s Hospital, Boston, MA, USA;5. Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA, USA |
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| Abstract: | ![]()
ObjectivesThis study aimed to investigate the effectiveness and safety of early mobilization with a physiatrist and registered therapist Operating rehabilitation (PROr) for patients with stroke and severe disturbance of consciousness (DoC).Materials and methodsWe retrospectively screened records from patients with stroke admitted to our hospital from January 2015 to June 2021. Eligible patients with severe DoC were classified into two groups: patients who received standard rehabilitation (control group) and patients who received PROr (PROr group). We studied longitudinal change in the level of consciousness using the Japan Coma Scale (JCS) during hospital stay and compared in-hospital mortality, the incidence of respiratory complication, and modified Rankin Scale of discharge between the two groups.ResultsAmong the 2191 patients screened for inclusion, 16 patients were included in the PROr group, and 12 patients were included in the control group. Early mobilization was more promoted in the PROr group compared to the control group, but there were no significant differences in in-hospital mortality, the incidence of respiratory complication, or modified Rankin Scale at discharge between the two groups. In patients who survived during their hospital stay, JCS scores 2 weeks after the onset of stroke and JCS scores at discharge significantly improved from the start of rehabilitation in the PROr group, but not in the control group.ConclusionsEarly mobilization provided with the PROr program appears to be a safe treatment and may contribute to the improvement of consciousness level for patients with acute stroke and severe DoC. |
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| Keywords: | DoC" },{" #name" :" keyword" ," $" :{" id" :" pc_yOnxuuBObv" }," $$" :[{" #name" :" text" ," _" :" Disturbance of Consciousness EM" },{" #name" :" keyword" ," $" :{" id" :" pc_lfAn14C7HN" }," $$" :[{" #name" :" text" ," _" :" Early Mobilization PROr" },{" #name" :" keyword" ," $" :{" id" :" pc_BASmJ0bz0s" }," $$" :[{" #name" :" text" ," _" :" Physiatrist and Registered therapist Operating rehabilitation |
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