Early Mobilization Post Acute Stroke Thrombolysis and/or Thrombectomy Survey

Why the fuck was this survey needed? If we had a great stroke association  instead of our   fucking failures of stroke associations, then we would have a publicly available protocol on this in our complete database of stroke research and protocols. But with NO leadership, nothing is ever done to solve stroke. You're screwed, don't have a stroke because of the complete incompetence of your stroke medical 'professionals' using the failed status quo instead of solving stroke.

Early Mobilization Post Acute Stroke Thrombolysis and/or Thrombectomy Survey

Brian Silver https://orcid.org/0000-0002-1562-9894 Brian.Silver@umassmed.edu, Meaghan Demers-Peel, […], and Julie Bernhardt+2View all authors and affiliations

Volume 13, Issue 2

https://doi.org/10.1177/19418744221138890

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Abstract

Background

We sought to determine mobilization practices following emergency stroke therapy in centers across the United States.

Methods

We surveyed hospitals in the NIH StrokeNet regarding mobilization practices following acute stroke thrombolysis and/or thrombectomy. An anonymous survey was sent out to all StrokeNet sites Survey questions included stroke center designation, location of admission, whether a formal bed rest protocol was in place, minimum bed rest period required, which person first mobilized the patient.

Results

48 centers responded to the survey including 45 Comprehensive Stroke Centers and 3 Primary Stroke Centers. Most patients were admitted to a neuro-intensive care unit (54%), others to a general medical/surgical ICU, stroke ward, or combination. 60% of respondents indicated that a formal bed rest policy was in place. Minimum bed rest requirements after thrombolysis alone ranged from 0 to 24 hours (35% with a 24-hour bed rest protocol, 19% with no minimum, 13% with a 12-hour minimum, 4% with an 8-hour minimum, 4% with a 6-hour minimum, and 6% with a variable rest period). Similar variations were reported in patients undergoing thrombectomy with ranges from 0 to 24 hours bed rest. First mobilization was by a nurse 52% of the time and by a physical therapist 48% of the time.

Conclusions

Mobilization practices following emergency ischemic stroke reperfusion treatments vary significantly across stroke centers. Mobilization of patients is performed primarily by nurses and therapists. Further study regarding an optimal approach for mobilization following acute ischemic stroke thrombolysis and/or thrombectomy is warranted.