Impossible to tell if this is a valid conclusion at all. Nothing
mentioned about what the objective damage diagnosis was - location and
size. If you can get patients out of bed early then they probably had a
less damaging stroke. Damn these people don't understand cause and
effect at all.
Abstract
OBJECTIVE:
To
assess the amount of early upright activity of patients managed in
Norwegian stroke units and its association with functional outcome and
health-related quality of life 3 months later.
DESIGN:
A prospective observational multi-centre study.
SUBJECTS:
A
total of 390 acute stroke patients, mean age 76.8 years, 48.1% men,
less than14 days post-stroke, recruited from 11 Norwegian stroke units.
METHODS:
Time
spent in different activity categories (in bed, sitting out of bed,
upright) was observed with a standard method. Outcome was assessed by
modified Rankin Scale (mRS), and health-related quality of life by
EuroQol-5 Dimension 5 level (EQ-5D-5L) 3 months later. Ordinal logistic
and linear regression analyses were used to examine the association
between activity categories and mRS and EQ-5D-5L, respectively. Age,
National Institute of Health Stroke Scale (NIHSS) score, premorbid mRS,
sex, and hospital-site were added as covariates.
RESULTS:
The
odds ratio (OR) (95% confidence interval (CI)) for poorer functional
outcome (higher mRS) decreased as time spent in upright activities
increased (OR 0.97 (95% CI 0.94-1.00)). There was also a significant
positive association between time in upright activity and higher
EQ-5D-5L, Beta 0.184 (95% CI 0.001- 0.008) 3 months later.
CONCLUSION:
This study confirms the beneficial effect of upright activity applied during hospital stay in Norwegian stroke units.
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