Efficacy and Safety of Very Early Mobilization in Patients with Acute Stroke: A Systematic Review and Meta-analysis
Abstract Whether very early mobilization (VEM) improves outcomes in stroke patients and reduces immobilization-related complications (IRCs) is currently unknown. The objective of this systematic review and meta-analysis was to evaluate the efficacy and safety of VEM in acute stroke patients followin...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2017-07-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-017-06871-z |
| _version_ | 1818420391999176704 |
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| author | Tao Xu Xinyuan Yu Shu Ou Xi Liu Jinxian Yuan Yangmei Chen |
| author_facet | Tao Xu Xinyuan Yu Shu Ou Xi Liu Jinxian Yuan Yangmei Chen |
| author_sort | Tao Xu |
| collection | DOAJ |
| description | Abstract Whether very early mobilization (VEM) improves outcomes in stroke patients and reduces immobilization-related complications (IRCs) is currently unknown. The objective of this systematic review and meta-analysis was to evaluate the efficacy and safety of VEM in acute stroke patients following admission. Medline, Embase, and Cochrane Central Register of Controlled Trials databases were searched for randomized controlled trials (RCTs) that examined the efficacy or safety of VEM in patients with acute stroke. VEM was defined as out of bed activity commencing within 24 or 48 hours after the onset of stroke. A total of 9 RCTs with 2,803 participants were included. Upon analysis, VEM was not associated with favorable functional outcomes (modified Ranking Scale: 0–2) at 3 months [relative risk (RR): 0.96; 95% confidence interval (CI): 0.86–1.06]; VEM did not reduce the risk of IRCs during follow up. With respect to safety outcomes, VEM was not associated with a higher risk of death (RR: 1.04; 95% CI: 0.52–2.09) and did not increase the risk of neurological deterioration or incidence of falls with injury. In conclusion, pooled data from RCTs concluded that VEM is not associated with beneficial effects when carried out in patients 24 or 48 hours after the onset of a stroke. |
| first_indexed | 2024-12-14T12:53:44Z |
| format | Article |
| id | doaj.art-3aa52903c10e457faf558dd4a2873fc7 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-14T12:53:44Z |
| publishDate | 2017-07-01 |
| publisher | Nature Portfolio |
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| series | Scientific Reports |
| spelling | doaj.art-3aa52903c10e457faf558dd4a2873fc72022-12-21T23:00:37ZengNature PortfolioScientific Reports2045-23222017-07-01711810.1038/s41598-017-06871-zEfficacy and Safety of Very Early Mobilization in Patients with Acute Stroke: A Systematic Review and Meta-analysisTao Xu0Xinyuan Yu1Shu Ou2Xi Liu3Jinxian Yuan4Yangmei Chen5Department of Neurology, the Second Affiliated Hospital of Chongqing Medical UniversityDepartment of Neurology, the Second Affiliated Hospital of Chongqing Medical UniversityDepartment of Neurology, the Second Affiliated Hospital of Chongqing Medical UniversityDepartment of Neurology, the Second Affiliated Hospital of Chongqing Medical UniversityDepartment of Neurology, the Second Affiliated Hospital of Chongqing Medical UniversityDepartment of Neurology, the Second Affiliated Hospital of Chongqing Medical UniversityAbstract Whether very early mobilization (VEM) improves outcomes in stroke patients and reduces immobilization-related complications (IRCs) is currently unknown. The objective of this systematic review and meta-analysis was to evaluate the efficacy and safety of VEM in acute stroke patients following admission. Medline, Embase, and Cochrane Central Register of Controlled Trials databases were searched for randomized controlled trials (RCTs) that examined the efficacy or safety of VEM in patients with acute stroke. VEM was defined as out of bed activity commencing within 24 or 48 hours after the onset of stroke. A total of 9 RCTs with 2,803 participants were included. Upon analysis, VEM was not associated with favorable functional outcomes (modified Ranking Scale: 0–2) at 3 months [relative risk (RR): 0.96; 95% confidence interval (CI): 0.86–1.06]; VEM did not reduce the risk of IRCs during follow up. With respect to safety outcomes, VEM was not associated with a higher risk of death (RR: 1.04; 95% CI: 0.52–2.09) and did not increase the risk of neurological deterioration or incidence of falls with injury. In conclusion, pooled data from RCTs concluded that VEM is not associated with beneficial effects when carried out in patients 24 or 48 hours after the onset of a stroke.https://doi.org/10.1038/s41598-017-06871-z |
| spellingShingle | Tao Xu Xinyuan Yu Shu Ou Xi Liu Jinxian Yuan Yangmei Chen Efficacy and Safety of Very Early Mobilization in Patients with Acute Stroke: A Systematic Review and Meta-analysis Scientific Reports |
| title | Efficacy and Safety of Very Early Mobilization in Patients with Acute Stroke: A Systematic Review and Meta-analysis |
| title_full | Efficacy and Safety of Very Early Mobilization in Patients with Acute Stroke: A Systematic Review and Meta-analysis |
| title_fullStr | Efficacy and Safety of Very Early Mobilization in Patients with Acute Stroke: A Systematic Review and Meta-analysis |
| title_full_unstemmed | Efficacy and Safety of Very Early Mobilization in Patients with Acute Stroke: A Systematic Review and Meta-analysis |
| title_short | Efficacy and Safety of Very Early Mobilization in Patients with Acute Stroke: A Systematic Review and Meta-analysis |
| title_sort | efficacy and safety of very early mobilization in patients with acute stroke a systematic review and meta analysis |
| url | https://doi.org/10.1038/s41598-017-06871-z |
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