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Head Position in the Early Phase of Acute Ischemic Stroke: An International Survey of Current Practice

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dc.contributor.author Muñoz, Paula
dc.contributor.author Olavarría, Verónica
dc.contributor.author González, Francisca
dc.contributor.author Brunser, Alejandro
dc.contributor.author Lavados, Pablo
dc.contributor.author Arima, Hisatomi
dc.contributor.author Anderson, Craig
dc.date.accessioned 2016-05-19T14:18:54Z
dc.date.available 2016-05-19T14:18:54Z
dc.date.issued 2015
dc.identifier.citation Journal of Stroke and Cerebrovascular Diseases, July 2015, vol.24, n°7, p.1564–1569 es_CL
dc.identifier.uri http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2015.03.023 es_CL
dc.identifier.uri http://hdl.handle.net/11447/280
dc.description.abstract BACKGROUND: Evidence to recommend a specific head position for patients in the early phase of acute ischemic stroke (AIS) is scarce. The aim of this study was to assess current head position practice for AIS patients among physicians from hospitals in different countries. METHODS: A cross-sectional survey research design was used; physicians who are part of a stroke research network were invited to participate by e-mail. Descriptive statistics were used. RESULTS: An invitation to participate was delivered to 298 doctors from 16 countries and 42.9% completed all survey questions. Participant responses were evenly divided in sitting up and lying flat position as the most usual at their hospital: 52.8% (95% confidence interval [CI], 43.7-61.0) of respondents preferred sitting up, whereas 47.2% (95% CI, 38.2-55.5) preferred lying flat; 53.9% (95% CI, 45.3-62.5) of participants answered that no written protocol specifying the indicated head position for stroke patients was available at their hospital or department, and 71% (95% CI, 63.2-78.9) recognized being uncertain about the best position for AIS patients. CONCLUSIONS: Common practice differs between physicians, and there is a lack of consensus about the best strategy regarding head position for AIS patients in many countries. An opportunity exists for a randomized trial to resolve this uncertainty and develop evidence-based consensus protocols to improve patient management and outcomes. es_CL
dc.language.iso en_US es_CL
dc.publisher National Stroke Association. Published by Elsevier Inc. es_CL
dc.subject Brain ischemia es_CL
dc.subject Cerebral hemorrhage es_CL
dc.subject Data collection es_CL
dc.subject Head position stroke es_CL
dc.subject Survey es_CL
dc.title Head Position in the Early Phase of Acute Ischemic Stroke: An International Survey of Current Practice es_CL
dc.type Artículo es_CL


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