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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
dc.identifier.uri http://hdl.handle.net/11447/280
dc.identifier.uri http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2015.03.023
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.
dc.language.iso en_US
dc.publisher National Stroke Association. Published by Elsevier Inc.
dc.subject Brain ischemia
dc.subject Cerebral hemorrhage
dc.subject Data collection
dc.subject Head position stroke
dc.subject Survey
dc.title Head Position in the Early Phase of Acute Ischemic Stroke: An International Survey of Current Practice
dc.type Artículo


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