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

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dc.contributor.authorMuñoz, Paula
dc.contributor.authorOlavarría, Verónica
dc.contributor.authorGonzález, Francisca
dc.contributor.authorBrunser, Alejandro
dc.contributor.authorLavados, Pablo
dc.contributor.authorArima, Hisatomi
dc.contributor.authorAnderson, Craig
dc.date.accessioned2016-05-19T14:18:54Z
dc.date.available2016-05-19T14:18:54Z
dc.date.issued2015
dc.description.abstractBACKGROUND: 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.identifier.citationMuñoz Venturelli P, Olavarría V, González F, Brunser A, Lavados P, Arima H, Anderson CS. Head Position in the Early Phase of Acute Ischemic Stroke: An International Survey of Current Practice. J Stroke Cerebrovasc Dis. 2015 Jul;24(7):1564-9.
dc.identifier.urihttp://hdl.handle.net/11447/280
dc.identifier.urihttp://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2015.03.023
dc.language.isoen_US
dc.publisherNational Stroke Association. Published by Elsevier Inc.
dc.subjectBrain ischemia
dc.subjectCerebral hemorrhage
dc.subjectData collection
dc.subjectHead position stroke
dc.subjectSurvey
dc.titleHead Position in the Early Phase of Acute Ischemic Stroke: An International Survey of Current Practice
dc.typeArtículo

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