Not all stroke units are the same - A comparison of physical activity patterns in Melbourne, Australia, and Trondheim, Norway
Not all stroke units are the same - A comparison of physical activity patterns in Melbourne, Australia, and Trondheim, Norway
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DOI：
10.1161/strokeaha.107.507160
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发表时间：
2008-07-01
期刊：
影响因子：
8.3
通讯作者：
Indredavik, Bent
中科院分区：
文献类型：
--
作者：
Bernhardt, Julie;Chitravas, Numthip;Indredavik, Bent
背景和目的--挪威特隆赫姆卒中单元观察到的有利结果中，早期活动可能是最重要的因素之一。本研究的目的是（1）描述和比较中风患者的身体活动模式管理中风单位与指定的动员协议（特隆赫姆）和那些没有在澳大利亚墨尔本;和（2）确定活动差异，根据中风的严重程度之间的2 sites.Methods -墨尔本患者从5个大都市中风单位。从特隆赫姆大学医院卒中科招募特隆赫姆患者。所有中风后< 14天的患者都有资格参加这项研究。接受姑息治疗的患者被排除在外。在一天内，从上午8：00到下午5：00，每隔10分钟观察一次参与者。在每次观察时，记录患者的位置、活动和在场的人。负二项回归分析进行评估中风单位在2 countries.Results -患者在墨尔本和特隆赫姆之间的身体活动模式的差异有相似的基线特征。墨尔本患者卧床时间增加21%，只有12.2%的患者进行中度/高度活动（与特隆赫姆的23.2%相比，P < 0.001）。这种差异在中风严重程度较高的患者中更为明显。在墨尔本进行站立和行走活动所花费时间的发病率比为0.44（95%CI：0.32至0.62）相比，特隆赫姆。结论-较高的活动水平，观察到特隆赫姆患者，特别是那些更严重的中风。更加重视动员可能会对改善结果做出重要贡献。对此需要进一步调查。
Background and Purpose - Very early mobilization may be one of the most important factors contributing to the favorable outcome observed from a stroke unit in Trondheim, Norway. The aims of this study were to (1) describe and compare the pattern of physical activity of patients with stroke managed in a stroke unit with specified mobilization protocols (Trondheim) and those without in Melbourne, Australia; and (2) identify differences in activity according to stroke severity between the 2 sites.Methods - Melbourne patients were recruited from 5 metropolitan stroke units. Trondheim patients were recruited from the stroke unit at University Hospital, Trondheim. All patients < 14 days poststroke were eligible for the study. Patients receiving palliative care were excluded. Consenting participants were observed at 10-minute intervals from 8: 00 AM to 5: 00 PM over a single day. At each observation, patient location, activity, and the people present were recorded. Negative binomial regression analyses were undertaken to assess differences in physical activity patterns between stroke units in the 2 cities.Results - Patients in Melbourne and Trondheim had similar baseline characteristics. Melbourne patients spent 21% more time in bed and only 12.2% undertook moderate/ high activity (versus 23.2% in Trondheim, P < 0.001). This difference was even more pronounced among patients with greater stroke severity. The incidence rate ratio for time spent doing standing and walking activities in Melbourne was 0.44 (95% CI: 0.32 to 0.62) when compared with Trondheim.Conclusion - Higher activity levels were observed in Trondheim patients, particularly among those with more severe strokes. A greater emphasis on mobilization may make an important contribution to improved outcome. Further investigation of this is warranted.