Article

OBJECTIVE: To assess the amount of early upright activity of patients managed in
Norwegian stroke units and its association with functional outcome and
health-related quality of life 3 months later.
DESIGN: A prospective
observational multi-centre study. SUBJECTS: A total of 390 acute stroke patients,
mean age 76.8 years, 48.1% men, less than14 days post-stroke, recruited from 11
Norwegian stroke units. METHODS: Time spent in different activity categories (in
bed, sitting out of bed, upright) was observed with a standard method. Outcome
was assessed by modified Rankin Scale (mRS), and health-related quality of life
by EuroQol-5 Dimension 5 level (EQ-5D-5L) 3 months later. Ordinal logistic and
linear regression analyses were used to examine the association between activity
categories and mRS and EQ-5D-5L, respectively. Age, National Institute of Health
Stroke Scale (NIHSS) score, premorbid mRS, sex, and hospital-site were added as
covariates. RESULTS: The odds ratio (OR) (95% confidence interval (CI)) for
poorer functional outcome (higher mRS) decreased as time spent in upright
activities increased (OR 0.97 (95% CI 0.94-1.00)). There was also a significant
positive association between time in upright activity and higher EQ-5D-5L, Beta
0.184 (95% CI 0.001- 0.008) 3 months later. CONCLUSION: This study confirms the
beneficial effect of upright activity applied during hospital stay in Norwegian stroke units.
- Norvège

Langue : ANGLAIS