Health Condition 1: null- All acute stroke patients admitted to the hospital
Conditions
Interventions
Intervention1: The lying flat (0°) head position for one cluster group followed by the sitting-up (greater than or equal to 30°) head position: The lying flat (0°) head position: the intervention i
it is possible for patients to eat on their side in the flat position as swallow is an active process that is not dependent on gravity.
The sitting-up (greater than or equal to 30°) head position â??
Sponsors
National Health and Medical Research Council of Australia
Eligibility
Inclusion criteria
Inclusion criteria: • are adults aged greater than or equal to 18 years(the age for adults may vary in different countries) • have a presumed clinical diagnosis of acute stroke (i.e. with a persistent neurological deficit on presentation), • present to hospital, or have an in-hospital event or transfer from another hospital, with acute stroke.
Exclusion criteria
Exclusion criteria: • transient ischaemic attack (TIA) (i.e. symptoms have resolved upon presentation), • definite clinical contraindication or indication to either the sitting up or lying flat head positions, • significant medical condition that takes priority in care and where adherence to the randomised head position is not possible on another ward/department of the hospital, • immediate transfer from the ED or admission, to another ward for medical treatment (e.g. for haemodialysis) or surgery (e.g. carotid endarterectomy, haematoma evacuation) where adherence to the randomised head position is not possible.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| 1. Death or dependency measured by a shift in NIHSS(46) at 7 days 2. Death within 90 days 3. Length of hospital stay 4. the European Quality of Life Scale 5 Dimension (EQ-5D) 5. Pneumonia according to standard criteria involving a set combination of symptomatology and radiological signs Timepoint: 1. Death or dependency at 7 days 2. Death within 90 days 3. Pneumonia that occurs 48 hours or more after admission, which was not incubating at the time of admission | — |
Primary
| Measure | Time frame |
|---|---|
| primary outcome will be a shift (improvement) in death and disability according to the patientâ??s modified Rankin Score (mRS) at 90 days.Timepoint: 90 days | — |
Countries
Australia, Brazil, Chile, China, India, Sri Lanka, Taiwan, United Kingdom, United States of America
Contacts
Public ContactJeyaraj Durai Pandian
Christian Medical College, Ludhiana
Outcome results
None listed