Stroke, Vol 18, 638-642, Copyright © 1987 by American Heart Association
RE Kelley, S Vibulsresth, L Bell and RC Duncan
We performed a prospective, controlled study of kinetic therapy in acute,
severe stroke. This therapy involved continuous mobilization of a bedridden
patient by means of a specially designed rotating bed. All patients with
acute stroke presenting to the Neurology Service over an 18-month period
were screened, and those that qualified were assigned to confinement in
either a routine hospital bed or a rotating bed. We found that the most
common complication of stroke with bed confinement of 4 days or longer was
bacterial infection consisting of either pneumonia, sepsis, or urinary
tract infection. The two variables found to be of greatest significance in
affecting the rate of infection were length of bed confinement, especially
for greater than 13 days (2.3- fold increased risk, p less than 0.04), and
placement in a routine hospital bed (2.9-fold increased risk, p = 0.023).
ARTICLES
Evaluation of kinetic therapy in the prevention of complications of prolonged bed rest secondary to stroke
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