The Investigation of the Impact of Early Mobilization on the Outcome in Patients With Aneurysmal Subarachnoid Hemorrhage.
The Investigation of the Impact of Early Mobilization on the Outcome, the Appearance of Early Ischemic Damage, the Functional Status, and the Length of Intensive Care Treatment in Patients With Aneurysmal Subarachnoid Hemorrhage.
University of Pecs
50 participants
Jun 14, 2023
INTERVENTIONAL
Conditions
Summary
The goal of the randomized clinical trial is to examine the effect of early mobilization on primary and secondary outcomes in patients with subarachnoid hemorrhage caused by aneurysm rupture. Researchers will compare early mobiliziation vs. standrad bed rest care.
Eligibility
Inclusion Criteria9
- Age \>18 ys
- Premorbid modified Rankin Scale score of 0-2
- WFNS I-IV at enrollment
- Aneurysm occlusion has occurred through open or endovascular means
- Minimum 24 hours elapsed after aneurysm occlusion
- The patient has not received thrombolytic therapy
- Vital parameters are appropriate (mean arterial pressure \[MAP\] \>80 or \>110 mm Hg)
- Signed patient information and consent form
- Enrollment occurs within 72 hours following ictus
Exclusion Criteria5
- Age under 18 years
- Traumatic subarachnoid hemorrhage
- Incapacitated or limited capacity for action before ictus
- Confirmed pregnancy
- Aneurysm multiplicity (unless all aneurysms are treated)
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Interventions
* Step 1 - Day 1: Bed rest, elevation of the head end to 30° * Step 2 - Day 2: Bed rest, elevation of the head end to 60° * Step 3 - Day 3: Bed rest, elevation of the head end to 80° * Step 4 - Day 4: Sitting on the edge of the bed * Step 5 - Day 5: Sitting in a chair, standing up * Step 6 - Day 6: Walking with or without assistance * Step 7 - Day 7: Walking with or without assistance from today
During standard care, early mobilization does not take place in the intensive care unit; the patient receives only standard supportive care in bed rest.
Locations(3)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT06436508