Evaluation of kinetic therapy in the prevention of complications of prolonged bed rest secondary to stroke

Roger E. Kelley, Suvimol Vibulsresth, Lynda Bell, Robert C. Duncan

Research output: Contribution to journalArticle

41 Scopus citations

Abstract

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 in 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 totating 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 > 13 days (2.3-fold increased risk, p <0.04), and placement in a routine hospital bed (2.9-fold increased risk, p = 0.023).

Original languageEnglish (US)
Pages (from-to)638-642
Number of pages5
JournalStroke
Volume18
Issue number3
DOIs
StatePublished - Jan 1 1987
Externally publishedYes

Keywords

  • Immobility from stroke
  • Infection and stroke
  • Stoke complications
  • Stroke

ASJC Scopus subject areas

  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

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