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).
- Immobility from stroke
- Infection and stroke
- Stoke complications
ASJC Scopus subject areas
- Clinical Neurology
- Cardiology and Cardiovascular Medicine
- Advanced and Specialized Nursing