Abstract:
OBJECTIVES:National guidelines recommend mobilisation in bed as early as possible after acute stroke. Little is known about the influence of upright positioning on real-time cerebral flow variables in patients with stroke. We aimed to assess whether cerebral blood flow velocity (CBFV) changes significantly after upright positioning in bed in the acute stroke phase. DESIGN:Observational study. PARTICIPANTS:47 patients with acute ischaemic stroke measured in the subacute phase after symptom onset and 20 healthy controls. PRIMARY AND SECONDARY OUTCOME MEASURES:We recorded postural changes in bilateral transcranial Doppler (primary outcome) and simultaneously recorded near-infrared spectroscopy, end-tidal CO2, non-invasive blood pressure data and changes in neurological status (secondary outcomes). METHODS:Postures included the supine, half sitting (45°), sitting (70°) and Trendelenburg (-15°) positions. Using multilevel analyses, we compared postural changes between hemispheres, outcome groups (using modified Rankin Scale) as well as between patients and healthy controls. RESULTS:The mean patient age was 62±15 years and median National Institute of Health Stroke Scale score on admission was 7 (IQR 5-14). Mean proportional CBFV changes on sitting were not significantly different between healthy controls and affected hemispheres in patients with stroke. No significant differences were found between affected and unaffected stroke hemispheres and between patients with unfavourable and favourable outcomes. During upright positioning, no neurological worsening or improvement was observed in any of the patients. CONCLUSIONS:No indications were found that upright positioning in bed in mild to moderately affected patients with stroke compromises flow and (frontal)oxygenation significantly during the subacute phase of stroke. Supine or Trendelenburg positioning does not seem to augment real-time flow variables.
journal_name
BMJ Openjournal_title
BMJ openauthors
Aries MJ,Elting JW,Stewart R,De Keyser J,Kremer B,Vroomen Pdoi
10.1136/bmjopen-2013-002960subject
Has Abstractpub_date
2013-08-14 00:00:00issue
8issn
2044-6055pii
bmjopen-2013-002960journal_volume
3pub_type
杂志文章相关文献
BMJ Open文献大全abstract:INTRODUCTION:Several retrospective or single-centre studies demonstrated the efficacy of transplacental treatment of fetal tachyarrhythmias. Our retrospective nationwide survey showed that the fetal therapy will be successful at an overall rate of 90%. For fetuses with hydrops, the treatment success rate will be 80%. H...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2017-016597
更新日期:2017-08-29 00:00:00
abstract:INTRODUCTION:Returning to work can be problematic for cancer survivors due to suboptimal workplace support, a heavy workload, decreased physical functioning and fatigue. The timely and permanent return to work (RtW) of cancer patients favourably influences quality of life and economic independence. Multidisciplinary in...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001321
更新日期:2012-07-10 00:00:00
abstract:OBJECTIVE:To test the association between use of medicines with anticholinergic or sedative properties and physical function, cognitive function, appetite and frailty. DESIGN, SETTING AND PARTICIPANTS:This cross-sectional study analysed baseline data collected as part of the Australian Longitudinal Study of Ageing, a ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029221
更新日期:2019-09-04 00:00:00
abstract:OBJECTIVES:We previously demonstrated that a calcium channel blocker, azelnidipine, improves left ventricular relaxation in patients with hypertension and diastolic dysfunction in a multicentre, Clinical impact of Azelnidipine on Left VentricuLar diastolic function and OutComes in patients with hypertension (CALVLOC) t...
journal_title:BMJ open
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1136/bmjopen-2014-006136
更新日期:2014-09-30 00:00:00
abstract:OBJECTIVE:Our cross-sectional study aimed at evaluating the diagnostic performance of Focused Assessment with Sonography for HIV-associated tuberculosis (FASH) to detect extrapulmonary tuberculosis in extremely resource-limited settings, with visceral leishmaniasis as a differential diagnosis with overlapping sonograph...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-027179
更新日期:2019-04-02 00:00:00
abstract:INTRODUCTION:Many resources are required to provide postoperative care to patients who receive a cochlear implant. The implant service commits to lifetime follow-up. The patient commits to regular adjustment and rehabilitation appointments in the first year and annual follow-up appointments thereafter. Offering remote ...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2016-011342
更新日期:2016-05-13 00:00:00
abstract:OBJECTIVES:To explore experiences of interprofessional learning (IPL), and how faculty and students might want to participate in IPL opportunities as a form of shared learning. DESIGN:Qualitative study. SETTING:The Ministry of Health and Medical Education which is accountable for rendering service to the public, prov...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-020015
更新日期:2018-10-30 00:00:00
abstract:INTRODUCTION:The Modification of Diet, Exercise and Lifestyle (MODEL) study aims to examine the impact of providing visualisation and pictorial representation of advanced structural vascular disease (abdominal aortic calcification), on 'healthful' improvements to diet and lifestyle. This paper reports the protocol for ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036395
更新日期:2020-11-11 00:00:00
abstract:INTRODUCTION:An outbreak of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) was reported in Wuhan, China, in mid-December 2019, and declared a pandemic by the WHO on 11 March 2020. Due to the unknown nature of the disease and the lack of specific drugs, several potential treatments were used for patients. ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039730
更新日期:2020-07-31 00:00:00
abstract:OBJECTIVES:This article presents the findings from a scoping review which explored the nature of interprofessional online learning in primary healthcare. The review was informed by the following questions: What is the nature of evidence on online postgraduate education for primary healthcare interprofessional teams? Wh...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2017-016872
更新日期:2017-08-04 00:00:00
abstract:OBJECTIVES:Liver disease is a major cause of morbidity and mortality in sub-Saharan Africa, but its prevalence, distribution and aetiology have not been well characterised. We therefore set out to examine liver function tests (LFTs) and liver fibrosis scores in a rural African population. DESIGN:We undertook a cross-s...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032890
更新日期:2020-03-31 00:00:00
abstract:INTRODUCTION:Physical activity (PA) has diverse benefits for physical and mental health and can reduce symptoms of mental illness. Adults with mental illness face practical, psychosocial and socioeconomic barriers to adopting and maintaining PA, and it is unclear how to effectively promote PA in this group. Supervised ...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2018-023460
更新日期:2018-09-08 00:00:00
abstract:OBJECTIVE:To determine if observational studies examining the association of wholegrain foods with cardiovascular disease (CVD) with food industry sponsorship and/or authors with conflicts of interest (COI) with the food industry are more likely to have results and/or conclusions that are favourable to industry than th...
journal_title:BMJ open
pub_type: 杂志文章,meta分析
doi:10.1136/bmjopen-2018-022912
更新日期:2019-05-19 00:00:00
abstract:CONTEXT:The Food and Drug Administration Modernization Act of 1997 (FDAMA) and the FDA Amendment Act of 2007 (FDAAA), respectively, established mandates for registration of interventional human research studies on the website clinicaltrials.gov (CTG) and for posting of results of completed studies. OBJECTIVE:To charac...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001186
更新日期:2012-08-29 00:00:00
abstract:OBJECTIVE:Hispanics/Latinos, the largest immigrant population in the USA, undergo the process of acculturation and have a large burden of heart failure risk. Few studies have examined the association of acculturation on cardiac structure and function. DESIGN:Cross-sectional. SETTING:The Echocardiographic Study of Lat...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028729
更新日期:2019-11-28 00:00:00
abstract:INTRODUCTION:Approximately 5%-20% of reproductive women suffer from polycystic ovary syndrome (PCOS). Auricular points acupressure (AA) may serve as alternative management for PCOS for its benefits in both physical and psychological well-being. However, the effects of AA for insulin resistance (IR) in overweight/obese ...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2018-027498
更新日期:2019-05-28 00:00:00
abstract:OBJECTIVES:The study aimed to understand through qualitative research what patients considered material in their decision to consent to an acute surgical intervention. PARTICIPANTS, SETTING AND INTERVENTION:The patients selected aged between 18 and 90, having been admitted to a major trauma centre to undergo an acute ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037657
更新日期:2020-10-08 00:00:00
abstract:INTRODUCTION:In Australia, an estimated 90% of those entering prison are current tobacco smokers and three-quarters of current prisoners are tobacco smokers. AIMS:To identify factors and their relative contributions to smoking cessation among male prisoners. METHODS:A total of 425 male tobacco smokers with a median a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034046
更新日期:2020-07-20 00:00:00
abstract:OBJECTIVE:To assess the impact of describing an antibody-positive test result using the terms Immunity and Passport or Certificate, alone or in combination, on perceived risk of becoming infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and protective behaviours. DESIGN:2×3 experimental design...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2020-040448
更新日期:2020-08-30 00:00:00
abstract:OBJECTIVES:To derive a tool to determine Urgent Care Center (UCC) crowding and investigate the association between different levels of UCC overcrowding and negative patient care outcomes. DESIGN:Prospective pilot study. SETTING:Single centre study in the USA. PARTICIPANTS:3565 patients who registered at UCC during t...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006860
更新日期:2015-04-14 00:00:00
abstract:OBJECTIVE:Spanish primary healthcare teams have the responsibility of performing health-promoting community activities (CAs), although such activities are not widespread. Our aim was to identify the factors related to participation in those activities. DESIGN:Two case-control studies. SETTING:Performed in primary car...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-015934
更新日期:2017-10-08 00:00:00
abstract:OBJECTIVES:To gather knowledge on the current debate, opinions and attitudes of Italian patient and citizen groups on individual participant data (IPD) sharing from clinical studies. DESIGN:Cross-sectional online survey. SETTING AND PARTICIPANTS:A 22-item online questionnaire was sent by email to 2003 contacts of pat...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024863
更新日期:2019-02-19 00:00:00
abstract:OBJECTIVES:To examine the trends in inhospital mortality for England and Scotland over a 17-year period to determine whether and if so to what extent the time trends differ after controlling for differences in the patients treated. DESIGN:Analysis of retrospective administrative hospital data using descriptive aggrega...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2017-017195
更新日期:2018-02-21 00:00:00
abstract:OBJECTIVES:This study aims to identify the sources of funding for investigator-initiated clinical trials (IICTs) in Portugal, and to recommend ways to improve the quality of information collected from clinical trial databases about funding. DESIGN AND METHODS:A systematic search of trial registrations over the last 13...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023394
更新日期:2019-05-14 00:00:00
abstract:OBJECTIVE:To describe health-related quality of life (HRQOL) and psychological well-being of children and adolescents at enrolment in a multidisciplinary community-based obesity programme and to determine association with ethnicity. This programme targeted indigenous people and those from most deprived households. Furt...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2016-015776
更新日期:2017-08-09 00:00:00
abstract:OBJECTIVE:To summarise the findings of an updated Cochrane review of interventions aimed at improving the appropriate use of polypharmacy in older people. DESIGN:Cochrane systematic review. Multiple electronic databases were searched including MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials (fro...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2015-009235
更新日期:2015-12-09 00:00:00
abstract:OBJECTIVES:To determine whether humour therapy reduces depression (primary outcome), agitation and behavioural disturbances and improves social engagement and quality-of-life in nursing home residents. DESIGN:The Sydney Multisite Intervention of LaughterBosses and ElderClowns study was a single-blind cluster randomise...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-002072
更新日期:2013-01-11 00:00:00
abstract:OBJECTIVE:To analyse voluntary payment reports of pharmaceutical companies to German healthcare professionals (HCPs) in 2015 and 2016 based on an industry-self-regulating transparency codex. DESIGN AND PARTICIPANTS:Cohort study of all German HCPs who voluntarily agreed that at least one payment they received in 2015 a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037395
更新日期:2020-09-17 00:00:00
abstract:OBJECTIVES:Pharmacoepidemiological studies are an important hypothesis-testing tool in the evaluation of postmarketing drug safety. Despite the potential to produce robust value-added data, interpretation of findings can be hindered due to well-recognised methodological limitations of these studies. Therefore, assessme...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001362
更新日期:2012-09-25 00:00:00
abstract:INTRODUCTION:Opioid use disorder (OUD) is characterised by the fifth Edition of the Diagnostic and Statistics Manual as a problematic pattern of opioid use (eg, fentanyl, heroin, oxycodone) that leads to clinically significant impairment. OUD diagnoses have risen substantially over the last decade, and treatment servic...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-022267
更新日期:2018-10-17 00:00:00