Early Mobilization after Stroke: Changes in Clinical Opinion Despite an Unchanging Evidence Base

Background We sought to determine whether Australasian health professionals' opinions regarding early mobilization after stroke changed between 2008 and 2014, when a large international trial of early mobilization (A Very Early Rehabilitation Trial, AVERT) was underway. Methods Attendees at the...

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Bibliographic Details
Published in:Journal of stroke and cerebrovascular diseases 2017-01, Vol.26 (1), p.1-6
Main Authors: Lynch, Elizabeth A., PhD, Cumming, Toby, PhD, Janssen, Heidi, PhD, Bernhardt, Julie, PhD
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Attitude of Health Personnel
Australia
Cardiovascular
clinical opinion
Early Ambulation - methods
early mobilization
Evidence-Based Medicine
Female
Health Personnel - psychology
Humans
Intracranial Hemorrhages
Male
Middle Aged
Neurology
Outcome Assessment (Health Care)
questionnaire
Retrospective Studies
Stroke
Stroke Rehabilitation
Time Factors
Young Adult
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Summary:Background We sought to determine whether Australasian health professionals' opinions regarding early mobilization after stroke changed between 2008 and 2014, when a large international trial of early mobilization (A Very Early Rehabilitation Trial, AVERT) was underway. Methods Attendees at the two major Australasian stroke conferences in 2008 and 2014 were surveyed. Participants rated their agreement with statements about the risks and benefits of commencing mobilization within 24 hours of hemorrhagic and ischemic stroke using a 5-point Likert scale. Participants in 2014 were asked about their awareness of AVERT. Logistic regressions were performed to determine whether the time point (2008 versus 2014) or awareness of AVERT influenced opinions about early mobilization. Results Surveys were completed by 443 health professionals (2008: N = 202; 2014: N = 241). Most respondents in 2014 reported that early mobilization was beneficial and not harmful to people with ischemic and hemorrhagic stroke. Opinions regarding mobilization after ischemic stroke did not change significantly between 2008 and 2014. In 2014, a significantly greater proportion of respondents believed that early mobilization after hemorrhagic stroke was helpful (2008: n = 98 of 202 [49%] versus 2014: n = 170 of 241 [71%], P  
ISSN:1052-3057
1532-8511
DOI:10.1016/j.jstrokecerebrovasdis.2016.08.021