Head position in stroke trial (Headpost): an international cluster randomized trial

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Head position and cerebral blood flow in acute ischemic stroke patients: Protocol for the pilot phase, cluster randomized, Head Position in Acute Ischemic Stroke Trial (HeadPoST pilot).

RATIONALE Few proven interventions exist for acute ischemic stroke (AIS), and most are expensive and restricted in applicability. Lying flat 'head down' positioning of AIS patients has been shown to increase by as much as 20%, mean cerebral blood flow velocities (CBFV) measured by transcranial Doppler (TCD) but whether this translates into clinical improvement is uncertain. AIM To determine i...

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Head Position in Stroke Trial (HeadPoST) – sitting-up vs lying-flat positioning of patients with acute stroke: study protocol for a cluster randomised controlled trial

BACKGROUND Positioning a patient lying-flat in the acute phase of ischaemic stroke may improve recovery and reduce disability, but such a possibility has not been formally tested in a randomised trial. We therefore initiated the Head Position in Stroke Trial (HeadPoST) to determine the effects of lying-flat (0°) compared with sitting-up (≥ 30°) head positioning in the first 24 hours of hospital...

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Cluster Randomized Controlled Trial

The high prevalence and diversity of longer-term problems experienced by patients with stroke and their carers has long been recognized, but they remain poorly addressed by existing services. Postdischarge contact with therapy services is associated with improved outcomes. However, these interventions are generally time limited and have little effect on psychosocial outcome. National guidelines...

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The International Stroke Trial database

BACKGROUND We aimed to make individual patient data from the International Stroke Trial (IST), one of the largest randomised trials ever conducted in acute stroke, available for public use, to facilitate the planning of future trials and to permit additional secondary analyses. METHODS For each randomised patient, we have extracted data on the variables assessed at randomisation, at the early...

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Effect of Educational Intervention on Fear of Falling in the Elderly People: A Randomized Cluster Trial

Aims: Falls are one of the most common health problems for persons over 60 years old. The elderly person will suffer from physical, mental-psychological, and social problems after falling. The aim of the present study was to determine the effect of educational intervention on fear of falling in the elderly people in Ahvaz. Materials & Methods: This study was a randomized controlled clinical tr...

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ژورنال

عنوان ژورنال: Journal of the Neurological Sciences

سال: 2015

ISSN: 0022-510X

DOI: 10.1016/j.jns.2015.08.1407