| Impact of Early Mobilization on Functional Outcome at Discharge in the Elderly Patients with Hypertensive Intracerebral Hemorrhage |
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Han Jin Jang , Cheol Su Jwa |
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Department of Neurosurgery, National Medical Center, Seoul, Korea |
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| Abstract |
Objective
This study was to investigate the impact of early mobilization on discharge outcome in the elderly patients with hypertensive intracerebral hemorrhage (ICH).
Methods
A retrospective study was done with the consecutive 207 elderly patients with mild to moderate hypertensive ICH with Glasgow Coma Scale (GCS) score 12-15. The subjects were classified into the early mobilization group (<72 hours, n=95) and the delayed (≥72 hours, n=112). The functional outcome measure was independence, defined as modified Rankin scale of 0 to 2 at discharge.
Results
Pneumonia, urinary tract infections and painful shoulder were significantly lower in the early mobilization group than in the delayed (all p<0.05). Hospital stay was significantly lower in the early mobilization group than in the delayed (20.4 days vs. 26.2 days; p<0.001) Independence at discharge was 49 patients (51.6%) in the early mobilization group and was significantly higher in the early mobilization group than in the delayed (51.6% vs. 70.5%; p=0.035). In multiple logistic regression model, initial National Institutes of Health Stroke Scale (NIHSS) score (odds ratio (OR) 1.264, 95% CI 1.129-1.416), early mobilization (<72 hours; OR 2.368, 95% CI 1.286-4.361) were independent predictors of independence at discharge in the elderly patients with mild to moderate hypertensive ICH.
Conclusion
This study suggests that early mobilization within 72 hours of ICH is associated with better outcome at discharge and may decrease some complications of immobilization during admission in the elderly patients. |
| Key Words:
Early mobilizationㆍIntracerebral hemorrhageㆍOutcome |
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