| Title |
Impact of Early Mobilization on Ambulation Recovery in Elderly and/or Patients with Severe Subarachnoid Hemorrhage : A Multicenter Retrospective Study |
| Subtitle |
|
| Authors |
Shota Suzuki*1, Hikaru Takara*2, Shuhei Satoh*3, Yoko Abe*4, Shohei Miyazato*2, Mayu Hamada*1, Yuki Ishikawa*1, Shin Minakata*5, Masamichi Moriya*6, Shigeru Obayashi*1,7 |
| Authors (kana) |
|
| Organization |
*1Department of Rehabilitation, Saitama Medical Center, Saitama Medical University, *2Department of Rehabilitation, Naha City Hospital, *3Department of Rehabilitation, Akita Cerebrospinal and Cardiovascular Center, *4Department of Rehabilitation, Sapporo Shiroishi Memorial Hospital, *5Department of Rehabilitation Medicine, Akita University Hospital, *6Department of Autonomic Neuroscience, Tokyo Metropolitan Institute of Gerontology, *7Department of Rehabilitation Medicine, Saitama Medical Center, Saitama Medical University |
| Journal |
The Japanese Journal of Rehabilitation Medicine
|
| Volume |
62
|
| Number |
2
|
| Page |
189-200 |
| Year/Month |
2025 / 2 |
| Article |
Original article |
| Publisher |
The Japanese Association of Rehabilitation Medicine |
| Abstract |
[Abstract] Objective: To clarify whether early mobilization is a predictive factor for ambulation recovery in elderly patients and/or patients with severe subarachnoid hemorrhage (SAH). Methods: This multicenter retrospective observational study included 471 patients with treated SAH (Group 1). We focused on SAH patients with a poor prognosis, including a subgroup of elderly SAH patients (age > 65 years: n = 203) (Group 2) and patients with severe SAH (World Federation of Neurological Societies [WFNS] grade IV or V: n = 117) (Group 3). The chi-square test and Mann-Whitney U test were used to compare the differences between the ambulation recovery group and the non-recovery group. Multivariable logistic regression analysis modeling was used to estimate odds ratios and 95% confidence intervals of early mobilization for the ambulation-recovered group within 30 days of onset compared with the unrecovered group. Other covariates examined as possible confounders of the outcome were age, sex, location of the ruptured aneurysm, modified Fisher scale score, WFNS grade, mode of treatment (surgical vs. endovascular), duration of cerebrospinal fluid drainage, days on mechanical ventilation, intracerebral hemorrhage, symptomatic cerebral vasospasm, complications, shunt placement for hydrocephalus, and time to start mobilization. Results: Early mobilization was an independent predictive factor for gait recovery in all groups. Furthermore, location of the ruptured aneurysm (anterior circulation), absence of complications, and absence of shunt placement were independent factors for ambulation recovery in all groups. Conclusion: Early mobilization in elder or/and sever patients with SAH may be a predictive factor for ambulation recovery within 30 days of onset. |
| Practice |
Medical technology |
| Keywords |
acute phase rehabilitation, severity, age, sitting square, prognosis |
