Early Mobilization Decision after an Acute Ischemic Stroke: Protocol for an Umbrella Review
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/20715 |
Resumo: | Introduction: Stroke is considered one of the greatest public health challenges worldwide, with the ischemic subtype being the most prevalent. Various acute stroke clinical guidelines recommend early rehabilitation interventions, including very early mobilization. However, despite the studies conducted in recent years regarding when to initiate mobilization after an acute stroke, there are few systematic and personalized protocols based on the factors for which patient mobilization should ideally be performed. We aim to conduct an umbrella review of systematic reviews and meta-analyses to study the early mobilization decision after an acute ischemic stroke in comparison with conventional care and correlate the different approaches with patient clinical outcomes.Methods and Analysis: We will perform a systematic search on PubMed/MEDLINE, EMBASE, Cochrane Database of Systematic Reviews, Epistemonikos and Web of Science Core Collection databases. Retrieved studies will be independently reviewed by two authors and any discrepancies will be resolved by consensus or with a third reviewer. Reviewers will extract the data and assess the risk of bias in the selected studies. We will use the 16-item Assessment of Multiple Systematic Reviews 2 (AMSTAR2) checklist as the critical appraisal tool to assess cumulative evidence and risk of bias of the different studies. This will be the first umbrella review that compares early mobilization approaches in post-acute ischemic stroke. This study may help to define the optimal early mobilization strategy in stroke patients. PROSPERO registration number: CRD42023430494 |
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Early Mobilization Decision after an Acute Ischemic Stroke: Protocol for an Umbrella ReviewDecisão de Mobilização Precoce após AVC Isquémico Agudo: Protocolo para uma Revisão UmbrellaCerebrovascular DisordersEarly AmbulationMeta-analysisStrokeSystematic ReviewAcidente Vascular CerebralDoença CerebrovascularMeta-análisesMobilização PrecoceRevisão SistemáticaIntroduction: Stroke is considered one of the greatest public health challenges worldwide, with the ischemic subtype being the most prevalent. Various acute stroke clinical guidelines recommend early rehabilitation interventions, including very early mobilization. However, despite the studies conducted in recent years regarding when to initiate mobilization after an acute stroke, there are few systematic and personalized protocols based on the factors for which patient mobilization should ideally be performed. We aim to conduct an umbrella review of systematic reviews and meta-analyses to study the early mobilization decision after an acute ischemic stroke in comparison with conventional care and correlate the different approaches with patient clinical outcomes.Methods and Analysis: We will perform a systematic search on PubMed/MEDLINE, EMBASE, Cochrane Database of Systematic Reviews, Epistemonikos and Web of Science Core Collection databases. Retrieved studies will be independently reviewed by two authors and any discrepancies will be resolved by consensus or with a third reviewer. Reviewers will extract the data and assess the risk of bias in the selected studies. We will use the 16-item Assessment of Multiple Systematic Reviews 2 (AMSTAR2) checklist as the critical appraisal tool to assess cumulative evidence and risk of bias of the different studies. This will be the first umbrella review that compares early mobilization approaches in post-acute ischemic stroke. This study may help to define the optimal early mobilization strategy in stroke patients. PROSPERO registration number: CRD42023430494Introdução: O acidente vascular cerebral (AVC) é considerado um dos principais problemas de saúde pública em todo o mundo, sendo o AVC isquémico o mais prevalente. Existem diferentes orientações clínicas relativas à abordagem do AVC na fase aguda que recomendam a mobilização precoce. No entanto, apesar dos estudos realizados nos últimos anos sobre quando iniciar a mobilização após um AVC, existem poucos protocolos sistemáticos e personalizados que abordam quais os fatores decisores para a mobilização dos doentes. O objetivo deste trabalho será analisar revisões sistemáticas e meta-análises sobre a decisão de mobilização precoce após um acidente vascular cerebral isquémico agudo em comparação com o tratamento convencional e verificar o impacto no resultado clínico das diferentes abordagens.Métodos e Análise: Iremos realizar pesquisa nas seguintes bases: PubMed/MEDLINE, EMBASE, Cochrane Database of Systematic Reviews, Epistemonikos e Web of Science Core Collection. Os estudos encontrados serão revistos de forma independente por dois autores e perante discrepâncias tentar-se-á obter um consenso entre os autores, ou será requerida a avaliação por um terceiro revisor. Os revisores extrairão os dados e avaliarão o risco de viés dos estudos selecionados. A lista de verificação de Avaliação de Revisões Sistemáticas Múltiplas 2 (AMSTAR2) com 16 itens será utilizada como ferramenta de avaliação crítica das evidências cumulativas dos diferentes estudos. Do nosso conhecimento, esta será a primeira revisão abrangente e sistemática que irá comparar as abordagens de mobilização precoce no AVC isquémico pós-agudo. Este estudo poderá contribuir para apoiar e estabelecer indicações sobre a estratégia ideal de mobilização precoce em doentes com AVC. PROSPERO número de registo: CRD42023430494Ordem dos Médicos2024-03-15info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/20715Acta Médica Portuguesa; In PressActa Médica Portuguesa; In Press1646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/20715https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/20715/15341Direitos de Autor (c) 2024 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessFernandes, CatarinaSousa, João AndréBernardo-Castro, SaraSilva, FernandoDonato, HelenaSargento-Freitas, João2024-03-17T03:00:29Zoai:ojs.www.actamedicaportuguesa.com:article/20715Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T04:01:54.208116Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Early Mobilization Decision after an Acute Ischemic Stroke: Protocol for an Umbrella Review Decisão de Mobilização Precoce após AVC Isquémico Agudo: Protocolo para uma Revisão Umbrella |
title |
Early Mobilization Decision after an Acute Ischemic Stroke: Protocol for an Umbrella Review |
spellingShingle |
Early Mobilization Decision after an Acute Ischemic Stroke: Protocol for an Umbrella Review Fernandes, Catarina Cerebrovascular Disorders Early Ambulation Meta-analysis Stroke Systematic Review Acidente Vascular Cerebral Doença Cerebrovascular Meta-análises Mobilização Precoce Revisão Sistemática |
title_short |
Early Mobilization Decision after an Acute Ischemic Stroke: Protocol for an Umbrella Review |
title_full |
Early Mobilization Decision after an Acute Ischemic Stroke: Protocol for an Umbrella Review |
title_fullStr |
Early Mobilization Decision after an Acute Ischemic Stroke: Protocol for an Umbrella Review |
title_full_unstemmed |
Early Mobilization Decision after an Acute Ischemic Stroke: Protocol for an Umbrella Review |
title_sort |
Early Mobilization Decision after an Acute Ischemic Stroke: Protocol for an Umbrella Review |
author |
Fernandes, Catarina |
author_facet |
Fernandes, Catarina Sousa, João André Bernardo-Castro, Sara Silva, Fernando Donato, Helena Sargento-Freitas, João |
author_role |
author |
author2 |
Sousa, João André Bernardo-Castro, Sara Silva, Fernando Donato, Helena Sargento-Freitas, João |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Fernandes, Catarina Sousa, João André Bernardo-Castro, Sara Silva, Fernando Donato, Helena Sargento-Freitas, João |
dc.subject.por.fl_str_mv |
Cerebrovascular Disorders Early Ambulation Meta-analysis Stroke Systematic Review Acidente Vascular Cerebral Doença Cerebrovascular Meta-análises Mobilização Precoce Revisão Sistemática |
topic |
Cerebrovascular Disorders Early Ambulation Meta-analysis Stroke Systematic Review Acidente Vascular Cerebral Doença Cerebrovascular Meta-análises Mobilização Precoce Revisão Sistemática |
description |
Introduction: Stroke is considered one of the greatest public health challenges worldwide, with the ischemic subtype being the most prevalent. Various acute stroke clinical guidelines recommend early rehabilitation interventions, including very early mobilization. However, despite the studies conducted in recent years regarding when to initiate mobilization after an acute stroke, there are few systematic and personalized protocols based on the factors for which patient mobilization should ideally be performed. We aim to conduct an umbrella review of systematic reviews and meta-analyses to study the early mobilization decision after an acute ischemic stroke in comparison with conventional care and correlate the different approaches with patient clinical outcomes.Methods and Analysis: We will perform a systematic search on PubMed/MEDLINE, EMBASE, Cochrane Database of Systematic Reviews, Epistemonikos and Web of Science Core Collection databases. Retrieved studies will be independently reviewed by two authors and any discrepancies will be resolved by consensus or with a third reviewer. Reviewers will extract the data and assess the risk of bias in the selected studies. We will use the 16-item Assessment of Multiple Systematic Reviews 2 (AMSTAR2) checklist as the critical appraisal tool to assess cumulative evidence and risk of bias of the different studies. This will be the first umbrella review that compares early mobilization approaches in post-acute ischemic stroke. This study may help to define the optimal early mobilization strategy in stroke patients. PROSPERO registration number: CRD42023430494 |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-03-15 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/20715 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/20715 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/20715 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/20715/15341 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2024 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2024 Acta Médica Portuguesa |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; In Press Acta Médica Portuguesa; In Press 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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