The goal of this observational study is to learn how the timing of mobilisation after endovascular thrombectomy (EVT) affects complications in patients with acute ischaemic stroke. The main questions it aims to answer are:
Does mobilisation approximately 12 hours after EVT, compared to approximately 24 hours after EVT, affect the risk of complications such as access site haematoma (ASH), venous thromboembolism (VTE), infections, and delirium? How common are these complications after EVT, and which factors are associated with increased risk?
Participants undergoing EVT as part of their regular stroke care at two hospitals with different mobilisation routines will be followed during their hospital stay. Researchers will collect information about mobilisation timing, complications, clinical assessments, and medical history using case report forms, electronic health records, and national stroke registries.
Undergone endovascular thrombectomy for acute ischaemic stroke
Minimum 18 years old
Residing from outside primary catchment area
Spending more than 24 hrs in ICU post thrombectomy
Adult patients with acute ischaemic stroke treated with endovascular thrombectomy.
Cohort
Prospective
Mobilisation
Other interventionOut of bed mobilisation, such as sitting on the edge of the bed, standing or walking with or without support.
Access site haematoma
Bleeding from puncture site
sICH
Symptomatic intracranial haemorrhage
Venous thromboembolism
Blood clots in venous system, such as deep vein thrombosis and/or pulmonary embolism.
Infections
Urinary tract infections, pneumonia and/or sepsis.
Delirium
Acute confusion, identified with Confusion Assessment Method for the Intensive Care Unit (CAM-ICU)
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Karolinska Institutet
Lead sponsor
Tampere University Hospital
Collaborator
Region Stockholm
Collaborator
