Evidence map›Paper›PMID 36219243›Full record

Trial reportJournal of neurology2023

Efficacy and safety of very early mobilization after thrombolysis in acute ischemic stroke: a randomized clinical trial.

Jorge Motta Anjos, Mansueto Gomes Neto, Yuri de Araújo Tapparelli, Gayr Tse, Giuseppe Biondi-Zoccai, Yasmin de Souza Lima Bitar, Leonardo Roever, Andre Rodrigues Duraes

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.

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  8. Time-Driven Activity-Based Costing Methodology for Cost Savings in the EMOTE-TNK Study.Mayo Clinic proceedings. Innovations, quality & outcomes · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 4 countries.

Jorge Motta AnjosPost-graduate Program in Medicine and Health, PPgMS/UFBA-Salvador-BA, Brazil. jorgelmanjos@hotmail.com.ORCID http://orcid.org/0000-0003-2897-9858
Mansueto Gomes NetoFederal University of Bahia-UFBA, Salvador-BA, Brazil.
Yuri de Araújo TapparelliFaculty of Technology and Sciences/UNIFTC, Salvador, BA, Brazil.
Gayr TseEpidemiology Research Unit, Cardiovascular Analytics Group, China-UK Collaboration, Hong Kong, China.
Giuseppe Biondi-ZoccaiDepartment of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy.
Yasmin de Souza Lima BitarPost-graduate Program in Medicine and Health, PPgMS/UFBA-Salvador-BA, Brazil.
Leonardo RoeverDepartment of Clinical Research, Federal University of Uberlandia, Uberlândia, Brazil.
Andre Rodrigues DuraesFederal University of Bahia-UFBA, Salvador-BA, Brazil.
Universidade Federal da Bahia · BRUniversidade Salvador · BRClinica Mediterranea · ITFaculdade de Tecnologia e Ciências · BRMedway School of Pharmacy · GBUniversidade Federal de Uberlândia · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStroke has a deleterious impact on human health due to its high incidence, degree of disabling sequelae and mortality, constituting one of the main causes of death and disability worldwide.

objectivesThis study aimed to assess the efficacy and safety of very early mobilization (VEMG) after thrombolysis in functional recovery in patients with acute ischemic stroke.

methodsThe present study was an open, prospective, randomized study, with no blinded outcome, carried out in the stroke unit of a tertiary referral hospital located in Salvador-Bahia, Brazil. The primary outcome was the level of functional independence. Secondary outcomes were functional mobility, balance, complications within 7 days of hospitalization and 90 days after hospital discharge, and length of stay. OUTCOMES: A total of 104 patients with ischemic stroke who received thrombolytic treatment between August 2020 and July 2021 were prospectively recruited to the study. Of these, 51 patients received VEMG within 24 h of the ictus and another 53 patients receiving usual care (UCG) with mobilization 24 h after the ictus. When compared to the usual care, the VEMG group was not associated with a significant reduction in the risk of the primary outcome (relative risk [95% confidence intervals]: 0.74 [0.339-1.607]) or any of the secondary outcomes.

conclusionIn this study, the strategy of early mobilization after thrombolysis in ischemic stroke was safe, but without evidence of short-term benefit. Brazilian Registry of Clinical Trials under the registry (registry number: RBR-8bgcs3).

Indexed as

Brain IschemiaIschemic StrokeStrokeEarly AmbulationFibrinolytic AgentsHumansProspective StudiesThrombolytic TherapyTreatment OutcomeFibrinolytic AgentsEarly mobilizationMotor recoveryStrokeStroke rehabilitation

Identifiers

PMID36219243
PMCPMC9552146
OpenAlexW4304185666

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.