title: Assessment of factors associated with prominent changes in blood pressure during an early mobilization protocol for patients with acute ischemic stroke after mechanical thrombectomy.
abstract: OBJECTIVE
  To assess factors associated with changes in blood pressure during early mobilization protocol for patients with acute ischemic stroke who were treated with mechanical thrombectomy.
  
  
  METHODS
  Retrospective observational study.
  
  
  METHODS
  We analyzed patients with acute ischemic stroke who were treated with mechanical thrombectomy (MT group, n=60) and patients who received conservative medical management (control group, n=60) matched by age and National Institute Health of Stroke Score at admission from April 2009 to July 2014. The proportion of patients with prominent blood pressure change during an early mobilization protocol was compared between the MT group and control group. Factors associated with prominent blood pressure change were also analyzed using multivariable logistic regression analysis.
  
  
  RESULTS
  The deviation in blood pressure response was much more significant in the MT than control group (13.3 vs. 1.7%, p<0.016). Logistic regression analysis showed the interval from admission to being able to sit in a wheelchair associated with prominent changes in blood pressure (odds ratio, 1.604; 95% confidence interval, 1.196-2.150; p<0.002).
  
  
  CONCLUSIONS
  Our results showed that prominent changes in blood pressure during an early mobilization protocol can occur easily in patients with acute ischemic stroke after mechanical thrombectomy.
authors.affiliation: Department of Rehabilitation, St. Marianna University, School of Medicine, Toyoko Hospital.
authors.forename: Maiko
authors.initials: M
authors.lastname: Yagi
authors.affiliation: Department of Rehabilitation, St. Marianna University, School of Medicine, Toyoko Hospital.
authors.forename: Sato
authors.initials: S
authors.lastname: Watanabe
authors.affiliation: Department of Rehabilitation, St. Marianna University, School of Medicine Hospital.
authors.forename: Chika
authors.initials: C
authors.lastname: Kondo
authors.affiliation: Department of Rehabilitation, St. Marianna University, School of Medicine, Toyoko Hospital.
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Kaihoko
authors.affiliation: Department of Rehabilitation, St. Marianna University, School of Medicine, Toyoko Hospital.
authors.forename: Koji
authors.initials: K
authors.lastname: Endo
authors.affiliation: Department of Cerebrovascular Medicine, National Hospital Organization Kagoshima Medical Center.
authors.forename: Fumio
authors.initials: F
authors.lastname: Miyashita
authors.affiliation: Stroke Center, St. Marianna University, School of Medicine, Toyoko Hospital.
authors.forename: Tatsuro
authors.initials: T
authors.lastname: Takada
authors.affiliation: Stroke Center, St. Marianna University, School of Medicine, Toyoko Hospital.
authors.forename: Toshihiro
authors.initials: T
authors.lastname: Ueda
keywords: early mobilization protocol; ischemic stroke; mechanical thrombectomy