Head Position in Stroke Trial (HeadPoST) (HeadPoST)
Ischemic Stroke, Intracerebral Haemorrhage
About this trial
This is an interventional treatment trial for Ischemic Stroke focused on measuring Acute ischemic stroke, Acute intracerebral haemorrhage, Head position, Lying flat head position, Sitting up head position, Death, Disability, Clinical trial
Eligibility Criteria
Inclusion Criteria:
- Adults over 18 years ( the age for adults may vary in different countries)
- Have a clinical diagnosis of acute stroke (i.e. with a persistent neurological deficit on presentation)
- Presentation to hospital including in-hospital event and hospital transfers , with a stroke
Exclusion Criteria:
- Transient ischaemic attack (TIA) (i.e. symptoms fully resolved upon presentation).
- Definite clinical contraindication or indication to either sitting up head position or lying flat head position.
- Significant medical condition that takes priority in care and where adherence to the randomised head position is not possible on another ward/department of the hospital.
- Immediate transfer from the Emergency Department (ED) or admission, to another ward for medical treatment (e.g. for haemodialysis) or surgery (e.g. carotid endarterectomy, haematoma evacuation) where adherence to the randomised head position is not possible
Sites / Locations
- The George Institute for Global Health
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
The lying flat intervention
The sitting-up intervention
Patients in lying flat intervention to be nursed lying flat (0°) immediately after diagnosis of acute stroke is made and to remain in this position for 24 hours
Patients in the sitting up intervention to be nursed with their head elevated (≥30°) by raising the head of the bed (or with extra pillows or wedge) immediately after the diagnosis of acute stroke is made, and to remain in this position for the next 24 hours