Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT07232498

Early Doppler-Assisted Mobilization in Adults After Acute Ischemic Stroke

Led by Unidade Local de Saúde de Coimbra, EPE · Updated on 2026-01-29

1300

Participants Needed

3

Research Sites

130 weeks

Total Duration

On this page

Sponsors

U

Unidade Local de Saúde de Coimbra, EPE

Lead Sponsor

U

Unidade Local de Saúde São João

Collaborating Sponsor

AI-Summary

What this Trial Is About

Post-stroke mobilization remains a subject of ongoing debate. While early mobilization-particularly the first out-of-bed mobilization-has been associated with reduced systemic complications and earlier rehabilitation, it also carries potential risks, such as neurological deterioration in the presence of hemodynamic instability. In this study, the primary aim is to investigate whether early mobilization, guided by hemodynamic evaluation after acute ischemic stroke offers superior outcomes compared to standard clinical care.

CONDITIONS

Official Title

Early Doppler-Assisted Mobilization in Adults After Acute Ischemic Stroke

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients diagnosed with ischemic stroke aged 18 years or older
  • Ability to undergo carotid and transcranial Doppler ultrasound
  • Ability to mobilize within 48 hours
  • Informed consent obtained from the patient or legal representative
Not Eligible

You will not qualify if you...

  • Pre-existing disability with modified Rankin Scale score 4 or higher
  • Diagnosis of Transient Ischemic Attack (TIA)
  • Severe hemodynamic instability, including systolic blood pressure below 100 mmHg or above 220 mmHg
  • Peripheral oxygen saturation below 92%
  • Heart rate below 40 or above 112 beats per minute
  • Body temperature above 38.5°C
  • Neurological deterioration with altered consciousness (Glasgow Coma Scale below 10)
  • Neurosurgical intervention within the past 30 days
  • Rapidly progressive fatal disease (e.g., terminal cancer)
  • Need for continuous monitoring or intravenous drug infusion
  • Acute deep vein thrombosis or pulmonary embolism

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 3 locations

1

Unidade Local de Saude de Coimbra

Coimbra, Coimbra District, Portugal, 3004-561

Actively Recruiting

2

Unidade Local de Saúde de Santa Maria

Lisbon, Lisbon District, Portugal, 1649-028

Not Yet Recruiting

3

Unidade Local de Saúde de São João

Porto, Porto District, Portugal, 4200-319

Not Yet Recruiting

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Research Team

J

Joao Sargento Freitas, MD, PhD

CONTACT

C

Clinical Trials Unit - Coimbra Academic Clinical Center CTU-CACC Unidade Local de Saude de Coimbra

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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Early Doppler-Assisted Mobilization in Adults After Acute Ischemic Stroke | DecenTrialz