Review: longer bed rest does not prevent more postpuncture headaches than immediate mobilisation or short bed rest

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Review: longer bed rest does not prevent more postpuncture headaches than immediate mobilisation or short bed rest.

Main results 16 RCTs met the selection criteria; 1128 patients were assigned to long bed rest and 1083 patients were assigned to immediate mobilisation or short bed rest. Cervical or lumbar puncture was used for anaesthesia (5 trials), myelography (6 trials), and diagnostic reasons (5 trials). 11 trials compared bed rest with immediate mobilisation (0.5–24 h), and 5 trials compared longer bed r...

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Does bed rest after cervical or lumbar puncture prevent headache? A systematic review and meta-analysis.

BACKGROUND Headache after cervical or lumbar puncture has long been attributed to early mobilization; however, there is little evidence for this. We performed a systematic literature review and meta-analysis of randomized controlled trials to assess whether longer bed rest is better than immediate mobilization or short bed rest in preventing headache. METHODS We searched EMBASE (1988 to March...

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Adrenal Function During Bed Rest

Plasma 17-OH-CS levels as well as adrenal secretory rates of aldosterone and eortisol were measured in healthy subjeers before and during periods of bed rest. The circadian rhythm of plasma 17-OH-CS was well maintained during bed rest. There was no change in adrenal eortisol secretion rates during bed rest. Aldosterone secretory rate did not change with bed rest; however, following a period out...

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IV-A. Regulated Bed Rest

Three weeks of regulated bed rest was one of four treatments evaluated in the Cooperative Aneurysm Study. A total of 187 patients with a recently ruptured intracranial aneurysm had subarachnoid hemorrhage confirmed by lumbar puncture. A group of 124 patients were assigned to treatment within 7 days after the bleed, 49 between 8 and 21 days, and 14 between 22 days and 92 days. During the mean fo...

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Bed rest: a potentially harmful treatment needing more careful evaluation.

BACKGROUND Bed rest is not only used in the management of patients who are not able to mobilise, but is also prescribed as a treatment for a large number of medical conditions, a procedure that has been challenged. We searched the literature for evidence of benefit or harm of bed rest for any condition. METHODS We systematically searched MEDLINE and the Cochrane library, and retrieved reports...

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ژورنال

عنوان ژورنال: Evidence-Based Nursing

سال: 2002

ISSN: 1367-6539

DOI: 10.1136/ebn.5.3.87