52
In-Hospital Management of AIS:
General Supportive Care
5.6. Other In-Hospital Management Considerations
COR LOE
Recommendations
2a C-EO
1. For select patients with AIS and their families, referral to
palliative care resources is reasonable as appropriate.
3: No
benefit
A
2. In patients with AIS, routine use of prophylactic antibiotics
has not been shown to be beneficial in improving functional
outcomes.
3: Harm C-LD
3. In patients with AIS, routine placement of indwelling bladder
catheters should not be performed because of the associated
risk of catheter-associated urinary tract infections (UTIs).
5.7. Rehabilitation
COR LOE
Recommendations
1 A
1. In patients with AIS, in-hospital, formal, interdisciplinary
assessment and provision of rehabilitation at a level
appropriate for the individual patient is recommended to
improve functional recovery.
3: No
benefit
A
2. In patients with AIS, SSRIs are not effective for improving
motor recovery or functional status.
3: Harm B-R
3. In patients with AIS, high-dose, very early mobilization
within 24 hours of stroke onset is not recommended to
improve the odds of a favorable outcome at 3 months and
may be harmful.
