ABSTRACT NUMBER: ESOC2026A1811 SEDENTARY TIME AFTER TIA OR MINOR STROKE IN HOSPITAL-AT-HOME VS USUAL CARE

Abstract Background and aims High sedentary time is associated with adverse stroke-related outcomes. This study explores the influence of NoraHome (hospitalization-at-home using digital monitoring through the NoraHome platform), compared to usual care, for older adults with TIA or minor stroke on sedentary time in the first week after stroke. Methods In this exploratory study, conducted at Vall d'Hebron University Hospital in Barcelona, Spain, patients were randomized into the NoraHome group or control group. Participants wore an activity monitor (ActivPAL) continuously for seven days in the first week after stroke and again after three months. Primary outcomes were differences in median sedentary time and percentage of sedentary time at both timepoints, tested using nonparametric methods. Secondary outcomes included other sedentary and activity-related outcomes in the first week. Results Twelve patients were allocated into NoraHome and 24 to control. During the first week, the NoraHome group spent a median of 688.3 minutes (661.0 – 791.8), or 81.4% (72.8 – 84.3) of the day sedentary. Control participants spent 21.8 minutes, or 10.0%, less sedentary. Differences were not statistically significant (p>0.05). Primary outcomes decreased in both groups after three months, although between-group differences remained insignificant. Differences in secondary outcomes were also small. Conclusions This study showed no difference in sedentary behaviour for people with TIA or minor stroke between the NoraHome and control group in the first week after stroke, nor after three months. The small sample size, low clinical presentation and hospitalization-at-home support likely contributed to the lack of the expected results. Future research should refine algorithms for frail, elderly, populations post-stroke. Conflict of interest Suzanne Debeij: nothing to disclose, Marián Muchada: nothing to disclose, Marta Rubiera: nothing to disclose, Maria Giné-Garriga: nothing to disclose, Jules Kraaijkamp: nothing to disclose, Miriam Haaksma: nothing to disclose, Wilco Achterberg: nothing to disclose, Eléonore van Dam van Isselt: nothing to disclose