Factors Associated With Recurrent Falls in Individuals With Traumatic Spinal Cord Injury: A Multicenter Study
| Autor: | Erika Franzén, Åke Seiger, Arve Opheim, Claes Hultling, Kirsti Skavberg Roaldsen, Johan K. Stanghelle, Kerstin Wahman, Vivien Jørgensen, Emelie Butler Forslund, Agneta Ståhle |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Alcohol Drinking Cross-sectional study Health Status medicine.medical_treatment Poison control Physical Therapy Sports Therapy and Rehabilitation Environment 03 medical and health sciences Sex Factors 0302 clinical medicine Risk Factors Injury prevention Humans Medicine Exercise Spinal cord injury Spinal Cord Injuries Aged Rehabilitation business.industry Age Factors Odds ratio Middle Aged medicine.disease Cross-Sectional Studies Logistic Models Socioeconomic Factors Wheelchairs Ambulatory Quality of Life Physical therapy Accidental Falls Female 0305 other medical science business 030217 neurology & neurosurgery Fall prevention |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 97:1908-1916 |
| ISSN: | 0003-9993 |
| DOI: | 10.1016/j.apmr.2016.04.024 |
| Popis: | Objective To identify factors associated with recurrent falls in individuals with traumatic spinal cord injury (SCI). Design Cross-sectional multicenter study. Setting Two specialized rehabilitation centers. Participants Included: individuals with traumatic SCI ≥1 year postinjury who were aged ≥18 years. Excluded: individuals with motor complete injuries above C5 or below L5. The study sample comprised participants (N=224; 151 wheelchair users, 73 ambulatory; 77% men; mean age ± SD, 50±15y; median time since injury, 15y [range, 1–56y]) who were consecutively recruited at regular follow-up. Interventions Not applicable. Main Outcome Measure Primary outcome was factors associated with recurrent falls (defined as low frequent [0–2] or recurrent [>2]) the previous year. Independent variables were demographic data, wheelchair user or ambulatory, work, health-related quality of life, risk willingness, alcohol consumption, ability to get up from the ground, and exercise habits. Results Fifty percent reported recurrent falls. In the final multiple logistic regression model, ambulation (odds ratio [OR]=2.67; 95% confidence interval [CI], 1.33–5.37), ability to get up from the ground (OR=2.22; 95% CI, 1.21–4.10), and regular exercise (OR=1.86; 95% CI, 1.05–3.31) were associated with recurrent falls (P≤.05), and with increasing age the OR decreased (OR=.97; 95% CI, .95–.99). Conclusions Individuals with SCI should be considered at risk of recurrent falls, and thereby at risk of fall-related injuries. Fall prevention programs should be focused on ambulatory, younger, and more active individuals who had the highest risks for recurrent falls. |
| Databáze: | OpenAIRE |
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