In-Hospital Predictors of Falls in Community-Dwelling Individuals After Stroke in the First 6 Months After a Baseline Evaluation: A Prospective Cohort Study
| Autor: | Halil Uçan, Filiz Sivas, Ebru Alemdaroğlu, Aslı Mete Topçuoğlu |
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| Rok vydání: | 2012 |
| Předmět: |
Male
Rehabilitation hospital medicine.medical_specialty medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Rehabilitation Centers Disability Evaluation Residence Characteristics Risk Factors Humans Medicine Prospective Studies Prospective cohort study Stroke Physical Therapy Modalities Aged Mini–Mental State Examination Rehabilitation medicine.diagnostic_test business.industry Age Factors Odds ratio Middle Aged Prognosis medicine.disease Confidence interval Berg Balance Scale Physical therapy Accidental Falls Female Sex business |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 93:2244-2250 |
| ISSN: | 0003-9993 |
| Popis: | Alemdaroglu E, Ucan H, Topcuoglu AM, Sivas F. In-hospital predictors of falls in community-dwelling individuals after stroke in the first 6 months after a baseline evaluation: a prospective cohort study. Objective To determine predictors of falls in stroke patients in the first 6 months after a baseline evaluation before their discharge from inpatient rehabilitation. Design Prospective cohort study. Setting Rehabilitation hospital, then home. Participants Consecutive stroke patients (N=66) were followed at home after discharge from the rehabilitation hospital. Interventions Not applicable. Main Outcome Measures Fall occurrence within 6 months after a baseline evaluation. All patients were assessed for baseline data during their inpatient rehabilitation (1.5±1.2wk before discharge). Data regarding cerebrovascular accident (CVA) date, number of attacks, and brain imaging results were obtained; motor function and balance impairment were examined by the Fugl-Meyer Assessment Scale. The FIM and Functional Ambulation Category were also used. Presence of urinary incontinence, drug use, fall history, postural hypotension, neglect, cognitive status, poor vision, and hearing were evaluated. Six months after the baseline evaluation, any fall occurrence was ascertained via telephone calls to the caregivers of each patient. Multivariate logistic regression analysis was used to identify risk factors. Results The mean age ± SD was 64±10 years. The median time elapsed since CVA at the time of admission was 4 months. Twenty-four (36%) patients fell within the 6-month period. The fall rate was significantly higher in patients with left (47%) versus right (21%) hemispheric stroke. Left hemispheric lesion (vs right) showed a 4 times greater risk of fall within 6 months (odds ratio=4.093; 95% confidence interval, 1.082–15.482). There were no other significant differences between fallers and nonfallers with respect to the other evaluated factors. Conclusions Our results suggest that the fall risk within 6 months after a baseline evaluation is greater in patients with left hemispheric lesions versus those with right hemispheric lesions. |
| Databáze: | OpenAIRE |
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