Falls in individuals with stroke during inpatient rehabilitation at a tertiary care hospital in Saudi Arabia

Ullah, Sami; Al-Atwi, Mohammed K.; Qureshi, Ahmad Zaheer; Tantawy, Sherif Samir; Ilyas, Amara; Wunderlich, Colleen A.

doi:10.17712/nsj.2019.2.20180032

Cited by 7 publications

(15 citation statements)

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“…2002, Ullah et al . 2019, Zdobysz et al . 2005) scored 2 due to having smaller sample sizes or having samples that were not sufficiently representative of the target population.…”

Section: Resultsmentioning

confidence: 99%

“…2002, Tsur and Segal 2010, Ullah et al . 2019, Zdobysz et al . 2005) was information about when data were collected in relation to the participant's admission (i.e., first day of admission, within the first week).…”

Section: Resultsmentioning

confidence: 99%

“…2006) and participants who did not complete rehabilitation due to transfer or death (Ullah et al . 2019, Zdobysz et al . 2005).…”

Section: Resultsmentioning

confidence: 99%

“…2002, Ullah et al . 2019). Only one study discussed the sample size required to reach statistical significance (Sullivan and Harding 2019).…”

Section: Resultsmentioning

confidence: 99%

“…2012, Sullivan and Harding 2019, Ullah et al . 2019). Rates of communication disability across these studies were variable, with the average was 33.57%, and the ranges were 9.8% (Bugdayci et al .…”

Section: Resultsmentioning

confidence: 99%

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Falls in hospital patients with acquired communication disability secondary to stroke: A systematic review and meta‐analysis

Sullivan

Harding

Skinner

et al. 2020

Intl J Lang & Comm Disor

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Background Falls are a common safety incident in people with stroke. Studies report that between 14% and 65% of people with stroke fall at least once during their hospital admission. Risk factors for falls in people with stroke have been reported to include neglect, balance and dependence for activities of daily living. Communication disability has been identified as a risk factor for patient safety incidents in hospital that has not been closely examined as a potential risk factor for falls in people with stroke. Aim To determine the association between communication disability secondary to stroke and falls in people with stroke in hospital. Methods & Procedures Systematic searches of five electronic databases were conducted in June 2019 using the key concepts of ‘falls’ and ‘stroke’ (PROSPERO CRD 42019137199). Included studies provided comparative data of falls in patients with stroke with and without communication disability. The methodological quality of the studies was examined using the Quality Assessment Tool for Studies with Diverse Designs (QATSDD). Both a narrative synthesis and a meta‐analysis were completed. Main Contribution A total of 15 studies met the criteria for inclusion and 11 were included in a meta‐analysis. Three studies found people with communication disability had an increased rate of falls in hospital. However, a meta‐analysis showed no significant association between a non‐specific classification of communication disability and an increased risk of falls. There was some indication from individual studies that higher risk of falls may be associated with severe communication disability, but there were insufficient data reported on the severity of the communication disability to draw robust conclusions. Conclusion & Implications The results of this systematic review suggest that a generic classification of communication disability following stroke is not a risk factor for falls. However, further research that is inclusive of this population and considers severity of communication disability more specifically is required.

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“…2002, Ullah et al . 2019, Zdobysz et al . 2005) scored 2 due to having smaller sample sizes or having samples that were not sufficiently representative of the target population.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…2006) and participants who did not complete rehabilitation due to transfer or death (Ullah et al . 2019, Zdobysz et al . 2005).…”

Section: Resultsmentioning

confidence: 99%

“…2002, Ullah et al . 2019). Only one study discussed the sample size required to reach statistical significance (Sullivan and Harding 2019).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Falls in hospital patients with acquired communication disability secondary to stroke: A systematic review and meta‐analysis

Sullivan

Harding

Skinner

et al. 2020

Intl J Lang & Comm Disor

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Falls on an inpatient brain injury rehabilitation unit … What are the consequences?

Marshall,

Griffin,

Knowles

et al. 2024

Brain I.

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Background and objectives Falls research has explored the characteristics of patients with a brain injury who experienced falls and the nature of these falls. However, the characteristics of falls with consequence have not yet been investigated. This study aimed to explore the consequences of patient falls in inpatient brain injury rehabilitation. Method Data were retrospectively analysed from incident reports and patient medical charts. Participants were included who had fallen during brain injury rehabilitation at a metropolitan hospital between January 2017 and December 2021. Falls with a reported consequence including pain, laceration, soft tissue injury, fracture and traumatic brain injury (consequential falls) were compared to falls that did not have a consequence. Significant patient and fall variables for a fall with consequence were explored. Results Over the 5-year study period 855 patients were admitted and 161 patients (64% male) experienced 276 falls. Of the 161 patients, 90 (56%) experienced a consequence from one or more falls, with 119 (43%) of falls having consequences. The odds of a consequential fall increased 1.03 times for each year increase in age. The odds of a consequential fall in autumn, winter, and spring were two to three times higher than in summer and were 3.6 times higher when the fall was unwitnessed by staff. Conclusions More falls with consequence occurred with increasing age and when unwitnessed by staff. This knowledge supports the need for older persons to have additional supervision and assistance during inpatient brain injury rehabilitation to reduce harm from falls.

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Cognition assessments to predict inpatient falls in a subacute stroke rehabilitation setting

García-Rudolph

García-Molina

Opisso

et al. 2020

Topics in Stroke Rehabilitation

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Falls in individuals with stroke during inpatient rehabilitation at a tertiary care hospital in Saudi Arabia

Cited by 7 publications

References 0 publications

Falls in hospital patients with acquired communication disability secondary to stroke: A systematic review and meta‐analysis

Falls in hospital patients with acquired communication disability secondary to stroke: A systematic review and meta‐analysis

Falls on an inpatient brain injury rehabilitation unit … What are the consequences?

Cognition assessments to predict inpatient falls in a subacute stroke rehabilitation setting

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