In-Hospital Predictors of Falls in Community-Dwelling Individuals After Stroke in the First 6 Months After a Baseline Evaluation: A Prospective Cohort Study

Alemdaroğlu, Ebru; Uçan, Halil; Topçuoğlu, Aslı Mete; Sivas, Filiz

doi:10.1016/j.apmr.2012.06.014

Cited by 32 publications

(27 citation statements)

References 60 publications

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“…The incidence rate of fractures relative to the number of falls in the present study was 3.2%. This percentage was comparable with those reported in studies of stroke patients in the early period after discharge, as well as individuals with long‐standing stroke in the community . The findings in the present study, that all the fractures occurred on the paretic side, might be due to several factors, including the tendency of falling toward the paretic side, difficulty protecting paralyzed limbs and decreased bone density on the paretic side …”

Section: Discussionsupporting

confidence: 89%

“…Regarding falls in stroke survivors during the subsequent period after hospital discharge, there have been a relatively sufficient number of prospective studies . These studies have shown that individuals with stroke fall very often in the early period after discharge; the percentage of individuals who experienced at least one fall 6 months after discharge was up to 73% . However, there is still a lack of knowledge about falls in long‐standing stroke survivors living in the community.…”

Section: Introductionmentioning

confidence: 99%

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Incidence and circumstances of falls among community‐dwelling ambulatory stroke survivors: A prospective study

Goto

Otaka

Ken

et al. 2019

Geriatrics Gerontology Int

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Aim To elucidate the incidences and circumstances of falls and fall‐related injuries, and to explore the physical characteristics of community‐dwelling ambulatory stroke survivors who experienced falls. Methods A total of 144 community‐dwelling ambulatory survivors of hemiparetic stroke (mean age 68.0 years [SD 10.4 years]) who were undergoing rehabilitation in an adult daycare center participated in this prospective study. The mean duration from stroke onset was 5.21 years (SD 3.15 years). The occurrence of falls was collected for 1 year with a fall diary. The incidence rates of falls and fall‐related injuries, and the detailed circumstances of falls were descriptively analyzed. The characteristics of fallers were explored by comparing background information, motor impairments and results of physical function tests, including the 10‐m walk test, Timed Up and Go test and five‐times‐sit‐to‐stand test, between fallers and non‐fallers. Results The incidence rates of falls and fall‐related fractures were 0.88 per person‐year and 2.8 per 100 person‐years, respectively. Falls occurred more frequently during daytime and in winter. Falls were caused most often by losing balance while walking indoors, especially on the way to the toilet. After falling, 34.1% of individuals who fell could not stand up by themselves. The time of the five‐times‐sit‐to‐stand test was significantly longer in fallers than in non‐fallers (P < 0.05). Conclusions The incidence rate of falls was high among community‐dwelling ambulatory survivors of hemiparetic stroke. Appropriate approaches, including mastering the skills to cope with falling, are required, especially for individuals with reduced lower limb muscle strength. Geriatr Gerontol Int 2019; 19: 240–244.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Incidence and circumstances of falls among community‐dwelling ambulatory stroke survivors: A prospective study

Goto

Otaka

Ken

et al. 2019

Geriatrics Gerontology Int

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“…We also found that neither age nor sex influenced the likelihood of a fracture event within 12 months poststroke, which aligns with the results of Alemdaroğlu et al and Teasell et al, but is in contrast to the findings of Pouwels et al and Kanis et al, who identified younger age and female sex as being risk factors for increased fracture risk within 12 months poststroke . These differences can be explained by our study not collecting data on younger stroke survivors as the OPH SRU is an aged care unit.…”

Section: Discussionsupporting

confidence: 87%

“…In a poststroke cohort, Dennis et al showed that an abbreviated mental test (AMT) score <8 significantly associated with a subsequent fracture. Furthermore, Alemdaroğlu et al identified MMSE and FIM cognitive scores to be significant predictors of falls in stroke survivors, especially in those with a left‐sided lesion. A lack of association between cognitive impairment and MTF in our data is not robust enough to contradict the published data from other studies, and cognitive impairment should be assessed in future studies when determining the likelihood of fracture.…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation Indices associated with sustaining a minimal trauma fracture within 12 months of a stroke in Western Australia

David

Chan²,

Inderjeeth

et al. 2019

Australas J Ageing

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Objective To identify Rehabilitation Indices associated with a minimal trauma fracture (MTF) within 12 months poststroke. Methods Retrospective case‐control study. Stroke survivors with MTF were matched 5:1 with stroke survivors without MTF. Logistic regression determined whether Rehabilitation Indices, such as Physiotherapy Ambulation score (PhysioAmb), were associated with a MTF within 12 months poststroke. Results Forty‐three stroke survivors (mean age: 79.8; 55.81% female) experienced a MTF (median time to MTF of 1.79 years [IQR 0.70, 4.48]). Those with a MTF within 12 months had lower PhysioAmb (4.53 vs 8.29) and Berg Balance Scale (BBS; 12.25 vs 40.57) scores on admission, lower BBS score on discharge (30.33 vs 49.29) and a greater change in PhysioAmb (+5.67 vs +3.24) and BBS scores (+21.50 vs +8.71) after rehabilitation, all P < 0.05. Greater changes in PhysioAmb score increased the odds of a MTF within 12 months by 18%. Conclusion Rehabilitation Indices are associated with a MTF within 12 months poststroke.

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“…In patients with stroke, osteoporosis and hip fracture are more probable on the paretic side. In practice, falls in community-dwelling stroke survivors are a major factor that should be considered when patients are admitted to a nursing home (Alemdaroglu et al, 2012). Therefore, falls threaten the quality of life and independence of stroke patients, secondary to impaired mobility and loss of function.…”

Section: Introductionmentioning

confidence: 99%

Effects of falls experience on cognitive functions and physical activities in community-dwelling individuals with chronic stroke

Woo¹,

Kim²,

Ki³

2013

International Journal of Rehabilitation Research

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The purpose of this study was to examine the effects of falls experience on cognitive functions and physical activities in community-dwelling patients with chronic hemiparetic stroke. Further, the feasibility of using the Montreal Cognitive Assessment (MoCA) to predict falls in the patients was evaluated. Forty-seven patients with chronic stroke participated in this study. The participants included 25 patients with falls experience (faller group) and 22 patients without falls experience (nonfaller group) in the previous 6 months. The participants were assessed clinically using the MoCA, the Berg Balance Scale, the Dynamic Gait Index (DGI), the Timed Up-and-Go Test, the 10 Meter Walk Test, and the 6 Minute Walk Test. The individuals in the nonfaller group performed significantly better in all clinical measures than those in the faller group. In the nonfaller group, the MoCA was moderately correlated with only two measurements, that is, the 10 Meter Walk Test and the DGI. In the faller group, the MoCA was moderately correlated with four measurements, including the Timed Up-and-Go Test, the 6 Minute Walk Test, the Berg Balance Test, and the DGI. Physical and cognitive functions play a role in falls. Therefore, to decrease the risk of falls among community-dwelling stroke patients, clinicians should consider their physical activities and cognitive functions irrespective of their falls experience.

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In-Hospital Predictors of Falls in Community-Dwelling Individuals After Stroke in the First 6 Months After a Baseline Evaluation: A Prospective Cohort Study

Cited by 32 publications

References 60 publications

Incidence and circumstances of falls among community‐dwelling ambulatory stroke survivors: A prospective study

Incidence and circumstances of falls among community‐dwelling ambulatory stroke survivors: A prospective study

Rehabilitation Indices associated with sustaining a minimal trauma fracture within 12 months of a stroke in Western Australia

Effects of falls experience on cognitive functions and physical activities in community-dwelling individuals with chronic stroke

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