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Risk factors associated with falls in adult patients after stroke living in the community: baseline data from a stroke cohort in Brazil.
- Source :
-
Topics in stroke rehabilitation [Top Stroke Rehabil] 2014 May-Jun; Vol. 21 (3), pp. 220-7. - Publication Year :
- 2014
-
Abstract
- Background: Individuals with stroke have a high risk of falling, and their fall predictors may differ from those of other populations.<br />Purpose: To estimate fall frequency and identify factors related to fall occurrence in a sample of patients with stroke residing in the community.<br />Methods: Clinical data were collected from 150 consecutive stroke patients with independent gait, and the following scales were applied: modified Barthel Index (mBI), Timed Up & Go Test (TUG), and National Institutes of Health Stroke Scale (NIHSS). Univariate analysis was performed; variables with possible association (P < .1) were included in a logistic regression model. Receiver operating characteristic curves were used to identify the best cutoff point for TUG.<br />Results: Falls occurred in 37% of patients. In multivariate analysis, right hemisphere injury (odds ratio [OR], 2.621; 95% CI, 1.196-5.740; P = .016), time in TUG (OR, 1.035 for every increase in 1 second; 95% CI, 1.003-1.069; P = .034), and longer time since stroke onset (OR, 1.012 for every month increase; 95% CI, 1.002-1.021; P = .015) remained predictors. When we grouped individuals according to affected cerebral hemisphere, both hemispheres had similar accuracy, but TUG cutoff point was lower in individuals with right- versus left-hemisphere lesions.<br />Conclusions: Patients with poor TUG performance, longer times since stroke onset, and right-hemisphere injury have particularly high fall rates, and TUG cutoff points for fall prediction vary according to cerebral hemisphere.
- Subjects :
- Aged
Brazil epidemiology
Cross-Sectional Studies
Exercise Test
Female
Functional Laterality physiology
Humans
Male
Middle Aged
Predictive Value of Tests
Risk Factors
Severity of Illness Index
Stroke epidemiology
Stroke pathology
Time Factors
Accidental Falls statistics & numerical data
Stroke physiopathology
Subjects
Details
- Language :
- English
- ISSN :
- 1074-9357
- Volume :
- 21
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Topics in stroke rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 24985389
- Full Text :
- https://doi.org/10.1310/tsr2103-220