Early prediction of falls after stroke: One-year follow-up of the fall study of Gothenburg (FallsGOT) - 15/07/18
Résumé |
Introduction/Background |
Only a few studies have investigated the occurrence and the determinants of falls after stroke based on variables assessed during the acute phase. In the effort to prevent falls after stroke, however, it is valuable to already during hospitalisation be able to predict the risk of falling after discharge. This study aimed to investigate the incidence and the determinants of self-reported falls the first year after discharge from a stroke unit after acute stroke.
Material and method |
In this prospective, longitudinal and observational sub study, a one-year follow-up of the recently published FallsGOT, the primary endpoint was any fall during the first year after discharge from a stroke unit. Within four days after admission to a stroke unit, assessments of baseline variables were performed. At twelve months after discharge, data collection of self-reported falls was conducted using a standardized questionnaire. Of the consecutive sample of 504 patients with acute stroke, 435 individuals were eligible for follow-up at twelve months, of which 348 (80%) answered the questionnaire.
Results |
Of the respondents, 140 (40%) experienced at least one fall during the first year after discharge from the stroke unit. In the multivariable analysis, impaired postural control as assessed with the Swedish modified version of Postural Assessment Scale for Stroke Patients (SwePASS) OR: 3.90 (95% CI: 2.06–7.41, P<0.0001) and use of a walking aid OR: 2.91 (95% CI: 1.75–4.83, P<0.0001) were statistically significantly associated with falling.
Conclusion |
Postural control and use of a walking aid acute after stroke in a stroke unit predicted falls during the first year after discharge from a stroke unit.
Le texte complet de cet article est disponible en PDF.Keywords : Accidental fall, Postural balance, Stroke
Plan
Vol 61 - N° S
P. e172 - juillet 2018 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.