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Titre : | Determinants of Recurrent Falls Poststroke: A 1-Year Follow-up of the Fall Study of Gothenburg (2020) |
Auteurs : | Carina M. Samuelsson ; Per-Olof Hansson ; Carina U. Persson |
Type de document : | Article : Périodique |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 101, n° 9, 2020) |
Article en page(s) : | p. 1541-1548 |
Note générale : | https://doi.org/10.1016/j.apmr.2020.05.010 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Chutes accidentelles ; Équilibre postural ; Réadaptation |
Résumé : |
Objective
To identify the occurrence of recurrent falls and the determinants in the acute phase poststroke that are associated with recurrent falls within the first year poststroke. Design Prospective follow-up study. Setting Stroke unit and community. Participants Patients (N=504) with acute stroke. Interventions Not applicable. Main Outcome Measures The dependent variable was recurrent falls, defined as ≥2 falls, within the first year poststroke. The independent baseline variables were related to function, activity, participation, personal and environmental factors, and comorbidity and were assessed within 4 days after admission to a stroke unit. Fall data were registered at the stroke unit, and self-reported fall data were collected during follow-up using a standardized questionnaire. Determinants of recurrent falls were identified using univariable and multivariable logistic regression analyses. Results Within 12 months poststroke, 95 of 348 participants (27%) had experienced recurrent falls. Poor postural control (odds ratio [OR] 5.85; 95% confidence interval [CI], 2.84-12.02; P<.0001 moderate postural control ci p=".012)," and using a walking aid in the acute phase are statistically significant determinants that associated with recurrent falls within first year poststroke. determinant of appears to be primarily driven by those younger than years. addition impaired fall at stroke unit is after discharge months> Conclusions More than 1 in 4 individuals with stroke experienced recurrent falls within the first year poststroke. Impaired postural control, using a walking aid in the acute phase, and fall during hospitalization are determinants associated with recurrent falls during follow-up. The determinants differ somewhat at different ages. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999320303105 |