circumstances and consequences of falls among people with chronic stroke
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circumstances and consequences of falls among people with chronic stroke

Circumstances and consequences of falls among people with chronic stroke

Arlene A. Schmid, PhD, OTR; H. Klar Yaggi, MD; Nicholas Burrus, BA; Vincent McClain, MD; Charles Austin, BFA, MDiv; Jared Ferguson, BS; Carlos Fragoso, MD; Jason J. Sico, MD; Edward J. Miech, EdD; Marianne S. Matthias, PhD; Linda S. Williams, MD; Dawn M. Bravata, MD

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Aim

    • Identify:
      • Differences between fallers and non-fallers among people with chronic stroke.
      • Circumstances of fall events.
      • Consequences of these falls.
  • Relevance
    • Falls are common after stroke.
      • However, circumstances and consequences are relatively unknown.
method
Method
  • Secondary data analysis
    • All participants had sustained a stroke.
  • Variables
    • Demographics.
    • Stroke characteristics.
    • Comorbidities.
  • Falls
    • Collected via self-report.
  • Circumstances and consequences
    • Derived from participant description of event.
    • Categorized as appropriate.
results
Results
  • 160 participants:
    • 53 (33%) reported fall during 1 yr period.
  • 70% of falls occurred at home.
  • Falls associated with:
    • Impaired physical or mental state: 40%.
    • Activities of daily living and mobility: 21%.
    • Slips or trips: 34%.
  • Injuries after falls:
    • 72% sustained injury (ranging from bruising to fractures).
      • 55% sought medical care (32% to emergency department).
conclusion
Conclusion
  • Poststroke falls associated with alarming rate of injury and healthcare utilization.
  • Targeting mental and physical states may be key to fall prevention.
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