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


  • Aim chronic stroke

    • 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 chronic stroke

  • 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 chronic stroke

  • 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 chronic stroke

  • 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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