Occurrence and Predictors of Falls in People With Stroke: Six-Year Prospective Study.

Abstract:

BACKGROUND AND PURPOSE:The purpose was to investigate the occurrence of self-reported falls in people with stroke at 3, 6, and 12 months and 6 years post stroke and predictors for falls during 6 years. METHODS:A prospective study involving 121 people with stroke. Data were obtained through structured interviews and assessments. Generalized estimating equation modeling using proportional odds was used to explore the predictive value of fall history, functioning/disability, and personal factors during 6 years. RESULTS:The proportion of fallers constituted of 35%, 26%, 33%, and 35% of the sample at 3, 6, and 12 months and 6 years of follow-up, respectively. Higher perceived effect of stroke on activities of daily living (odds ratio, 1.37; 95% confidence interval, 1.04-1.80), falls at 3 months (odds ratio, 1.0; 95% confidence interval, 1.01-3.94), and no gait/balance disability at baseline (odds ratio, 7.29; 95% confidence interval, 1.99-26.73) were predictors for future falls. During the 6 years, the odds for a fall decreased for participants with gait/balance disability at baseline but increased for those with no gait/balance disability. CONCLUSIONS:Results highlight the importance of performing fall risk evaluations over time among people with stroke, even when gait and balance functioning initially post stroke is good.

journal_name

Stroke

journal_title

Stroke

authors

Minet LR,Peterson E,von Koch L,Ytterberg C

doi

10.1161/STROKEAHA.115.010496

subject

Has Abstract

pub_date

2015-09-01 00:00:00

pages

2688-90

issue

9

eissn

0039-2499

issn

1524-4628

pii

STROKEAHA.115.010496

journal_volume

46

pub_type

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