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Circumstances and consequences of falls among people with chronic stroke

Circumstances and consequences of falls among people with chronic stroke.

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Circumstances and consequences of falls among people with chronic stroke

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  1. 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

  2. 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.

  3. 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.

  4. 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).

  5. 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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