TY  - JOUR
PY  - 2014//
TI  - Circumstances and consequences of falls among people with chronic stroke
JO  - Journal of rehabilitation research and development
A1  - Schmid, Arlene A.
A1  - Yaggi, H. Klar
A1  - Burrus, Nicholas
A1  - McClain, Vincent
A1  - Austin, Charles
A1  - Ferguson, Jared
A1  - Fragoso, Carlos
A1  - Sico, Jason J.
A1  - Miech, Edward J.
A1  - Matthias, Marianne S.
A1  - Williams, Linda S.
A1  - Bravata, Dawn M.
SP  - 1277
EP  - 1286
VL  - 50
IS  - 9
N2  - Falls are common after stroke; however, circumstances and consequences are relatively unknown. Our objectives were to identify the differences between fallers and non-fallers among people with chronic stroke, identify the circumstances of fall events, and examine the consequences of the falls. This is a secondary data analysis; all participants included sustained a stroke. Variables included demographics, stroke characteristics, and comorbidities. Falls were collected via self-report, and circumstances and consequences were derived from participant description of the event and categorized as appropriate. Among 160 participants, 53 (33%) reported a fall during the 1 yr period. Circumstances of falls were categorized as intrinsic or extrinsic. Location and circumstance of the fall were included: 70% occurred at home and 40% were associated with impaired physical or mental state (e.g., inattention to tying shoes). Additionally, 21% of falls were associated with activities of daily living and mobility and 34% with slips or trips. The majority who fell sustained an injury (72%). Injuries ranged from bruising to fractures, and 55% of those with an injury sought medical care (32% to emergency department). Poststroke falls are associated with an alarming rate of injury and healthcare utilization. Targeting mental and physical states may be key to fall prevention.<p />  <p>Language: en</p>
LA  - en
SN  - 0748-7711
UR  - http://dx.doi.org/10.1682/JRRD.2012.11.0215
ID  - ref1
ER  -