Standardized Outcome Measures in Stroke Rehabilitation and Falls After Discharge: A Cohort Study.
Journal
PM & R : the journal of injury, function, and rehabilitation
ISSN: 1934-1563
Titre abrégé: PM R
Pays: United States
ID NLM: 101491319
Informations de publication
Date de publication:
03 2021
03 2021
Historique:
revised:
14
04
2020
received:
23
10
2019
accepted:
22
04
2020
pubmed:
3
5
2020
medline:
19
8
2021
entrez:
3
5
2020
Statut:
ppublish
Résumé
Individuals with stroke discharged from inpatient rehabilitation units (IRUs) are at increased risk for falls. In IRUs, standardized outcome measures (SOMs) have been used to predict falls, but the results have been mixed. To examine the relationship between SOMs and the risk of falls in individuals with stroke within 6 months of discharge from an IRU. Prospective cohort study with 6-month follow-up. IRU that was part of a large, urban academic medical center. Individuals with stroke who underwent rehabilitation. Self-reported falls within 6 months of discharge. The study included 105 participants who were discharged to their homes after inpatient rehabilitation and who responded to a 6-month follow-up (57% response rate) phone call. Twenty-nine participants (28%) reported falling. Significant odds ratios (ORs), adjusted for age, sex, and stroke severity, were found for the following measures: Berg Balance Scale (OR 0.95, 95% confidence interval [CI] 0.92-0.99), Activity Measure for Post-Acute Care basic mobility (OR 0.89, 95% CI 0.81-0.97), Motricity Index (OR 0.96, 95% CI 0.94-0.98), Functional Independence Measure mobility subscale (OR 0.89, 95% CI 0.80-0.98), and Trunk Control Test (OR 0.97, 95% CI 0.95-0.99). Areas under the curve ranged from .64 to .71. In samples of 82 to 90 patients who could complete the tests, gait speed, the Functional Reach Test, the 6-minute Walk Test, and Timed Up and Go did not result in significant ORs. At discharge, SOMs were associated with the odds of falls within 6 months. The multifactorial nature of falls will continue to make prediction challenging but SOMs can be helpful. Lower extremity strength deserves more attention as a risk factor.
Banques de données
ClinicalTrials.gov
['NCT02876783']
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
265-273Informations de copyright
© 2020 American Academy of Physical Medicine and Rehabilitation.
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