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Patient falls in stroke rehabilitation: A challenge to rehabilitation strategies
Umeå University, Department of Geriatric Medicine.
1995 (English)In: Stroke, ISSN 0039-2499, E-ISSN 1524-4628, Vol. 26, no 5, p. 838-42Article in journal (Refereed) Published
Abstract [en]

BACKGROUND AND PURPOSE: The risk of falls is very high among stroke patients, and falling is a major complication in stroke rehabilitation. This study aimed to investigate the incidence, characteristics, and consequences of falls in an inpatient stroke rehabilitation setting. METHODS: One hundred sixty-one patients consecutively admitted to a geriatric stroke rehabilitation unit were studied. Falls that occurred during their rehabilitation stay were prospectively registered and analyzed. RESULTS: Sixty-two of the patients (39%) suffered falls. The total number of falls was 153, which corresponds to an incidence rate of 159 falls per 10,000 patient-days. Most falls occurred during transfers or from sitting in a wheelchair or on some other kind of furniture. Seventeen falls (11%) were classified as the result of extrinsic mechanisms, 49 (32%) were intrinsic falls, 39 (25%) occurred in a nonbipedal position (while sitting or lying), and 48 falls (31%) remained unclassified. No injury was observed in 109 of 153 incidents (71%), whereas 6 falls (4%) involved fractures or other serious injury. CONCLUSIONS: Since falls are so frequent, they must be considered a significant problem in stroke rehabilitation. Fall prevention strategies should therefore be developed and included in rehabilitation programs.

Place, publisher, year, edition, pages
1995. Vol. 26, no 5, p. 838-42
Identifiers
URN: urn:nbn:se:ltu:diva-10054Local ID: 8cf78710-c1c2-11db-9ea3-000ea68e967bOAI: oai:DiVA.org:ltu-10054DiVA, id: diva2:982994
Note
Upprättat; 1995; 20070221 (andbra)Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2017-11-24Bibliographically approved

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Nyberg, Lars

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