Predicting people with stroke at risk of falls
Predicting people with stroke at risk of falls
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DOI：
10.1093/ageing/afn066
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发表时间：
2008-05-01
期刊：
影响因子：
6.7
通讯作者：
Harris, S.
中科院分区：
文献类型：
--
作者：
Ashburn, A.;Hyndman, D.;Harris, S.
背景资料：福尔斯是常见的中风后，但知识预测未来fallers是lacked.Objective：确定，在出院时，那些谁是最危险的反复福尔斯.Methods：连续住院中风患者（独立移动的中风前和完整的总认知功能）被招募。受试者完成了电池的测试（平衡，功能，情绪和注意力）在2周内离开医院，并在12个月后出院dischar.Results：122名参与者（平均年龄70.2岁）被招募。115名受试者在12个月时的跌倒状态可用，其中63名[55%; 95%置信区间（CI）4664]经历了一次或多次福尔斯，48名（42%; 95% CI 3351）经历了反复福尔斯，62名（54%）经历了接近福尔斯。筛选出院时可用的所有变量作为跌倒的潜在预测因素。出现了6个变量[在医院几乎跌倒、Rivermead腿部和躯干评分、Rivermead上肢评分、贝格平衡评分、平均功能性伸展和诺丁汉扩展日常生活活动（NEADL）评分]。得分近福尔斯在医院和上肢功能是最好的预测与70%的特异性和60%的sensitivity.Conclusion：参与者谁是不稳定的（近福尔斯）在医院与不良上肢功能（无法自救）是最危险的福尔斯。
Background: falls are common following a stroke, but knowledge about predicting future fallers is lacking.Objective: to identify, at discharge from hospital, those who are most at risk of repeated falls.Methods: consecutively hospitalised people with stroke (independently mobile prior to stroke and with intact gross cognitive function) were recruited. Subjects completed a battery of tests (balance, function, mood and attention) within 2 weeks of leaving hospital and at 12 months post hospital discharge.Results: 122 participants (mean age 70.2 years) were recruited. Fall status at 12 months was available for 115 participants and of those, 63 [55%; 95% confidence interval (CI) 4664] experienced one or more falls, 48 (42%; 95% CI 3351) experienced repeated falls, and 62 (54%) experienced near-falls. All variables available at discharge were screened as potential predictors of falling. Six variables emerged [near-falling in hospital, Rivermead leg and trunk score, Rivermead upper limb score, Berg Balance score, mean functional reach, and the Nottingham extended activities of daily living (NEADL) score]. A score of near-falls in hospital and upper limb function was the best predictor with 70% specificity and 60% sensitivity.Conclusion: participants who were unstable (near-falls) in hospital with poor upper limb function (unable to save themselves) were most at risk of falls.