INCIDENCE AND CONSEQUENCES OF FALLS DUE TO STROKE - A SYSTEMATIC INQUIRY
INCIDENCE AND CONSEQUENCES OF FALLS DUE TO STROKE - A SYSTEMATIC INQUIRY
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DOI：
10.1136/bmj.311.6997.83
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发表时间：
1995-07-08
影响因子：
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通讯作者：
YOUNG, J
中科院分区：
文献类型：
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作者：
FORSTER, A;YOUNG, J
目的：对老年脑卒中患者出院后跌倒的发生率和后果进行系统调查。设计-对出院时、出院后8周和6个月的患者和主要护理人员进行问卷调查。环境-布拉德福德大都会区。研究对象：Bradford社区中风试验招募的108名患者。如果患者年龄在60岁或以上，并且在家中有一些残障，则招募他们参加试验。主要结局指标：跌倒次数、汽车俱乐部评估、Barthel指数、Frenchay活动指数和诺丁汉健康状况。一般健康问卷显示了照顾者的压力。结果：108例患者中，79例（73%）在出院后6个月内跌倒，共报告270例跌倒。在医院摔倒的患者出院后在家摔倒至少两次的可能性显著增加(chi(2)=8.16；P = 0.004)。“跌倒者”（两次或两次以上）在6个月大时社交活动减少，更多的人情绪抑郁。这些患者的护理人员在6个月时的压力显著增加(53% vs 18%; chi(2)=8.5；P = 0.003)。结论：中风与家中跌倒风险相关，并影响中风患者及其护理人员的生活。跌倒和害怕跌倒是一个重要的问题，需要多学科团队来处理。
Objective-To undertake a systematic inquiry into the incidence and consequences of falls in a cohort of elderly patients with stroke after discharge from hospital.Design-Administration of a questionnaire to patients and main carers at discharge from hospital and eight weeks and six months later.Setting-Bradford Metropolitan District.Subjects-108 patients recruited to the Bradford community stroke trial. Patients were recruited to the trial if they were 60 years or over and resident at home with some residual disability.Main outcome measures-Number of falls, motor club assessment, Barthel index, Frenchay activities index, and Nottingham health profile. Stress in carers was indicated by the general health questionnaire.Results-Of 108 patients, 79 (73%) fell in the six months after discharge from hospital with a total of 270 falls reported. Patients who fell in hospital were significantly more likely to fall at least twice at home after discharge (chi(2)=8.16; P=0.004). ''Fallers'' (two or more falls) were less socially active at six months and more had depressed mood. Carers of these patients were significantly more stressed at six months (53% v 18%; chi(2)=8.5; P=0.003).Conclusion-Stroke is associated with a risk of falling at home and affects the lives of patients with stroke and their carers. Falling and fear of falling is an important issue which needs to be dealt with by the multidisciplinary team.