Suzuki Toru, Sonoda Shigeru, Misawa Kayo, Saitoh Eiichi, Shimizu Yasuhiro, Kotake Tomomitsu
Department of rehabilitation medicine, Nanakuri sanatorium, Fujita Health University, 424-1 Mukoubiro, Ohdori, Hisai, Mie, Japan.
Exp Aging Res. 2005 Oct-Dec;31(4):457-69. doi: 10.1080/03610730500206881.
The incidence rate, location, and timing of falls and performance of activities of daily living (ADLs) in 256 patients with stroke admitted to an 88-bed rehabilitation ward was observed with information on falls and level of ADLs upon admission extracted from patients' records. Of 273 falls among 121 of the 256 patients, 229 occurred in the patient's room or lavatory and 147 within 4 weeks of admission. Significant differences were detected between motor subscores under 64 and over 65 on the Functional Independence Measure (FIM) in fall proportional analysis. The mean fall rate in motor subclass of 26 to 38 was higher than in other subgroups. Those with cognitive subscore on the FIM lower than 29 were prone to fall. Also, deteriorated motor and cognitive functions were associated with a high risk of falls.
对入住一家拥有88张床位康复病房的256例中风患者的跌倒发生率、跌倒位置和时间以及日常生活活动（ADL）表现进行了观察，从患者记录中提取了入院时的跌倒信息和ADL水平。在256例患者中的121例发生的273次跌倒中，229次发生在患者房间或厕所，147次发生在入院后4周内。在跌倒比例分析中，功能独立性测量（FIM）运动子评分低于64分和高于65分之间存在显著差异。运动子类别为26至38的平均跌倒率高于其他亚组。FIM认知子评分低于29分的患者容易跌倒。此外，运动和认知功能恶化与跌倒风险高有关。
