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住院脑卒中康复期间发生的跌倒会影响住院时间、功能状态和出院目的地吗?

Do Falls Experienced During Inpatient Stroke Rehabilitation Affect Length of Stay, Functional Status, and Discharge Destination?

作者信息

Wong Jennifer S, Brooks Dina, Mansfield Avril

机构信息

Toronto Rehabilitation Institute - University Health Network, Toronto, ON, Canada; Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada.

Toronto Rehabilitation Institute - University Health Network, Toronto, ON, Canada; Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada; Department of Physical Therapy, University of Toronto, Toronto, ON, Canada; West Park Healthcare Centre, Toronto, ON, Canada; Heart and Stroke Foundation Canadian Partnership for Stroke Recovery, Toronto, ON, Canada.

出版信息

Arch Phys Med Rehabil. 2016 Apr;97(4):561-566. doi: 10.1016/j.apmr.2015.12.005. Epub 2015 Dec 19.

Abstract

OBJECTIVE

To compare length of stay, functional status, and discharge destination between individuals who fell during inpatient stroke rehabilitation and those who did not fall.

DESIGN

Retrospective cohort study.

SETTING

Rehabilitation hospital.

PARTICIPANTS

Individuals who fell during inpatient stroke rehabilitation (n=106; fallers group; mean age, 67.8±12.9y; mean time poststroke, 26.4±28.3d) were matched to individuals who did not fall (n=106; nonfallers group; mean age, 67.3±13.6y; mean time poststroke, 21.9±28.8d) on age and functional status (N=212).

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURES

Total length of stay, FIM assessed at discharge, and discharge destination.

RESULTS

The mean length of stay for fallers was 11 days longer than nonfallers (P=.0017). Nonfallers and fallers did not differ on discharge total FIM scores (P=.19), and both groups were discharged home after inpatient rehabilitation (nonfallers: 77%; fallers: 74%; P=.52).

CONCLUSIONS

This study suggests that falls experienced during inpatient stroke rehabilitation may have contributed to a longer length of stay; however, falls did not affect discharge functional status or discharge destination.

摘要

目的

比较住院卒中康复期间跌倒者与未跌倒者的住院时间、功能状态及出院去向。

设计

回顾性队列研究。

地点

康复医院。

参与者

将住院卒中康复期间跌倒的个体(n = 106;跌倒组;平均年龄67.8±12.9岁;卒中后平均时间26.4±28.3天)与未跌倒的个体(n = 106;未跌倒组;平均年龄67.3±13.6岁;卒中后平均时间21.9±28.8天)按年龄和功能状态进行匹配(N = 212)。

干预措施

不适用。

主要观察指标

总住院时间、出院时FIM评分及出院去向。

结果

跌倒者的平均住院时间比未跌倒者长11天(P = 0.0017)。未跌倒者和跌倒者出院时的FIM总分无差异(P = 0.19),两组均在住院康复后出院回家(未跌倒者:77%;跌倒者:74%;P = 0.52)。

结论

本研究提示,住院卒中康复期间发生的跌倒可能导致住院时间延长;然而,跌倒并未影响出院时的功能状态或出院去向。

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