Ullah Sami, Al-Atwi Mohammed K, Qureshi Ahmad Z, Tantawy Sherif S, Ilyas Amara, Wunderlich Colleen A
Department of Physical Medicine and Rehabilitation, Rehabilitation Hospital, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia. E-mail:
Neurosciences (Riyadh). 2019 Apr;24(2):130-136. doi: 10.17712/nsj.2019.2.20180032.
To determine the incidence and risk factors of falls in individuals with stroke undergoing inpatient rehabilitation.
Retrospective analysis of all patients with stroke admitted to from January 2011 to June 2013 was carried out in Inpatient rehabilitation Unit at King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia. Data collected included demographic variables, types of stroke, comorbidities, characteristics of falls, factors affecting falls and length of hospital stay. Data was descriptively analyzed. The Pearson Chi-square test was used to determine any significant relationship between the categorical variables. Binary logistic regression was used to evaluate predictors of falls during rehabilitation.
Out of 146 stroke survivors, 36 patients had a fall during inpatient rehabilitation. Majority did not sustain any injury. Fall status was significantly associated with age group (p=0.048), type of stroke (p=0.005) and previous history of stroke (p=0.020). The side of stroke (p=0.011) and fall risk were statistically significantly related to fall outcomes (p=0.005). Length of hospital stay (LOS) was also associated with fall outcome (p=0.044).
Age, hemorrhagic stroke, laterality of stroke and previous history of stroke were identified as risk factors associated with falls. Injured patients tend to stay longer for inpatient rehabilitation. Due to different culturual, environmental and health system variations, development of regional guidelines for fall prevention in stroke survivors can help to reduce the risk of falls.
确定接受住院康复治疗的中风患者跌倒的发生率及风险因素。
对2011年1月至2013年6月在沙特阿拉伯利雅得法赫德国王医疗城住院康复科收治的所有中风患者进行回顾性分析。收集的数据包括人口统计学变量、中风类型、合并症、跌倒特征、影响跌倒的因素及住院时间。对数据进行描述性分析。采用Pearson卡方检验确定分类变量之间的任何显著关系。采用二元逻辑回归评估康复期间跌倒的预测因素。
在146名中风幸存者中，36名患者在住院康复期间发生了跌倒。大多数患者未受到任何伤害。跌倒状态与年龄组（p=0.048）、中风类型（p=0.005）及既往中风史（p=0.020）显著相关。中风侧别（p=0.011）和跌倒风险与跌倒结局在统计学上显著相关（p=0.005）。住院时间（LOS）也与跌倒结局相关（p=0.044）。
年龄、出血性中风、中风侧别及既往中风史被确定为与跌倒相关的风险因素。受伤患者往往需要更长时间的住院康复治疗。由于不同的文化、环境和卫生系统差异，制定中风幸存者预防跌倒的区域指南有助于降低跌倒风险。
