Barthel 指数评分与中国非卧床患者跌倒之间呈倒 U 型关系：一项横断面研究。
Inverted U-shaped relationship between Barthel Index Score and falls in Chinese non-bedridden patients: a cross-sectional study.
机构信息
Department of Rehabilitation, the First Affiliated Hospital of Shenzhen University/Shenzhen Second People's Hospital, Shenzhen, Guangdong, China.
Department of Rehabilitation, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
出版信息
Top Stroke Rehabil. 2024 Oct;31(7):692-702. doi: 10.1080/10749357.2024.2318089. Epub 2024 Feb 25.
BACKGROUND
Performing activities of daily living comprise an important risk factor for falls among non-bedridden stroke inpatients in rehabilitation departments.
OBJECTIVES
To explore the correlation between Barthel Index score and the occurrence of falls in non-bedridden stroke rehabilitation inpatients.
METHODS
In this cross-sectional study, information of patients grouped as non-bedridden patients by the Longshi Scale was collected.
RESULTS
A total of 3097 patients were included in this study, with a fall incidence of 10.43%. After adjusting covariates, the total score of Barthel Index and falls in non-bedridden inpatients after stroke presented an inverted U-shaped curve relationship, in which inflection point was 60. The effect sizes on the left and right sides of infection point were 1.02 (95%CI 1.00-1.04) and 0.97 (95%CI 0.96-0.99), respectively.
CONCLUSIONS
Non-bedridden stroke patients with moderate activities of daily living (ADL) capacity may be at particularly increased risk of falls in rehabilitation departments.
背景
对于康复科非卧床脑卒中住院患者，日常活动能力是跌倒的一个重要危险因素。
目的
探讨 Barthel 指数评分与非卧床脑卒中康复住院患者跌倒发生的相关性。
方法
本横断面研究收集了 Longshi 量表分组为非卧床患者的患者信息。
结果
本研究共纳入 3097 例患者，跌倒发生率为 10.43%。调整协变量后，Barthel 指数总分和脑卒中后非卧床患者的跌倒呈倒 U 型曲线关系，拐点为 60。拐点左侧和右侧的效应大小分别为 1.02（95%CI 1.00-1.04）和 0.97（95%CI 0.96-0.99）。
结论
具有中度日常生活活动（ADL）能力的非卧床脑卒中患者在康复科可能特别容易跌倒。
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