Circumstances and consequences of falls among people with chronic stroke

Arlene A. Schmid, H. Klar Yaggi, Nicholas Burrus, Vincent McClain, Charles Austin, Jared Ferguson, Carlos Fragoso, Jason J. Sico, Edward Miech, Marianne Matthias, Linda Williams, Dawn Bravata

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Falls are common after stroke; however, circumstances and consequences are relatively unknown. Our objectives were to identify the differences between fallers and non-fallers among people with chronic stroke, identify the circumstances of fall events, and examine the consequences of the falls. This is a secondary data analysis; all participants included sustained a stroke. Variables included demographics, stroke characteristics, and comorbidities. Falls were collected via self-report, and circumstances and consequences were derived from participant description of the event and categorized as appropriate. Among 160 participants, 53 (33%) reported a fall during the 1 yr period. Circumstances of falls were categorized as intrinsic or extrinsic. Location and circumstance of the fall were included: 70% occurred at home and 40% were associated with impaired physical or mental state (e.g., inattention to tying shoes). Additionally, 21% of falls were associated with activities of daily living and mobility and 34% with slips or trips. The majority who fell sustained an injury (72%). Injuries ranged from bruising to fractures, and 55% of those with an injury sought medical care (32% to emergency department). Poststroke falls are associated with an alarming rate of injury and healthcare utilization. Targeting mental and physical states may be key to fall prevention.

Original languageEnglish
Pages (from-to)1277-1286
Number of pages10
JournalJournal of Rehabilitation Research and Development
Volume50
Issue number9
DOIs
StatePublished - 2013

Fingerprint

Stroke
Wounds and Injuries
Shoes
Activities of Daily Living
Self Report
Hospital Emergency Service
Comorbidity
Demography
Delivery of Health Care

Keywords

  • Activities of daily living
  • Circumstances
  • Consequences
  • Disability
  • Emergency
  • Falls
  • Injury
  • Mobility
  • Rehabilitation
  • Stroke

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Circumstances and consequences of falls among people with chronic stroke. / Schmid, Arlene A.; Yaggi, H. Klar; Burrus, Nicholas; McClain, Vincent; Austin, Charles; Ferguson, Jared; Fragoso, Carlos; Sico, Jason J.; Miech, Edward; Matthias, Marianne; Williams, Linda; Bravata, Dawn.

In: Journal of Rehabilitation Research and Development, Vol. 50, No. 9, 2013, p. 1277-1286.

Research output: Contribution to journalArticle

Schmid, Arlene A. ; Yaggi, H. Klar ; Burrus, Nicholas ; McClain, Vincent ; Austin, Charles ; Ferguson, Jared ; Fragoso, Carlos ; Sico, Jason J. ; Miech, Edward ; Matthias, Marianne ; Williams, Linda ; Bravata, Dawn. / Circumstances and consequences of falls among people with chronic stroke. In: Journal of Rehabilitation Research and Development. 2013 ; Vol. 50, No. 9. pp. 1277-1286.
@article{04926e27cdef4dde8418380d758cfe05,
title = "Circumstances and consequences of falls among people with chronic stroke",
abstract = "Falls are common after stroke; however, circumstances and consequences are relatively unknown. Our objectives were to identify the differences between fallers and non-fallers among people with chronic stroke, identify the circumstances of fall events, and examine the consequences of the falls. This is a secondary data analysis; all participants included sustained a stroke. Variables included demographics, stroke characteristics, and comorbidities. Falls were collected via self-report, and circumstances and consequences were derived from participant description of the event and categorized as appropriate. Among 160 participants, 53 (33{\%}) reported a fall during the 1 yr period. Circumstances of falls were categorized as intrinsic or extrinsic. Location and circumstance of the fall were included: 70{\%} occurred at home and 40{\%} were associated with impaired physical or mental state (e.g., inattention to tying shoes). Additionally, 21{\%} of falls were associated with activities of daily living and mobility and 34{\%} with slips or trips. The majority who fell sustained an injury (72{\%}). Injuries ranged from bruising to fractures, and 55{\%} of those with an injury sought medical care (32{\%} to emergency department). Poststroke falls are associated with an alarming rate of injury and healthcare utilization. Targeting mental and physical states may be key to fall prevention.",
keywords = "Activities of daily living, Circumstances, Consequences, Disability, Emergency, Falls, Injury, Mobility, Rehabilitation, Stroke",
author = "Schmid, {Arlene A.} and Yaggi, {H. Klar} and Nicholas Burrus and Vincent McClain and Charles Austin and Jared Ferguson and Carlos Fragoso and Sico, {Jason J.} and Edward Miech and Marianne Matthias and Linda Williams and Dawn Bravata",
year = "2013",
doi = "10.1682/JRRD.2012.11.0215",
language = "English",
volume = "50",
pages = "1277--1286",
journal = "Journal of rehabilitation R&D",
issn = "0748-7711",
publisher = "Rehabilitation Research and Development Service",
number = "9",

}

TY - JOUR

T1 - Circumstances and consequences of falls among people with chronic stroke

AU - Schmid, Arlene A.

AU - Yaggi, H. Klar

AU - Burrus, Nicholas

AU - McClain, Vincent

AU - Austin, Charles

AU - Ferguson, Jared

AU - Fragoso, Carlos

AU - Sico, Jason J.

AU - Miech, Edward

AU - Matthias, Marianne

AU - Williams, Linda

AU - Bravata, Dawn

PY - 2013

Y1 - 2013

N2 - Falls are common after stroke; however, circumstances and consequences are relatively unknown. Our objectives were to identify the differences between fallers and non-fallers among people with chronic stroke, identify the circumstances of fall events, and examine the consequences of the falls. This is a secondary data analysis; all participants included sustained a stroke. Variables included demographics, stroke characteristics, and comorbidities. Falls were collected via self-report, and circumstances and consequences were derived from participant description of the event and categorized as appropriate. Among 160 participants, 53 (33%) reported a fall during the 1 yr period. Circumstances of falls were categorized as intrinsic or extrinsic. Location and circumstance of the fall were included: 70% occurred at home and 40% were associated with impaired physical or mental state (e.g., inattention to tying shoes). Additionally, 21% of falls were associated with activities of daily living and mobility and 34% with slips or trips. The majority who fell sustained an injury (72%). Injuries ranged from bruising to fractures, and 55% of those with an injury sought medical care (32% to emergency department). Poststroke falls are associated with an alarming rate of injury and healthcare utilization. Targeting mental and physical states may be key to fall prevention.

AB - Falls are common after stroke; however, circumstances and consequences are relatively unknown. Our objectives were to identify the differences between fallers and non-fallers among people with chronic stroke, identify the circumstances of fall events, and examine the consequences of the falls. This is a secondary data analysis; all participants included sustained a stroke. Variables included demographics, stroke characteristics, and comorbidities. Falls were collected via self-report, and circumstances and consequences were derived from participant description of the event and categorized as appropriate. Among 160 participants, 53 (33%) reported a fall during the 1 yr period. Circumstances of falls were categorized as intrinsic or extrinsic. Location and circumstance of the fall were included: 70% occurred at home and 40% were associated with impaired physical or mental state (e.g., inattention to tying shoes). Additionally, 21% of falls were associated with activities of daily living and mobility and 34% with slips or trips. The majority who fell sustained an injury (72%). Injuries ranged from bruising to fractures, and 55% of those with an injury sought medical care (32% to emergency department). Poststroke falls are associated with an alarming rate of injury and healthcare utilization. Targeting mental and physical states may be key to fall prevention.

KW - Activities of daily living

KW - Circumstances

KW - Consequences

KW - Disability

KW - Emergency

KW - Falls

KW - Injury

KW - Mobility

KW - Rehabilitation

KW - Stroke

UR - http://www.scopus.com/inward/record.url?scp=84892573908&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84892573908&partnerID=8YFLogxK

U2 - 10.1682/JRRD.2012.11.0215

DO - 10.1682/JRRD.2012.11.0215

M3 - Article

VL - 50

SP - 1277

EP - 1286

JO - Journal of rehabilitation R&D

JF - Journal of rehabilitation R&D

SN - 0748-7711

IS - 9

ER -