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Published: 2024-05-31
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DOI: https://doi.org/10.52852/tcncyh.v177i4E14.2235
Issue
Vol. 177 No. 4E14 (2024)
Section
Các bài báo
How to Cite
Luc, T. V., Anh, N. T., & Huong, N. T. T. (2024). 5. Factors related to risk of falls among older post-stroke patients. Journal of Medical Research, 177(4E14), 32-38. https://doi.org/10.52852/tcncyh.v177i4E14.2235

5. Factors related to risk of falls among older post-stroke patients

Tran Viet Luc, Nguyen Trung Anh, Nguyen Thi Thu Huong

Main Article Content

Abstract

This study was conducted to identify factors related to fall risk among older post-stroke patients. A cross-sectional study was conducted on 107 post-stroke patients aged ≥ 60 years old treated at the National Geriatric Hospital. Fall risk was assessed using the 21-item Fall Risk Index. The percentage of participants with a high risk of falling was 69.2%. There were significant differences between the high risk of falls and the levels of disability, depression, and instrumental activities of daily living. The multivariate logistic regression model showed that mild to severe disability after stroke (OR=4.005) and patients with impairment of instrumental activities of daily living (OR=3.844) were significantly associated with an increased risk of falls in elderly post-stroke patients. This study showed two in three participants have a high risk of falls. Disability levels, instrumental activities of daily living, and depression were associated with a high risk of falls.

Article Details

Keywords

Related factors, Risk of fall, Post-stroke, Elderly

References

1. Feigin VL, Nichols E, Alam T, et al. Global, regional, and national burden of neurological disorders, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet Neurology. 2019; 18(5): 459-480.
2. Mackay J, Mensah GA. The atlas of heart disease and stroke. J Hum Hypertens. 2005; 19(505): 9240.
3. Kalavina R, Chisati E, Mlenzana N, Wazakili M. The challenges and experiences of stroke patients and their spouses in Blantyre, Malawi. Malawi Med J. 2019; 31(2): 112-117. doi:10.4314/mmj.v31i2.2.
4. Batchelor FA, Mackintosh SF, Said CM, Hill KD. Falls after stroke. Int J Stroke. 2012; 7(6): 482-490.
5. Walsh ME, Galvin R, Williams DJP, et al. The experience of recurrent fallers in the first year after stroke. Disabil Rehabil. 2019; 41(2): 142-149.
6. Kannus P, Sievänen H, Palvanen M, Järvinen T, Parkkari J. Prevention of falls and consequent injuries in elderly people. Lancet. 2005; 366(9500): 1885-1893. doi:10.1016/S0140-6736(05)67604-0.
7. Yew KS, Cheng EM. Diagnosis of acute stroke. Am Fam Physician. 2015; 91(8): 528-536.
8. Schmid AA, Kapoor JR, Dallas M, Bravata DMJN. Association between stroke severity and fall risk among stroke patients. 2010; 34(3): 158-162.
9. Toba K, Kikuchi R, Iwata A, Kozaki KJJ. Fall risk index helps clinicians identify high-risk individuals. 2009; 52(4): 237-242.
10. Wei WE, De Silva DA, Chang HM, et al. Post-stroke patients with moderate function have the greatest risk of falls: a national cohort study. 2019; 19(1): 1-9.
11. Badaru, U. M., Ogwumike, O. O., Adeniyi, A. F., & Olowe, O. O. (2013). Variation in Functional Independence among Stroke Survivors Having Fatigue and Depression. Neurology research international, 2013, 842980. https://doi.org/10.1155/2013/842980
12. Ugur C, Gücüyener D, Uzuner N, Ozkan S, Ozdemir G. Characteristics of falling in patients with stroke. Journal of neurology, neurosurgery, and psychiatry. 2000; 69(5): 649-651.
13. Mackintosh SF, Hill K, Dodd KJ, Goldie P, Culham E. Falls and injury prevention should be part of every stroke rehabilitation plan. Clinical rehabilitation. 2005; 19(4): 441-451.