Incidence, circonstances et conséquences des chutes chez les patients en rééducation après un premier accident vasculaire cérébral [Incidence, circumstances and consequences of falls in patients undergoing rehabilitation after a first stroke]

Details

Serval ID
serval:BIB_86E62A39F672
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Incidence, circonstances et conséquences des chutes chez les patients en rééducation après un premier accident vasculaire cérébral [Incidence, circumstances and consequences of falls in patients undergoing rehabilitation after a first stroke]
Journal
Annales de readaptation et de medecine physique
Author(s)
Pérennou D., El Fatimi A., Masmoudi M., Benaim C., Loigerot M., Didier J.P., Pélissier J.
ISSN
0168-6054 (Print)
ISSN-L
0168-6054
Publication state
Published
Issued date
04/2005
Peer-reviewed
Oui
Volume
48
Number
3
Pages
138-145
Language
french
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
To describe the incidence, circumstances, and consequences of falls in patients admitted in a rehabilitation ward after a stroke.
Prospective monitoring of falls over four years in a neurological rehabilitation unit. Use of fall registry.
age < 75 years, admission < 45 days after stroke onset, single stroke of 1 cerebral hemisphere (nonlacunar) or of the brain stem. Only falls due to loss of balance were considered; falls caused by a seizure or syncope were not considered.
Of 217 consecutive patients with the inclusion criteria, 34 had fallen at least once (15.7%) and 10 twice (4.1%). Fall incidence, defined as the number of falls per patient per day was 2.2 per thousand. Half of the patients fell the first three weeks after admission. Most falls involved getting to or from the wheelchair or the bed; 1 patient had recovered minimal postural abilities at the gym but was not independent. Traumatic lesions were noted in 13 patients: they were minor in nine and severe in four, including three fractures.
Falls due to loss of balance are a major problem in patients undergoing rehabilitation after a stroke. Getting to and from wheelchairs in the bedroom and bathroom by patients who are not allowed to do so play a key role in many falls. Prevention programs should consider this information.
Keywords
Accidental Falls/statistics & numerical data, Female, Humans, Incidence, Male, Middle Aged, Postural Balance/physiology, Prospective Studies, Registries, Stroke/physiopathology, Stroke Rehabilitation
Pubmed
Create date
04/05/2020 12:00
Last modification date
05/05/2020 5:26
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