Incidence and Consequence of Falls among Stroke Rehabilitation Inpatients in Convalescent Rehabilitation Ward : Data Analysis of the Fall Situation in Multi-institutional Study
10.2490/jjrmc.47.111
- VernacularTitle:多施設回復期リハビリテーション病棟における脳卒中患者の転倒要因と転倒状況
- Author:
Youichi NAKAGAWA
;
Katsuhiko SANNOMIYA
;
Atsushi UEDA
;
Yukiko SAWAGUTI
;
Makiko KINOSHITA
;
Hisayo YOKOYAMA
;
Tsutomu SHIOMI
;
Kouhei OKADA
;
Chang-nian WEI
;
Koichi HARADA
;
Susumu WATANABE
;
Makoto ISHIKAWA
- Publication Type:Journal Article
- Keywords:
fall;
risk factor;
convalescent rehabilitation ward;
stroke;
fall prediction assessment
- From:The Japanese Journal of Rehabilitation Medicine
2010;47(2):111-119
- CountryJapan
- Language:Japanese
-
Abstract:
We collected and analyzed large-scale data concerning the fall of stroke inpatients in convalescent rehabilitation wards. Three hundred seventy-four of 1,107 inpatients experienced one fall or more, and 16 factors associated with falls were clarified by the chi-square test. To extract the significant item from a multifactor, the logistic regression analysis of 16 factors was carried out, and we developed an assessment sheet for the risk degree of first fall prediction in stroke inpatients. We selected eight variables as the items on the assessment sheet : history of previous falls, central paralysis, visual impairment, sensory disturbance, urinary incontinence, use of psychotropic medicines, mode of locomotion, and cognitive impairment. The total score of the assessment sheet was ranged from 0 to 10 and the mean score of fallers (6.4±1.5) among subjects was significantly higher than that of non-fallers (5.1±1.9) (p <0.001). When the subjects were classified into three groups, a significant difference (p<0.001) in the tendency of fall incidence in term of days after admission was found among the three groups on the basis of the Kaplan-Meier survival curve.
