Article

OBJECTIVE: To evaluate the association between falls and functional status after
stroke. DESIGN: Secondary analysis of data from the randomized controlled
FIT-Stroke trial. Outcomes were measured at the time of discharge from inpatient
rehabilitation (t0) and after 12 weeks (t1). Between t0 and t1,
all patients
attended an outpatient rehabilitation program that included the FIT-Stroke
intervention. SETTING: Nine centers for rehabilitation medicine. PARTICIPANTS:
Outpatients after stroke (N=250) with mild cognitive impairments (Mini-Mental
State Examination [MMSE] score >/=24), discharged home after inpatient
rehabilitation and able to walk 10m independently. INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURES: The primary outcome was the change in Stroke Impact Scale
(SIS)-16 score. The independent variable was >/=1 falls after stroke. The outcome
was corrected for type of outpatient rehabilitation (group allocation), severity
of hemiplegia (Motricity Index [MI]), and cognition (MMSE) at baseline using
multiple regression analysis. RESULTS: Complete data were available for 199
patients, with a mean age of 58+/-10 years, MMSE score of 28.1+/-2, and MI score
of 130+/-43. Fifty-five patients (28%) reported falls during the 12 weeks after
discharge from inpatient rehabilitation. Falls were significantly associated with
less improvement in functional status as assessed with the SIS-16 (P=.009).
CONCLUSIONS: Almost 30% of this stroke population with minor cognitive deficits
and moderate to high mobility scores reported falls during the 12 weeks of
outpatient rehabilitation. Falls were negatively associated with self-reported
functional status measured by the change in SIS-16 score. Therefore, it is
important to identify patients with high risk of falls and implement strategies
to reduce falls.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS