Effect of Stroke on Fall Rate, Location and Predictors: A Prospective Comparison of Older Adults with and without Stroke
2011

Falls After Stroke: A Study Comparing Stroke Survivors and Controls

Sample size: 170 publication 10 minutes Evidence: high

Author Information

Author(s): Simpson Lisa A., Miller William C., Eng Janice J.

Primary Institution: University of British Columbia

Hypothesis

Are individuals recently discharged from stroke rehabilitation at a higher risk of falls compared to age and sex matched controls?

Conclusion

Individuals recently discharged home are at greater risk of falling than individuals without stroke.

Supporting Evidence

  • Individuals with stroke fell 1.77 times more than the control group.
  • 59% of falls in the stroke group occurred at home.
  • Poorer balance was associated with greater falls in both groups.

Takeaway

People who have had a stroke are more likely to fall at home than those who haven't had a stroke. It's important to make homes safer for them.

Methodology

The study followed 80 stroke survivors and 90 controls for 13 months, assessing falls and related factors.

Potential Biases

Potential bias in self-reported falls and participant selection.

Limitations

The study only included ambulatory individuals recently discharged from stroke rehabilitation.

Participant Demographics

Mean age of stroke group was 67.6 years, with 27.5% female; control group mean age was 68.4 years, with 34.4% female.

Statistical Information

P-Value

0.009

Confidence Interval

1.149–2.716

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1371/journal.pone.0019431

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