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Falls related EvEnts in the first year after StrokE in Ireland: results of the multi-centre prospective FREESE cohort study

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Show simple item record Walsh, Mary E. Galvin, Rose Williams, David J.P. Harbison, Joseph A. Murphy, Sean Collins, Ronan McCabe, Dominick J.H. Crowe, Morgan Horgan, Frances N. 2018-10-08T11:05:26Z 2018-10-08T11:05:26Z 2018
dc.description peer-reviewed en_US
dc.description.abstract Introduction: Falls are common post-stroke adverse events. This study aimed to describe the first-year falls incidence, circumstances and consequences among persons discharged home after stroke in Ireland, and to examine the association between potential risk factors and recurrent falls. Patients and Methods: Patients with acute stroke and planned home-discharge were recruited consecutively from five hospitals. Variables recorded pre-discharge included: age, stroke severity, comorbidities, fall history, prescribed medications, hemi-neglect, cognition, and functional independence (Barthel Index). Falls were recorded with monthly diaries, and six and 12-month interviews. The association of pre-discharge factors with recurrent falls (>1 fall) was examined using univariable logistic regression. Results: 128 participants (mean age=68.6, SD=13.3) were recruited. 110 completed 12-month follow-up. The first-year falls-incidence was 44.5% (95%CI=35.1-53.6) with 25.6% falling repeatedly (95%CI=18.5- 34.4). Fallers experienced 1-18 falls (median=2) and five reported fractures. 47% of fallers experienced at least one fall outdoors. Only 10% of recurrent fallers had bone health medication prescribed at discharge. Lower Barthel Index scores (<75/100, RR=4.38, 1.64-11.72) and psychotropic medication prescription (RR=2.10, 1.13-3.91) were associated with recurrent falls. Discussion: This study presents prospectively collected information about falls circumstances. It was not powered for multivariable analysis of risk factors. Conclusion: One quarter of stroke survivors discharged to the community fall repeatedly and mostly indoors in the first year. Specific attention may be required for individuals with poor functional independence or those on psychotropic medication. Future falls-management research in this population should explore falls in younger individuals, outdoor as well as indoor falls and post-stroke bone health status. en_US
dc.language.iso eng en_US
dc.publisher SAGE Publications en_US
dc.relation.ispartofseries European Stroke Journal;3 (3)
dc.subject sccidental falls en_US
dc.subject fractures en_US
dc.subject stroke en_US
dc.subject rehabilitation en_US
dc.title Falls related EvEnts in the first year after StrokE in Ireland: results of the multi-centre prospective FREESE cohort study en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1177/2396987318764961
dc.contributor.sponsor IRC en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US

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