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Risk factors for falling in home-dwelling older women with stroke : the Women's Health and Aging Study

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Lamb, S. E. (Sallie E.), Ferrucci, L., Volapto, S., Fried, L. P., Guralnik, J. M. and Gustafson, Y. (2003) Risk factors for falling in home-dwelling older women with stroke : the Women's Health and Aging Study. Stroke, 34 (2). pp. 494-501. doi:10.1161/01.STR.0000053444.00582.B7 ISSN 0039-2499.

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Official URL: http://dx.doi.org/10.1161/01.STR.0000053444.00582....

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Abstract

Background and Purpose - Much of our knowledge of risk factors for falls comes from studies of the general population. The aim of this study was to estimate the risk of falling associated with commonly accepted and stroke-specific factors in a home-dwelling stroke population. Methods - This study included an analysis of prospective fall reports in 124 women with confirmed stroke over 1 year. Variables relating to physical and mental health, history of falls, stroke symptoms, self-reported difficulties in activities of daily living, and physical performance tests were collected during home assessments. Results - Risk factors for falling commonly reported in the general population, including performance tests of balance, incontinence, previous falls, and sedative/hypnotic medications, did not predict falls in multivariate analyses. Frequent balance problems while dressing were the strongest risk factor for falls (odds ratio, 7.0). Residual balance, dizziness, or spinning stroke symptoms were also a strong risk factor for falling (odds ratio, 5.2). Residual motor symptoms were not associated with an increased risk of falling. Conclusions - Interventions to reduce the frequency of balance problems during complex tasks may play a significant role in reducing falls in stroke. Clinicians should be aware of the increased risk of falling in women with residual balance, dizziness, or spinning stroke symptoms and recognize that risk assessments developed for use in the general population may not be appropriate for stroke patients.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Stroke
Publisher: Lippincott Williams & Wilkins
ISSN: 0039-2499
Official Date: 1 February 2003
Dates:
DateEvent
1 February 2003Published
Volume: 34
Number: 2
Page Range: pp. 494-501
DOI: 10.1161/01.STR.0000053444.00582.B7
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Description:

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Date of first compliant deposit: 26 July 2018

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