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Risk Factors Related to Falling in Patients after Stroke

Olivera Djurovic1, Olgica Mihaljevic2, Snezana Radovanovic3

  • 1Special Hospital for Cerebrovascular Diseases "Sveti Sava", Belgrade, Serbia.

Iranian Journal of Public Health
|November 1, 2021
PubMed

Insights

Identifying risk factors for falls in stroke patients is crucial. Altered mental status, mood, and sleep disturbances significantly predict falls after stroke, informing prevention strategies.

Area of Science:

  • Neurology
  • Gerontology
  • Rehabilitation Medicine

Background:

  • Falls are a significant concern for post-stroke patients.
  • Identifying specific risk factors is essential for fall prevention strategies.

Purpose of the Study:

  • To identify risk factors associated with falling in patients hospitalized for stroke.
  • To analyze predictors of unmet healthcare needs in post-stroke patients.

Main Methods:

  • Retrospective case-control study of 561 neurology patients.
  • Comparison between falling and non-falling patient groups.
  • Logistic regression analysis to examine socio-economic factors and predictors.

Main Results:

  • Falling patients had significantly longer hospitalizations.
  • Significant differences observed in mental status, sensibility, mood, insomnia, psychomotor slowness, anxiety, and memory.
  • Mental status alterations were strongly associated with falls (P<0.001).

Conclusions:

  • Altered mental status, influenced by cerebrovascular disease and neurological deficits, is a key predictor of falls post-stroke.
  • Identifying these risk factors is a critical first step for developing fall prevention interventions.
  • Targeted interventions can help reduce future falls among hospitalized stroke survivors.
Abstract

Keywords:
FallsHospitalizationRisk factorsStroke patients

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