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Falls After Stroke : A Follow-up after Ten Years in Lund Stroke Register

Jönsson, Ann-Cathrin LU ; Lindgren, Ingrid LU ; Delavaran, Hossein LU ; Norrving, Bo LU and Lindgren, Arne LU (2021) In Journal of Stroke & Cerebrovascular Diseases 30(6).
Abstract

OBJECTIVES: To evaluate incidence of self-reported falls and associated factors in a ten-year perspective after stroke.

METHODS: From a population-based cohort of first-ever stroke patients (n = 416) included in the Lund Stroke Register between March 1, 2001, and February 28, 2002, we performed a follow up of all 145 survivors ten years after stroke. We collected data on age, gender, main stroke type, living and housing situation, general health status (question 1 in the Short Form Health Survey (SF-36), dizziness, physical activity, Barthel Index, mobility aids, moving ability inside/outside, and health-related quality of life as defined by the EuroQol 3 dimension scale (EQ-5D-3L). Factors that may relate to falls were compared... (More)

OBJECTIVES: To evaluate incidence of self-reported falls and associated factors in a ten-year perspective after stroke.

METHODS: From a population-based cohort of first-ever stroke patients (n = 416) included in the Lund Stroke Register between March 1, 2001, and February 28, 2002, we performed a follow up of all 145 survivors ten years after stroke. We collected data on age, gender, main stroke type, living and housing situation, general health status (question 1 in the Short Form Health Survey (SF-36), dizziness, physical activity, Barthel Index, mobility aids, moving ability inside/outside, and health-related quality of life as defined by the EuroQol 3 dimension scale (EQ-5D-3L). Factors that may relate to falls were compared between those who had experienced falls after stroke or not.

RESULTS: Ten years after stroke, 49 patients (34 %) reported falls and 96 patients (66 %) reported no falls. Compared to patients with no falls, those who reported falls were older (median age 83.3 years vs 75.6 years; p < 0.001), more often lived alone, were more dependent in daily living, had less physical activity, poorer general health status, more often needed mobility aids, were more often unable to move alone outside, and had poorer health-related quality of life in all items in EQ-5D-3L except pain/discomfort.

CONCLUSIONS: Falls had occurred in approximately one third of the participants ten years after the stroke, and were strongly associated with several measures of frailty. Our results indicate that fall prevention should in particular focus on those at high risk of falls.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Stroke & Cerebrovascular Diseases
volume
30
issue
6
article number
105770
publisher
Elsevier
external identifiers
  • scopus:85103714579
  • pmid:33839378
ISSN
1532-8511
DOI
10.1016/j.jstrokecerebrovasdis.2021.105770
language
English
LU publication?
yes
id
be15200c-f344-4c0d-bd35-0304dd91af18
date added to LUP
2021-05-18 14:32:05
date last changed
2024-06-16 13:58:10
@article{be15200c-f344-4c0d-bd35-0304dd91af18,
  abstract     = {{<p>OBJECTIVES: To evaluate incidence of self-reported falls and associated factors in a ten-year perspective after stroke.</p><p>METHODS: From a population-based cohort of first-ever stroke patients (n = 416) included in the Lund Stroke Register between March 1, 2001, and February 28, 2002, we performed a follow up of all 145 survivors ten years after stroke. We collected data on age, gender, main stroke type, living and housing situation, general health status (question 1 in the Short Form Health Survey (SF-36), dizziness, physical activity, Barthel Index, mobility aids, moving ability inside/outside, and health-related quality of life as defined by the EuroQol 3 dimension scale (EQ-5D-3L). Factors that may relate to falls were compared between those who had experienced falls after stroke or not.</p><p>RESULTS: Ten years after stroke, 49 patients (34 %) reported falls and 96 patients (66 %) reported no falls. Compared to patients with no falls, those who reported falls were older (median age 83.3 years vs 75.6 years; p &lt; 0.001), more often lived alone, were more dependent in daily living, had less physical activity, poorer general health status, more often needed mobility aids, were more often unable to move alone outside, and had poorer health-related quality of life in all items in EQ-5D-3L except pain/discomfort.</p><p>CONCLUSIONS: Falls had occurred in approximately one third of the participants ten years after the stroke, and were strongly associated with several measures of frailty. Our results indicate that fall prevention should in particular focus on those at high risk of falls.</p>}},
  author       = {{Jönsson, Ann-Cathrin and Lindgren, Ingrid and Delavaran, Hossein and Norrving, Bo and Lindgren, Arne}},
  issn         = {{1532-8511}},
  language     = {{eng}},
  number       = {{6}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Stroke & Cerebrovascular Diseases}},
  title        = {{Falls After Stroke : A Follow-up after Ten Years in Lund Stroke Register}},
  url          = {{http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2021.105770}},
  doi          = {{10.1016/j.jstrokecerebrovasdis.2021.105770}},
  volume       = {{30}},
  year         = {{2021}},
}