| 제목 |
Prognostic factors of post-stroke fall fears in subacute stroke patients |
| 소속 |
Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea, , Seoul, Republic of Korea, Department of Physical and Rehabilitation Medicine1, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea, Department of Rehabilitation Medicine2, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea, Department of Rehabilitation Medicine3, Seoul St. Mary`s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea, Department of Neurology4, Seoul St. Mary`s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea, Department of Urology5 |
| 저자 |
Jong Dae Eun1*, Jong In Lee2, Jihye Park3, Jaseong Koo4, Minam Son1, Ji Hye Hwang1, Ji Youl Lee5, Won Hyuk Chang1† |
Objective: Balance problems are common after stroke, and they can increase risk of falls. Post-stroke falls can lead to serious health complications such as hip fractures. Fall is a very important medical problem, especially in patients who are discharged to the community after the acute stroke management. However, few trials have been reported to predict post-stroke falls in subacute stroke patients discharged to the community. The objective of this study was to investigate the factors at discharge to predict post-stroke falls in subacute stroke patients discharged to the community.
Materials and Methods: Total 37 stroke patients who was discharged to the community after the acute stroke management. Table 1 showed the general characteristics of stroke patients. All participants were performed to assess balance function with Timed Up and Go test (TUG), Tinetti Performance Oriented Mobility Assessment (POMA), Berg Balance scale (BBS), and gait analysis by Human Track (RBiotec Inc., Korea) at discharge. In addition, functional ambulatory category (FAC) and the Korean mini-mental state examination (K-MMSE) were measured for mobility and cognitive function. At 4 weeks after discharge, all participants completed structured self-administered questionnaires and a face-to-face interview to assess fear of falling with the Falls Efficacy Scale-International (FES-I), Geriatric Depression Sale-Short Form (GDS-SF) and Euro Quality of Life (EQ)-5D. To assess the influencing factors on FES-I at 4 weeks after discharge, correlation analysis and linear regression analysis with stepwise method was performed with age, stroke duration, body mass index, FAC, K-MMSE, TUG, POMA, BBB and asymmetric index of gait analysis such as stance phase, single support and gait speed. P-values less than 0.05 were considered statistically significant.
Results: Table 2 showed the functional characteristics of participants. FES-I at 4 weeks after discharge was a significant relationship with FAC, K-MMSE, TUG, POMA and BBS at discharge (p<0.05). The independently significant relating factor to FES-I at 4 weeks was TUG at discharge (r2=0.407, p<0.05). In addition, FES-I was significantly correlated with GDS-SF and EQ-5D (p<0.05).
Conclusions: These results demonstrated that balance function measured by TUG at discharge was the most influencing factor on the fall fears in who was discharged to the community after the acute stroke management. Therefore, the proper education to prevent falls should be performed according to TUG in the subacute stroke patients. |
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Table 1. General characteristics of patients (n=37)
Table 2. Functional characteristics of patients (n=37)
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