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Falls in hospitalized acute stroke patients.
MedLine Citation:
PMID:  22482340     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
PATIENTS AND METHODS: It was analyzed 1809 acute stroke patients hospitalized at the Department of Neurology in period of one year. A fall was defined as any unplanned "touch to the floor" of any part of a patient's body, excluding the feet.
RESULTS: Out of 1809 acute stroke patients, 1544 (85.35%) had cerebral infarction (CI) and 265 (14.65%) intracerebral hemorrhage (IH). In group of patients that fell (61/3.3%), 49 (80.33%) had infarction and 12 (19.67%) (p = 0.25) had hemorrhage. Out of 61 patients that fell, 42 (68.86%) suffered from impaired spatial orientation and 47 (77.05) were aphasic. The neurological deficit, impairments of spatial orientation and presents of aphasia were highly correlated with falls (p < 0.001). The most frequent falls occurred by night night (38 or 62.29%) and in the first five days of hospitalization (44 or 72%). In most cases (52%) the falls caused minor injuries like contusion and lacerations of skin and did not require special medical treatment.
CONCLUSION: Hospitalized acute stroke patients have no high risk of falling (3.3%), and the incidence of serious injury is low. The falls are more frequent in the first five days of hospitalization (72%) and occur mostly during the night (62.29%). Severity of neurological deficit, impaired spatial orientation and aphasia are highly correlated with falls.
Authors:
Osman Sinanović; Begsana Raicevic; Maja Brkic; Ensala Hajdarbegovic; Sanela Zukić; Biljana Kojić; Kata Imamovic
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medicinski arhiv     Volume:  66     ISSN:  0350-199X     ISO Abbreviation:  Med Arh     Publication Date:  2012  
Date Detail:
Created Date:  2012-04-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400722     Medline TA:  Med Arh     Country:  Bosnia and Hercegovina    
Other Details:
Languages:  eng     Pagination:  33-4     Citation Subset:  IM    
Affiliation:
Department of Neurology, University Clinical Center Tuzla, Bosnia and Herzegovina. osinanovic@ukctz.ba
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