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Master Thesis

Epidemiology of falls during post-stroke hospitalization: a systematic review

Abstract : INTRODUCTION. Falls occurrence is a major complication after stroke, mostly described after discharge from the hospital. OBJECTIVE. To summarize the current knowledge on the epidemiology, circumstances and consequences of falls in individuals hospitalized in acute and subacute stages after a stroke. METHODS. We searched Medline via PubMed database for all articles published with key words ‘stroke’ and ‘falls (MeSH terms). Observational studies in English and French were included. The quality of the papers was independently assessed by two reviewers with a scale (0-12) based on National Heart, Lung, and Blood Institute quality assessment tool for observational cohort studies. Studies conducted in acute care (AC) setting and rehabilitation ward (RW) were identified. RESULTS. We analyzed 20 articles (4 in AC and 16 in RW) with a quality score ≥ 6/12, published from 1990 to 2019. They gathered 10747 patients. The fall prevalence was three times higher in RW (18%) than in AC, whereas fall incidence rate (FIR) was similar in both settings, reaching 8-11 falls per 1000 patient days. Most falls occurred in patients’ room, during transfers involving bed and wheelchair. Post-fall injuries were noted in 25% of falls (severe in 1-2%). Length of stay was longer in fallers. CONCLUSION. This is the first systematic review of falls’ epidemiology in individuals hospitalized after a stroke. Falls are as frequent at the acute as at the subacute phase and 1/4 falls causes an injury, sometimes severe. Most falls occur in the bedroom. Care staffs must be aware of that, and more effort should be dedicated to fall prevention after stroke upon admission to hospital.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02884939
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Submitted on : Tuesday, June 30, 2020 - 11:40:38 AM
Last modification on : Tuesday, October 20, 2020 - 11:20:15 AM

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Liza Sakoun. Epidemiology of falls during post-stroke hospitalization: a systematic review. Human health and pathology. 2019. ⟨dumas-02884939⟩

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