×
Home
Archive Submission Guidelines
News Contact
Original article
Crossmark

The risk of falls in patients with cerebrovascular disease

By
Aleksandar Nenadović ,
Aleksandar Nenadović

Institut za kardiovaskularne bolesti Dedinje , Belgrade , Serbia

Olivera Đurović ,
Olivera Đurović
Snezana Stanković ,
Snezana Stanković
Biljana Georgievski-Brkić ,
Biljana Georgievski-Brkić
Milica Milivojević ,
Milica Milivojević
Marjana Vukičević ,
Marjana Vukičević
Svetlana Radević Orcid logo ,
Svetlana Radević

University of Kragujevac , Kragujevac , Serbia

Snežana Radovanović Orcid logo
Snežana Radovanović

University of Kragujevac , Kragujevac , Serbia

Abstract

Patient falls in hospital conditions are among the most common serious adverse events following a cerebrovascular insult at all stages of the disease. The aim of this study was to investigate the risk of falls in patients with cerebrovascular disease. A clinical case-control observational study was conducted in this investigation. The sample consisted of patients who suffered from cerebrovascular diseases and were admitted to the Special Hospital for Cerebrovascular Diseases "Sveti Sava" in Belgrade, in the period from February 3, 2018, to June 28, 2019. The Morse questionnaire was used to assess a fall risk. All statistical calculations were performed using the standard commercial software package SPSS, version 21.0. Most of the subjects with a cerebrovascular insult (505 (90.0%)) had a high risk of falls, i.e. they had the Morse score values ≥ 45. The mean Morse score of the subjects in the study was 67.07 ± 21.08. The risk of falling, according to the Morse score, is the highest among subjects diagnosed with bleeding (95.7%: 96.7%) and left-sided neurological deficit (91.7%:90.8%) in both examined groups. It is of great importance to organizing training programs for patients, healthcare providers, and medical staff to prevent falls in hospital conditions.

References

1.
Johnson CO, Nguyen M, Roth GA, Nichols E, Alam T, Abate D, et al. Global, regional, and national burden of stroke, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet Neurology. 2019;18(5):439–58.
2.
Walsh ME, Galvin R, Williams DJ, Harbison JA, Murphy S, Collins R, et al. Falls-Related EvEnts in the first year after StrokE in Ireland: Results of the multi-centre prospective FREESE cohort study. European Stroke Journal. 2018;3(3):246–53.
3.
Xu T, Clemson L, O’Loughlin K, Lannin NA, Dean C, Koh G. Risk Factors for Falls in Community Stroke Survivors: A Systematic Review and Meta-Analysis. Archives of Physical Medicine and Rehabilitation. 2018;99(3):563-573.e5.
4.
Callaly EL, Ni Chroinin D, Hannon N, Sheehan O, Marnane M, Merwick A, et al. Falls and fractures 2 years after acute stroke: the North Dublin Population Stroke Study. Age and Ageing. 2015;44(5):882–6.
5.
Intercollegiate Stroke Working Party. National clinical guideline for stroke. 2016.

Citation

Article metrics

Google scholar: See link

The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.