HIGH INCIDENCE OF FALLS AND FALL-RELATED INJURIES IN WHEELCHAIR USERS WITH SPINAL CORD INJURY: A PROSPECTIVE STUDY OF RISK INDICATORS

被引:49
作者
Forslund, Emelie Butler [1 ,2 ]
Jorgensen, Vivien [1 ,3 ]
Franzen, Erika [1 ,3 ,4 ,5 ]
Opheim, Arve [3 ]
Seiger, Ake [2 ,4 ]
Stahle, Agneta [1 ,3 ,5 ]
Hultling, Claes [2 ,4 ,5 ]
Stanghelle, Johan K. [3 ,6 ]
Roaldsen, Kirsti Skavberg [1 ,3 ]
Wahman, Kerstin [2 ,4 ]
机构
[1] Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Physiotherapy, Stockholm, Sweden
[2] Karolinska Inst, Rehab Stn Stockholm Spinalis, Res & Dev Unit, Stockholm, Sweden
[3] Sunnaas Rehabil Hosp, Dept Res, Oslo, Norway
[4] Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Neurodegenerat, Sect Neurorehabil, Stockholm, Sweden
[5] Karolinska Univ Hosp, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden
[6] Univ Olso, Fac Med, Oslo, Norway
关键词
accidental fall; rehabilitation; risk factors; spinal cord injury; wheelchair; secondary complications; MULTIPLE-SCLEROSIS; SUBSEQUENT INJURIES; PROSPECTIVE COHORT; PREVENTION TRIALS; CONCERN SCALE; DATA SET; PEOPLE; COMMUNITY; ADULTS;
D O I
10.2340/16501977-2177
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objective: To identify risk indicators for, and incidence of, recurrent falls and fall-related injuries in wheelchair users with traumatic spinal cord injury. Design: Prospective multi-centre study. Subjects: One hundred and forty-nine wheelchair users with spinal cord injury attending follow-up in Sweden and Norway. Methods: Inclusion criteria: wheelchair users >= 18 years old with traumatic spinal cord injury >= 1 year post-injury.EXCLUSION CRITERIA:individuals with motor complete injuries above C5. Falls were prospectively reported by text message every second week for one year and were followed-up by telephone interviews. Outcomes were: fall incidence, risk indicators for recurrent (>2) falls and fall-related injuries. Independent variables were: demographic data, quality of life, risk willingness, functional independence, and exercise habits. Results: Of the total sample (n = 149), 96 (64%) participants fell, 45 (32%) fell recurrently, 50 (34%) were injured, and 7 (5%) severely injured. Multivariate logistic regression analysis showed that reporting recurrent falls the previous year increased the odds ratio (OR) of recurrent falls (OR 10.2, p<0.001). Higher quality of life reduced the OR of fall-related injuries (OR 0.86, p=0.037). Conclusion: Previous recurrent falls was a strong predictor of future falls. The incidence of falls, recurrent falls and fall-related injuries was high. Hence, prevention of falls and fall-related injuries is important.
引用
收藏
页码:144 / 151
页数:8
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