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Assessing the risk for falls among Portuguese community-dwelling stroke survivors: are we using the better tools? Observational study

2022-05Journal article Open access
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dc.contributor.authorPimenta, Carla
dc.contributor.authorCorreia, Anabela
dc.contributor.authorAlves, Marta
dc.contributor.authorVirella, Daniel
dc.date.accessioned2022-07-04T15:47:52Z
dc.date.available2022-07-04T15:47:52Z
dc.date.issued2022-05
dc.description.abstractPurpose: This study assesses the estimation of the risk for falls among community-dwelling stroke survivors referred for ambulatory physiotherapy and explores factors that affect the risk. Methods: Observational, cross-sectional with nested case-control study, of individuals, referred to physiotherapy less than 12 months after stroke and able to walk independently. Berg Balance Scale, Timed Up and Go Test, and the Motor Assessment Scale were applied. Berg Balance Scale ≤45 or Timed Up and Go Test > 14 were used to estimate the risk for falls. The discrimination ability of the estimation was assessed. Alternative models were explored by logistic regression analysis. Results: One hundred sixty-seven patients fulfilled the inclusion criteria. Patients were 21 to 87years old (median 66), 98 men (58.7%), and 133 (79.6%) the stroke occurred in the last 6 months. Falls were reported by 78 (46.7%) of the patients but 139 (83.2% [95%CI 76.84–88.14]) were estimated as having risk for falls. The discrimination ability of the estimation of the actual occurrence of falls by Berg Balance Scale ≤45 or Timed Up and Go Test >14 was 55% (95%CI 47.5–62.4). The actual occurrence of falls was associated only with Motor Assessment Scale, as a protective factor. The discrimination ability of the estimation of the actual occurrence of falls by the Motor Assessment Scale alone was the area under the curve 0.69 (95%CI 0.60–0.77). Conclusions: Different tools with better performance are needed to identify the risk for falls after stroke.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPimenta C, Correia A, Alves M, Virella D. Assessing the risk for falls among Portuguese community-dwelling stroke survivors: are we using the better tools? Observational study. Porto Biomed J. 2022;7(3):e160.pt_PT
dc.identifier.doi10.1097/j.pbj.0000000000000160pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/14768
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWolters Kluwerpt_PT
dc.relation.publisherversionhttps://journals.lww.com/pbj/Fulltext/2022/06000/Assessing_the_risk_for_falls_among_Portuguese.139.aspxpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectPhysiotherapypt_PT
dc.subjectRehabilitationpt_PT
dc.subjectCommunity-dwellingpt_PT
dc.subjectFallspt_PT
dc.subjectPostural balancept_PT
dc.subjectRisk factorpt_PT
dc.subjectStrokept_PT
dc.subjectPortugalpt_PT
dc.titleAssessing the risk for falls among Portuguese community-dwelling stroke survivors: are we using the better tools? Observational studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue3pt_PT
oaire.citation.startPagee160pt_PT
oaire.citation.titlePorto Biomedical Journalpt_PT
oaire.citation.volume7pt_PT
person.familyNamePimenta
person.familyNameCorreia
person.givenNameCarla
person.givenNameAnabela
person.identifier.ciencia-id041A-2F22-FB70
person.identifier.orcid0000-0002-8646-0993
person.identifier.orcid0000-0002-7478-8617
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication728e8a67-fc3c-45cc-ac41-341577f5d27a
relation.isAuthorOfPublication387c3dfa-1cae-4366-8d27-14c8b2d42936
relation.isAuthorOfPublication.latestForDiscovery728e8a67-fc3c-45cc-ac41-341577f5d27a

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