The relationship between functional independence scores on admission and patient falls after stroke.

National Rehabilitation Hospital, Washington, DC, USA.
Topics in Stroke Rehabilitation (Impact Factor: 1.22). 02/2005; 12(2):65-71. DOI: 10.1310/G89Q-80VR-P5P7-9PTH
Source: PubMed

ABSTRACT This study explores the relationships between patient admission scores on the FIM tool for patients admitted with stroke and their risk for falling within the first 5 days of admission to an acute rehabilitation hospital.

  • [Show abstract] [Hide abstract]
    ABSTRACT: Background: Individuals with stroke have a high risk of falling, and their fall predictors may differ from those of other populations. Purpose: To estimate fall frequency and identify factors related to fall occurrence in a sample of patients with stroke residing in the community. Methods: Clinical data were collected from 150 consecutive stroke patients with independent gait, and the following scales were applied: modified Barthel Index (mBI), Timed Up & Go Test (TUG), and National Institutes of Health Stroke Scale (NIHSS). Univariate analysis was performed; variables with possible association (P < .1) were included in a logistic regression model. Receiver operating characteristic curves were used to identify the best cutoff point for TUG. Results: Falls occurred in 37% of patients. In multivariate analysis, right hemisphere injury (odds ratio [OR], 2.621; 95% CI, 1.196-5.740; P = .016), time in TUG (OR, 1.035 for every increase in 1 second; 95% CI, 1.003-1.069; P = .034), and longer time since stroke onset (OR, 1.012 for every month increase; 95% CI, 1.002-1.021; P = .015) remained predictors. When we grouped individuals according to affected cerebral hemisphere, both hemispheres had similar accuracy, but TUG cutoff point was lower in individuals with right- versus left-hemisphere lesions. Conclusions: Patients with poor TUG performance, longer times since stroke onset, and right-hemisphere injury have particularly high fall rates, and TUG cutoff points for fall prediction vary according to cerebral hemisphere.
    Topics in Stroke Rehabilitation 05/2014; 21(3):220-7. · 1.22 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: To identify fall risks in patients undergoing hematopoietic stem cell transplantation (HSCT), the authors reviewed retrospective data on inpatients from April 2010 to March 2011. Among 77 HSCT patient records reviewed, the authors found that 35 patients had experienced at least one fall, including near-miss episodes (fallers). The main location of the falls was a corridor, and the main activity at the time of the fall was going to the toilet. To investigate fall risks along the HSCT time trajectory, the authors divided the time into pre- and postengraftment periods and investigated the unique characteristics of each.
    Biology of Blood and Marrow Transplantation 08/2014; 18(4):396-399. · 3.35 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: PURPOSE: The purpose of this study was to determine if the Functional Independence Measure (FIM) is as useful as the Morse Fall Scale in determining which patients admitted to an inpatient rehabilitation facility (IRF) are at highest risk for fall. METHOD: Review of the charts of all patients admitted to an IRF in calendar year 2010. FINDINGS: Low scores on the FIM are as useful as high scores on the MFS in suggesting that a patient is at high risk for fall. CONCLUSIONS AND CLINICAL RELEVANCE: Nursing staffs that use the FIM to comply with Centers for Medicare and Medicaid Services (CMS) documentation requirements likely do not benefit by also evaluating and documenting the patients' score on the MFS.
    Rehabilitation nursing: the official journal of the Association of Rehabilitation Nurses 05/2013; · 0.85 Impact Factor