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Do Falls Experienced During Inpatient Stroke Rehabilitation Affect Length of Stay, Functional Status, and Discharge Destination?

  • Jennifer S. Wong
    Correspondence
    Corresponding author Jennifer S. Wong, MSc, 550 University Ave, Room 12-019, Toronto, ON, Canada, M5G 2A2.
    Affiliations
    Toronto Rehabilitation Institute – University Health Network, Toronto, ON, Canada

    Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada
    Search for articles by this author
  • Dina Brooks
    Affiliations
    Toronto Rehabilitation Institute – University Health Network, Toronto, ON, Canada

    Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada

    Department of Physical Therapy, University of Toronto, Toronto, ON, Canada

    West Park Healthcare Centre, Toronto, ON, Canada

    Heart and Stroke Foundation Canadian Partnership for Stroke Recovery, Toronto, ON, Canada
    Search for articles by this author
  • Avril Mansfield
    Affiliations
    Toronto Rehabilitation Institute – University Health Network, Toronto, ON, Canada

    Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada

    Department of Physical Therapy, University of Toronto, Toronto, ON, Canada

    Heart and Stroke Foundation Canadian Partnership for Stroke Recovery, Toronto, ON, Canada

    Evaluative Clinical Sciences, Hurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Toronto, ON, Canada
    Search for articles by this author
Published:December 19, 2015DOI:https://doi.org/10.1016/j.apmr.2015.12.005

      Abstract

      Objective

      To compare length of stay, functional status, and discharge destination between individuals who fell during inpatient stroke rehabilitation and those who did not fall.

      Design

      Retrospective cohort study.

      Setting

      Rehabilitation hospital.

      Participants

      Individuals who fell during inpatient stroke rehabilitation (n=106; fallers group; mean age, 67.8±12.9y; mean time poststroke, 26.4±28.3d) were matched to individuals who did not fall (n=106; nonfallers group; mean age, 67.3±13.6y; mean time poststroke, 21.9±28.8d) on age and functional status (N=212).

      Interventions

      Not applicable.

      Main Outcome Measures

      Total length of stay, FIM assessed at discharge, and discharge destination.

      Results

      The mean length of stay for fallers was 11 days longer than nonfallers (P=.0017). Nonfallers and fallers did not differ on discharge total FIM scores (P=.19), and both groups were discharged home after inpatient rehabilitation (nonfallers: 77%; fallers: 74%; P=.52).

      Conclusions

      This study suggests that falls experienced during inpatient stroke rehabilitation may have contributed to a longer length of stay; however, falls did not affect discharge functional status or discharge destination.

      Keywords

      List of abbreviations:

      ALC (alternate level of care), BBS (Berg Balance Scale), LOS (length of stay)
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