Inverted U-shaped relationship between Barthel Index Score and falls in Chinese non-bedridden patients: a cross-sectional study.

IF 2.2 4区医学 Q1 REHABILITATION

Topics in Stroke Rehabilitation Pub Date : 2024-10-01 Epub Date: 2024-02-25 DOI:10.1080/10749357.2024.2318089

Jie Yan, Qingfang Zhang, Jing Zhou, Fubing Zha, Yan Gao, Dongxia Li, Mingchao Zhou, Jingpu Zhao, Jun Feng, Liang Ye, Yulong Wang

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引用次数: 0

Abstract

Background: Performing activities of daily living comprise an important risk factor for falls among non-bedridden stroke inpatients in rehabilitation departments.

Objectives: To explore the correlation between Barthel Index score and the occurrence of falls in non-bedridden stroke rehabilitation inpatients.

Methods: In this cross-sectional study, information of patients grouped as non-bedridden patients by the Longshi Scale was collected.

Results: A total of 3097 patients were included in this study, with a fall incidence of 10.43%. After adjusting covariates, the total score of Barthel Index and falls in non-bedridden inpatients after stroke presented an inverted U-shaped curve relationship, in which inflection point was 60. The effect sizes on the left and right sides of infection point were 1.02 (95%CI 1.00-1.04) and 0.97 (95%CI 0.96-0.99), respectively.

Conclusions: Non-bedridden stroke patients with moderate activities of daily living (ADL) capacity may be at particularly increased risk of falls in rehabilitation departments.

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中国非卧床患者巴特尔指数得分与跌倒之间的倒 U 型关系：一项横断面研究。

背景：日常生活活动是康复科非卧床脑卒中住院患者跌倒的重要风险因素：日常生活活动是康复科非卧床脑卒中住院患者跌倒的一个重要风险因素：探讨 Barthel 指数评分与非卧床脑卒中康复住院患者跌倒发生率之间的相关性：在这项横断面研究中，收集了根据朗氏量表归类为非卧床患者的信息：研究共纳入 3097 名患者，跌倒发生率为 10.43%。调整协变量后，卒中后非卧床住院患者的 Barthel 指数总分与跌倒呈倒 U 型曲线关系，其中拐点为 60。感染点左右两侧的效应大小分别为 1.02（95%CI 1.00-1.04）和 0.97（95%CI 0.96-0.99）：结论：具有中等日常生活能力（ADL）的非卧床脑卒中患者在康复科跌倒的风险可能特别高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Topics in Stroke Rehabilitation 医学-康复医学

CiteScore

5.10

自引率

4.50%

发文量

审稿时长

6-12 weeks

期刊介绍： Topics in Stroke Rehabilitation is the leading journal devoted to the study and dissemination of interdisciplinary, evidence-based, clinical information related to stroke rehabilitation. The journal’s scope covers physical medicine and rehabilitation, neurology, neurorehabilitation, neural engineering and therapeutics, neuropsychology and cognition, optimization of the rehabilitation system, robotics and biomechanics, pain management, nursing, physical therapy, cardiopulmonary fitness, mobility, occupational therapy, speech pathology and communication. There is a particular focus on stroke recovery, improving rehabilitation outcomes, quality of life, activities of daily living, motor control, family and care givers, and community issues. The journal reviews and reports clinical practices, clinical trials, state-of-the-art concepts, and new developments in stroke research and patient care. Both primary research papers, reviews of existing literature, and invited editorials, are included. Sharply-focused, single-issue topics, and the latest in clinical research, provide in-depth knowledge.