The Fall and Fracture in Early Stroke Patients and The Evaluation of Influencing Factors (1-Year Follow-Up)

Objective: This study aims to examine the factors that may affect the falls and fractures which was in stroke patients during the rehabilitation phase and follow-up phase in the first year after discharge. It was aimed to assess the frequency of falls and fractures in early period after stroke. Materials and Methods: This study which was conducted between 2011-2013, included 50 patients who were admitted to and hospitalized at the rehabilitation clinic between the first two weeks and six months since the date of the stroke, who had sitting balance or were suitable to undergo ambulation. The demographic and clinical characteristics, complications and previous histories of the patients were recorded and physical examinations were performed. The patients were called for follow-up at the sixth month and first year after discharge; the number of falls and presence, number and location of fractures associated with falls were queried. Results: 76% of the patients returned for follow-up at the sixth month;70% for follow-up at the first year. Fall rates were 2% during the clinical follow-up; 26.3% during the first sixth months; 25.7% between the 6 and 12 months. 1 of 35 patients had wrist fracture on the hemiplegic side during the first six months. The patients were divided into two groups as fallen and not fallen. Conclusion: Fall after stroke is common during acute period, rehabilitation phase and chronic period. Early rehabilitation after stroke may increase balance and upper limb motor functions leading to lower rates of falls and fractures. Progressed osteoporosis and weakened bones leading to increased risk of fractures may be observed with longer follow-up periods.