Survival rates and treatment advances have increased the number of people discharged home after stroke (Olsen & Juengst, 2019).With sudden and often significant physical, cognitive, and psychosocial changes from stroke, comprehensive discharge planning is recommended to support each person's transition from hospital to community (Cadilhac et al., 2017). While stroke recovery begins in the hospital, it continues post discharge when care responsibility transfers to the primary care system (Kernan, 2021). Continuous post stroke care relies upon this transfer of knowledge and information between hospitals and primary care settings (Pederson
BackgroundAlcohol and other drug (AOD) use is a key preventable risk factor for serious injuries. Prevention strategies to date have largely focused on transport injuries, despite AOD use being a significant risk factor for other injury causes, including falls. This systematic review aimed to report the prevalence of AOD use in patients presenting to hospital for fall-related injuries.MethodsThis systematic review includes studies published in English after the year 2010 that objectively measured the prevalence of AOD use in patients presenting to hospital for a fall-related injury. Screening, data extraction and risk of bias assessments were completed by two independent reviewers. Data were presented using narrative synthesis and, where appropriate, meta-analyses.ResultsA total of 12 707 records were screened. Full texts were retrieved for 2042 records, of which 29 were included. Four studies reported the combined prevalence of any alcohol and/or drug use, generating a pooled prevalence estimate of 37% (95% CI 25% to 49%). Twenty-two records reported on the prevalence of acute alcohol use alone and nine reported specifically on the prevalence of drugs other than alcohol, with prevalence ranging from 2% to 57% and 7% to 46%, respectively. The variation in prevalence estimates likely resulted from differences in toxicology testing methods across studies.ConclusionsAOD exposure was common in hospitalised fall-related injuries. However, research addressing prevalence across different types of falls and the use of drugs other than alcohol was limited. Future research should address these areas to improve our understanding of which populations should be targeted in AOD and injury prevention strategies .PROSPERO registration numberCRD42020188746.
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