Falls in Hospitalized Acute Stroke Patients

Sinanović, Osman; Raicević, B; Brkić, Maja; Hajdarbegovic, Ensala; Zukić, Sanela; Kojic, Biljana; Imamović, Kata

doi:10.5455/medarh.2012.66.33-34

Cited by 12 publications

(17 citation statements)

References 8 publications

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“…The average risk of bias score across all included studies was 48.7%, ranging from 11.9% (Sinanovic et al . 2012) to 73.8% (Byers et al . 1990).…”

Section: Resultsmentioning

confidence: 99%

“…The largest sample size was in Sinanovic et al . (2012) included 1809 participants admitted to an acute hospital setting over a 1‐year period. Overall, the average age of participants across 12 of the studies was 66.8 years.…”

Section: Resultsmentioning

confidence: 99%

“…2005) dichotomized age of their participants as < 65 or > 65 years of age, and one study (Sinanovic et al . 2012) did not report the age of participants.…”

Section: Resultsmentioning

confidence: 99%

“…2010, Sinanovic et al . 2012), participants were admitted to an acute hospital; and in one study (Byers et al . 1990) the type of hospital setting was not specified.…”

Section: Resultsmentioning

confidence: 99%

“…2011, Czernuszenko and Czlonkowska 2009, Nyberg and Gustafson 1997, Sinanovic et al . 2012, Sullivan and Harding 2019, Sze et al . 2001, Tsur and Segal 2010, Ullah et al .…”

Section: Resultsmentioning

confidence: 99%

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Falls in hospital patients with acquired communication disability secondary to stroke: A systematic review and meta‐analysis

Sullivan

Harding

Skinner

et al. 2020

Intl J Lang & Comm Disor

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Background Falls are a common safety incident in people with stroke. Studies report that between 14% and 65% of people with stroke fall at least once during their hospital admission. Risk factors for falls in people with stroke have been reported to include neglect, balance and dependence for activities of daily living. Communication disability has been identified as a risk factor for patient safety incidents in hospital that has not been closely examined as a potential risk factor for falls in people with stroke. Aim To determine the association between communication disability secondary to stroke and falls in people with stroke in hospital. Methods & Procedures Systematic searches of five electronic databases were conducted in June 2019 using the key concepts of ‘falls’ and ‘stroke’ (PROSPERO CRD 42019137199). Included studies provided comparative data of falls in patients with stroke with and without communication disability. The methodological quality of the studies was examined using the Quality Assessment Tool for Studies with Diverse Designs (QATSDD). Both a narrative synthesis and a meta‐analysis were completed. Main Contribution A total of 15 studies met the criteria for inclusion and 11 were included in a meta‐analysis. Three studies found people with communication disability had an increased rate of falls in hospital. However, a meta‐analysis showed no significant association between a non‐specific classification of communication disability and an increased risk of falls. There was some indication from individual studies that higher risk of falls may be associated with severe communication disability, but there were insufficient data reported on the severity of the communication disability to draw robust conclusions. Conclusion & Implications The results of this systematic review suggest that a generic classification of communication disability following stroke is not a risk factor for falls. However, further research that is inclusive of this population and considers severity of communication disability more specifically is required.

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“…The average risk of bias score across all included studies was 48.7%, ranging from 11.9% (Sinanovic et al . 2012) to 73.8% (Byers et al . 1990).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…2005) dichotomized age of their participants as < 65 or > 65 years of age, and one study (Sinanovic et al . 2012) did not report the age of participants.…”

Section: Resultsmentioning

confidence: 99%

“…2010, Sinanovic et al . 2012), participants were admitted to an acute hospital; and in one study (Byers et al . 1990) the type of hospital setting was not specified.…”

Section: Resultsmentioning

confidence: 99%

“…2011, Czernuszenko and Czlonkowska 2009, Nyberg and Gustafson 1997, Sinanovic et al . 2012, Sullivan and Harding 2019, Sze et al . 2001, Tsur and Segal 2010, Ullah et al .…”

Section: Resultsmentioning

confidence: 99%

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