Do falls experienced during in-patient stroke rehabilitation affect length of stay, functional status, and discharge destination?

Publication date: Available online 19 December 2015
Source:Archives of Physical Medicine and Rehabilitation
Author(s): Jennifer S. Wong, Dina Brooks, Avril Mansfield
ObjectiveTo compare length of stay, functional status, and discharge destination between individuals who fell during in-patient stroke rehabilitation and those who did not fall. We hypothesized that individuals who fell would have poorer recovery compared to those who did not fall.DesignRetrospective cohort study.SettingRehabilitation hospital.Participants106 individuals who fell during in-patient stroke rehabilitation ('fallers'; mean age=67.8 years, SD =12.9; mean time post-stroke=26.4 days, SD=28.3) were matched to 106 individuals who did not fall ('non-fallers'; mean age=67.3 years, SD=13.6; mean time post-stroke=21.9 days, SD=28.8) on age and functional status.InterventionsNot applicable.Main outcome measuresTotal length of stay, Functional Independence Measure (FIM) assessed at discharge, and discharge destination.ResultsThe mean length of stay for fallers was 11 days longer than non-fallers (p=0.0017). Non-fallers and fallers did not differ on discharge total FIM scores (p=0.19), and both groups were discharged home after in-patient rehabilitation (non-fallers: 77%; fallers: 74%; p=0.52)ConclusionsThis study suggests that falls experienced during in-patient stroke rehabilitation may have contributed to a longer length of stay; however, falls did not impact discharge functional status or discharge destination.



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