Risk factors for falling for people with Multiple Sclerosis identified in a prospective cohort study.
Clin Rehabil
; 35(5): 765-774, 2021 May.
Article
en En
| MEDLINE
| ID: mdl-33322921
ABSTRACT
OBJECTIVE:
To identify risk factors for falling for people with Multiple Sclerosis.DESIGN:
Prospective cohort study.SETTING:
Neurology service in a tertiary hospital.SUBJECTS:
Participants were 101 people with Multiple Sclerosis and Expanded Disability Status Score of 3-6.5. One participant withdrew after the baseline assessment; data were analysed for 100 participants.INTERVENTIONS:
No intervention. MAINMEASURES:
Outcome was rate of falls, and predictors were Timed Up and Go, Symbol Digit Modalities test, demographics and 15 self-report questions about various symptoms including fatigue, concentration, dual tasking, bladder and bowel control. Three-month prospective diaries recorded falls.RESULTS:
There were 791 falls reported over the 3-month period from a total of 56 fallers. Falls rate per person-year was 32.08 falls. Following multivariable regression analysis, the model with the greatest levels of clinical utility and discriminative ability (sensitivity 88% and area under the receiving operating curve statistic = 0.72, 95% CI 0.62-0.82), included the variables of history of a fall, not having visual problems, problems with bladder control and a slower speed on the Timed Up and Go.CONCLUSION:
This study confirms the high incidence of falls for people with Multiple Sclerosis and provides a risk prediction model including fall history, problems with bladder control, not having visual problems and a slower Timed Up and Go speed that may be used to identify those at greater risk and in need of tailored falls prevention intervention.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Accidentes por Caídas
/
Esclerosis Múltiple
Tipo de estudio:
Etiology_studies
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Incidence_studies
/
Observational_studies
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Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Clin Rehabil
Asunto de la revista:
REABILITACAO
Año:
2021
Tipo del documento:
Article
País de afiliación:
Irlanda