{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:53:32Z","timestamp":1787018012544,"version":"build-2736575974"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[1997,2]]},"abstract":"<jats:p>\n                    <jats:italic>Background and Purpose<\/jats:italic>\n                    Patients with stroke are at a high risk for falling. We assessed the fall incidence and risk factors for patients hospitalized as the result of an acute stroke.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Methods<\/jats:italic>\n                    We studied a cohort of 720 stroke patients from 23 hospitals in The Netherlands. The data were abstracted from the medical and nursing records.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Results<\/jats:italic>\n                    We studied 346 women and 374 men with a median age of 75 years; 77% of the patients had had a cerebral infarct, 17% had had a hemorrhage, and 6% had had an undefined stroke. We recorded 104 patients (14%) who fell at least once; there were a total of 173 falls. The incidence of falls was 8.9\/1000 patients per day. The daily incidence was 6.2\/1000 patients for first falls and 17.9\/1000 patients for second falls. Heart disease (relative risk [RR], 1.6; 95% confidence interval [CI], 1.0 to 2.4), mental decline (RR, 1.6; 95% CI, 1.0 to 2.4), and urinary incontinence (RR, 2.3; 95% CI, 1.3 to 4.1) were incremental risk factors for first falls, whereas the use of major psychotropic drugs lowered the fall risk (RR, 0.5; 95% CI, 0.3 to 0.8). The fall RR for patients with one previous fall was 2.2 (95% CI, 1.5 to 3.2), adjusted for the other risk factors. Most falls occurred during the day. Approximately 25% of the falls caused slight-to-severe injury, whereas three falls (2%) led to hip fractures.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Conclusions<\/jats:italic>\n                    Stroke patients have a high risk of falling. The identification of patients at risk may be a first step toward the implementation of fall-prevention measures for these patients.\n                  <\/jats:p>","DOI":"10.1161\/01.str.28.2.297","type":"journal-article","created":{"date-parts":[[2011,6,17]],"date-time":"2011-06-17T16:08:03Z","timestamp":1308326883000},"page":"297-301","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":109,"title":["Risk Factors for Falls of Hospitalized Stroke Patients"],"prefix":"10.1161","volume":"28","author":[{"given":"J.A.","family":"Tutuarima","sequence":"first","affiliation":[{"name":"the Departments of Neurology (J.A.T., M.L.) and Clinical Epidemiology and Biostatistics (J.H.P.v.d.M., R.J.d.H.) and the Institute of Social Medicine (A.v.S.), Academic Medical Center, University of Amsterdam (Netherlands)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.H.P.","family":"van der Meulen","sequence":"additional","affiliation":[{"name":"the Departments of Neurology (J.A.T., M.L.) and Clinical Epidemiology and Biostatistics (J.H.P.v.d.M., R.J.d.H.) and the Institute of Social Medicine (A.v.S.), Academic Medical Center, University of Amsterdam (Netherlands)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.J.","family":"de Haan","sequence":"additional","affiliation":[{"name":"the Departments of Neurology (J.A.T., M.L.) and Clinical Epidemiology and Biostatistics (J.H.P.v.d.M., R.J.d.H.) and the Institute of Social Medicine (A.v.S.), Academic Medical Center, University of Amsterdam (Netherlands)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"van Straten","sequence":"additional","affiliation":[{"name":"the Departments of Neurology (J.A.T., M.L.) and Clinical Epidemiology and Biostatistics (J.H.P.v.d.M., R.J.d.H.) and the Institute of Social Medicine (A.v.S.), Academic Medical Center, University of Amsterdam (Netherlands)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Limburg","sequence":"additional","affiliation":[{"name":"the Departments of Neurology (J.A.T., M.L.) and Clinical Epidemiology and Biostatistics (J.H.P.v.d.M., R.J.d.H.) and the Institute of Social Medicine (A.v.S.), Academic Medical Center, University of Amsterdam (Netherlands)."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_1_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.1993.18071101.x"},{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.2307\/30151319"},{"key":"e_1_3_2_3_2","first-page":"141","volume":"13","year":"1993","unstructured":"Goodwin MB, Westbrook JI. 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