{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T18:50:01Z","timestamp":1791312601502,"version":"4.3.1"},"reference-count":43,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[2009,10]]},"abstract":"<jats:p>\n            <jats:bold>\n              <jats:italic>Background and Purpose\u2014<\/jats:italic>\n            <\/jats:bold>\n            Stroke survivors are at high risk for falling. Identifying physical, clinical, and social factors that predispose stroke patients to falls may reduce further disability and life-threatening complications, and improve overall quality of life.\n          <\/jats:p>\n          <jats:p>\n            <jats:bold>\n              <jats:italic>Methods\u2014<\/jats:italic>\n            <\/jats:bold>\n            We used 5 biennial waves (1998\u20132006) from the Health and Retirement Study to assess risk factors associated with falling accidents and fall-related injuries among stroke survivors. We abstracted demographic data, living status, self-evaluated general health, and comorbid conditions. We analyzed the rate ratio (RR) of falling and the OR of injury within 2 follow-up years using a multivariate random effects model.\n          <\/jats:p>\n          <jats:p>\n            <jats:bold>\n              <jats:italic>Results\u2014<\/jats:italic>\n            <\/jats:bold>\n            We identified 1174 stroke survivors (mean age\u00b1SD, 74.4\u00b17.2 years; 53% female). The 2-year risks of falling, subsequent injury, and broken hip attributable to fall were 46%, 15%, and 2.1% among the subjects, respectively. Factors associated with an increased frequency of falling were living with spouse as compared to living alone (RR, 1.4), poor general health (RR, 1.1), time from first stroke (RR, 1.2), psychiatric problems (RR, 1.7), urinary incontinence (RR, 1.4), pain (RR, 1.4), motor impairment (RR, 1.2), and past frequency of \u22653 falls (RR, 1.3). Risk factors associated with fall-related injury were female gender (OR, 1.5), poor general health (OR, 1.2), past injury from fall (OR, 3.2), past frequency of \u22653 falls (OR, 3.1), psychiatric problems (OR, 1.4), urinary incontinence (OR, 1.4), impaired hearing (OR, 1.6), pain (OR, 1.8), motor impairment (OR, 1.3), and presence of multiple strokes (OR, 3.2).\n          <\/jats:p>\n          <jats:p>\n            <jats:bold>\n              <jats:italic>Conclusions\u2014<\/jats:italic>\n            <\/jats:bold>\n            This study demonstrates the high prevalence of falls and fall-related injuries in stroke survivors, and identifies factors that increase the risk. Modifying these factors may prevent falls, which could lead to improved quality of life and less caregiver burden and cost in this population.\n          <\/jats:p>","DOI":"10.1161\/strokeaha.109.559195","type":"journal-article","created":{"date-parts":[[2009,7,24]],"date-time":"2009-07-24T02:06:05Z","timestamp":1248401165000},"page":"3286-3292","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":84,"title":["Risk Factors Associated With Injury Attributable to Falling Among Elderly Population With History of Stroke"],"prefix":"10.1161","volume":"40","author":[{"given":"Afshin A.","family":"Divani","sequence":"first","affiliation":[{"name":"From Minnesota Stroke Initiative (A.A.D., G.V.), Departments of Neurology, Neurosurgery, and Radiology, University of Minnesota, Minneapolis, Minn; Stroke Rehabilitation Research (A.M.B.), Kessler Foundation Research Center, West Orange, NJ; Department of Neurology (M.A.), Shahid Beheshti University of Medical Sciences, Tehran, Iran; Clinical Neurorehabilitation (A.R.L.), Department of Neurology, University of Zurich, Zurich, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela","family":"Vazquez","sequence":"additional","affiliation":[{"name":"From Minnesota Stroke Initiative (A.A.D., G.V.), Departments of Neurology, Neurosurgery, and Radiology, University of Minnesota, Minneapolis, Minn; Stroke Rehabilitation Research (A.M.B.), Kessler Foundation Research Center, West Orange, NJ; Department of Neurology (M.A.), Shahid Beheshti University of Medical Sciences, Tehran, Iran; Clinical Neurorehabilitation (A.R.L.), Department of Neurology, University of Zurich, Zurich, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna M.","family":"Barrett","sequence":"additional","affiliation":[{"name":"From Minnesota Stroke Initiative (A.A.D., G.V.), Departments of Neurology, Neurosurgery, and Radiology, University of Minnesota, Minneapolis, Minn; Stroke Rehabilitation Research (A.M.B.), Kessler Foundation Research Center, West Orange, NJ; Department of Neurology (M.A.), Shahid Beheshti University of Medical Sciences, Tehran, Iran; Clinical Neurorehabilitation (A.R.L.), Department of Neurology, University of Zurich, Zurich, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marjan","family":"Asadollahi","sequence":"additional","affiliation":[{"name":"From Minnesota Stroke Initiative (A.A.D., G.V.), Departments of Neurology, Neurosurgery, and Radiology, University of Minnesota, Minneapolis, Minn; Stroke Rehabilitation Research (A.M.B.), Kessler Foundation Research Center, West Orange, NJ; Department of Neurology (M.A.), Shahid Beheshti University of Medical Sciences, Tehran, Iran; Clinical Neurorehabilitation (A.R.L.), Department of Neurology, University of Zurich, Zurich, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas R.","family":"Luft","sequence":"additional","affiliation":[{"name":"From Minnesota Stroke Initiative (A.A.D., G.V.), Departments of Neurology, Neurosurgery, and Radiology, University of Minnesota, Minneapolis, Minn; Stroke Rehabilitation Research (A.M.B.), Kessler Foundation Research Center, West Orange, NJ; Department of Neurology (M.A.), Shahid Beheshti University of Medical Sciences, Tehran, Iran; Clinical Neurorehabilitation (A.R.L.), Department of Neurology, University of Zurich, Zurich, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_1_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.31.6.1223"},{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.28.4.716"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2002.29623"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.69.5.649"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/17.6.365"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2006.01.005"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1586\/14737167.1.1.59"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afn066"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2005.12.027"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.33.2.542"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1161\/strokeaha.107.509885"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.str.0000053444.00582.b7"},{"key":"e_1_3_2_13_2","first-page":"385","volume":"39","year":"2002","unstructured":"Yates JS, Lai SM, Duncan PW, Studenski S. 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