Post stroke fall and associated factors among stroke survivors at hospitals in Jimma town, oromia regional state, Southwest Ethiopia, 2025: a cross sectional study
摘要
Post-stroke fall is a common incidence among stroke survivors, and it has several detrimental effects on this group of people. It significantly influences their well-being, increasing morbidity and reducing functional independence. It also leads to limiting activity and participation, increasing dependence and developing a fear of movements. In addition, it delay the progress of motor and cognitive recovery, as the patients may avoid activities that increase their risk of falling. Therefore, assessing post-stroke falls and their associated factors is necessary to address their consequences.
SubjectsStroke survivors who attended stroke units and physiotherapy outpatient clinics at hospitals in Jimma town, Oromia Regional State, South west Ethiopia.
MethodA hospital-based cross-sectional study with a systematic random sampling technique was employed, and the data collection occurred through chart review, physical examination, and face-to-face interviews. The collected data was analyzed on SPSS Version 25. Bi-variable analysis was used to determine potential candidate variables. Finally, an adjusted odds ratio with a P value < 0.05 and a 95% confidence interval was considered statistically significant.
ResultAmong the study participants, 59.5% (235) of stroke survivors experienced post-stroke falls. Key factors includes an older age group (AOR = 3.2; 95% CI = 1.159–9.020), hemorrhagic type of stroke (AOR = 1.8; 95% CI = 1.036–3.088), spastic muscle tone (AOR = 2.7; 95% CI = 1.343–5.394), altered mental status (AOR = 1.7; 95% CI = 1.019–2.819), less number one caregiver (AOR = 1.8; 95% CI = 1.119–3.026), and late admission to hospital (AOR = 2.1; 95% CI = 1.115–3.952).
ConclusionMore than half of stroke survivors had a history Post-stroke falls in the Jimma town with key factors including older age, type of stroke, spastic muscle tone, ≤one caregiver, late admission to hospital, and altered mental status.