Archives of physical medicine and rehabilitation · 2026
Burden of fall-related injury and its predictors among stroke survivors attending comprehensive specialized hospitals in the Amhara Regional State, Ethiopia, 2024: A multicenter prospective study.
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Yalew Ermias Solomon, Sany Kedir, Gobezie Melese, Adem Zeyneb, Eticha Biruk Lelisa, Chanie Samuel Teferi, Bekele Matiyas Mamo, Eriku Getachew Azeze
Аннотация
OBJECTIVES: This study was conducted to identify the burden of fall-related injury and associated factors among stroke survivors attending comprehensive specialized hospitals in Amhara Regional State, Ethiopia, in 2024.
DESIGN: A multi-center cross-sectional study design was deployed among 269 stroke survivors from June 1 to August 1, 2024.
SETTING: This study was conducted in five comprehensive specialized hospitals in the Amhara region: the University of Gondar, Bahir Dar (Feleghiwot and Tebebe Ghion), Debreberhan, and Dessie.
PARTICIPANTS: The study comprised stroke survivors who had experienced at least one fall, were able to walk independently with or without mobility aid, and were attending the outpatient physiotherapy departments in the five comprehensive specialized hospitals. A systematic random sampling techniques was employed with a sampling interval K =2 and participants were proportionally allocated for each comprehensive specialized hospital.
INTERVENTION: Not Applicable MAIN OUTCOME MEASURE(S): Fall-related injury: any injury caused by a fall, as reported by staff/patient/caregiver or documented in the medical record during the data collection period.
RESULT: The prevalence of fall-related injury among stroke survivors in Amhara Regional State was 79.9% (95 CI: 75.1-84.4). Variables including age > 65 (AOR=2.670, 95% CI: 1.083-6.585), rural residence (AOR=2.352, 95% CI: 1.037-5.332), and injury occurring during walking and turning (AOR=2.960, 95% CI: 1.081-8.103) were significantly associated with fall-related injury.
CONCLUSION: The burden of fall-related injury was relatively high among stroke survivors in Amhara Regional State, Ethiopia. Being older, living in a rural areas, and engaging in the activity of walking and turning were predictors associated with fall-related injury.
DESIGN: A multi-center cross-sectional study design was deployed among 269 stroke survivors from June 1 to August 1, 2024.
SETTING: This study was conducted in five comprehensive specialized hospitals in the Amhara region: the University of Gondar, Bahir Dar (Feleghiwot and Tebebe Ghion), Debreberhan, and Dessie.
PARTICIPANTS: The study comprised stroke survivors who had experienced at least one fall, were able to walk independently with or without mobility aid, and were attending the outpatient physiotherapy departments in the five comprehensive specialized hospitals. A systematic random sampling techniques was employed with a sampling interval K =2 and participants were proportionally allocated for each comprehensive specialized hospital.
INTERVENTION: Not Applicable MAIN OUTCOME MEASURE(S): Fall-related injury: any injury caused by a fall, as reported by staff/patient/caregiver or documented in the medical record during the data collection period.
RESULT: The prevalence of fall-related injury among stroke survivors in Amhara Regional State was 79.9% (95 CI: 75.1-84.4). Variables including age > 65 (AOR=2.670, 95% CI: 1.083-6.585), rural residence (AOR=2.352, 95% CI: 1.037-5.332), and injury occurring during walking and turning (AOR=2.960, 95% CI: 1.081-8.103) were significantly associated with fall-related injury.
CONCLUSION: The burden of fall-related injury was relatively high among stroke survivors in Amhara Regional State, Ethiopia. Being older, living in a rural areas, and engaging in the activity of walking and turning were predictors associated with fall-related injury.