Evaluating Fall Risk in Hemiplegic Patients: A Cross-Sectional Study with FROP-Com Assessment

Öz

Falls are a major concern for hemiplegic stroke patients, often leading to serious injuries and reduced quality of life. Identifying at-risk individuals is crucial for effective prevention. This study assesses fall risk prevalence and associated factors in hemiplegic patients using the Falls Risk for Older People in the Community (FROP-Com) and determines stroke-specific cutoff values. Additionally, it examines its relationship with the Timed Up and Go (TUG) test and Tinetti Performance-Oriented Mobility Assessment (POMA). This cross-sectional study included hemiplegic stroke patients. Fall risk was assessed using the FROP-Com, while mobility was evaluated with the Tinetti POMA and TUG test. Clinical characteristics such as age, stroke duration, functional mobility, and fall history were recorded. Correlations between assessment tools were analyzed, and a cutoff value for high fall risk was established. Sixty patients were analyzed (mean age 59.28±7.02 years; 66.7% male; 72% ischemic stroke). Falls were reported in 41.7% of patients, with 48% sustaining injuries. Most falls occurred indoors (56%), with balance loss being the primary cause (52%). Patients with a history of falls had significantly lower POMA scores and higher FROP-Com and TUG scores (p<0.05). The FROP-Com fall risk cutoff was 21 (AUC=0.78, sensitivity=68%, specificity=85.7%). The FROP-Com is a valuable tool for assessing fall risk in hemiplegic stroke patients, aiding in the identification of high-risk individuals and supporting targeted prevention strategies.

Anahtar Kelimeler

• Hemiplegia
• Stroke
• Fall risk
• FROP-Com.

Hemiplejik Hastalarda Düşme Riskinin Değerlendirilmesi: FROP-Com Değerlendirmesi ile Yapılan Kesitsel Bir Çalışma

Öz

Düşmeler, hemiplejik inme hastalarında ciddi yaralanmalara ve yaşam kalitesinin azalmasına yol açmaktadır. Risk altındaki bireylerin belirlenmesi, önleyici tedbirler için kritik öneme sahiptir. Bu çalışma, hemiplejik hastalarda Düşme Riski için Yaşlı İnsanlarda Değerlendirme Anketi (FROP-Com) ile düşme riski prevalansını ve ilişkili faktörleri değerlendirmeyi amaçlamaktadır. Ayrıca, FROP-Com için inme spesifik eşik değerlerini belirleyerek Timed Up and Go (TUG) testi ve Tinetti Performans Odaklı Mobilite Değerlendirmesi (POMA) ile ilişkisini incelemektedir. Bu kesitsel çalışmada hemiplejik inme hastalarının düşme riski FROP-Com ile, mobiliteleri ise Tinetti POMA ve TUG testi ile değerlendirildi. Yaş, inme süresi, fonksiyonel mobilite ve düşme öyküsü gibi klinik veriler kaydedildi. Değerlendirme araçlarının skorları arasındaki korelasyonlar analiz edilerek FROP-Com için yüksek düşme riski eşik değeri belirlendi. Toplam 60 hasta incelendi (ortalama yaş 59.28±7.02 yıl; %66.7 erkek; %72 iskemik inme). Hastaların %41.7’si düşme öyküsü bildirdi, yaralanma oranı %48’di. Düşmelerin %56’sı iç mekânda, en yaygın yönü öne doğru (%40) ve nedeni denge kaybıydı (%52). Düşen hastalarda POMA skoru düşük, FROP-Com ve TUG skorları anlamlı derecede yüksekti (p<0.05). FROP-Com eşik değeri 21 olarak hesaplandı (AUC=0.78, duyarlılık=68%, özgüllük=85.7%). FROP-Com, hemiplejik inme hastalarında düşme riskini belirlemede etkili bir araçtır. Bu bulgular, yüksek riskli bireylerin tespitinde ve önleyici stratejilerin uygulanmasında klinik önemini vurgulamaktadır.

Anahtar Kelimeler

• Hemipleji
• İnme
• Düşme riski
• FROP-Com.

Kaynakça

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