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Use of the 'STRATIFY' falls risk assessment in patients recovering from acute stroke
Author(s)Jane Smith, Anne Forster, John Young
Journal titleAge and Ageing, vol 35, no 2, March 2006
Pagespp 138-142
Sourcehttp://www.ageing.oxfordjournals.org
KeywordsFalls ; At risk ; Evaluation ; Reliability ; Stroke ; Rehabilitation ; Longitudinal surveys ; Northern England.
AnnotationFalls are one of the most common medical complications after stroke. A reliable falls risk indicator for routine use on stroke units would be a clinically useful component of a falls prevention programme. In this north of England study of all patients with a diagnosis of stroke admitted to stroke units over a 6-month period, the risk assessment tool STRATIFY was completed at admission, along with the Barthel index, Rivermead mobility index, abbreviated mental test score, and Albert's test (for visual neglect). STRATIFY was then completed weekly and within 48 hours of anticipated discharge. From 387 patients admitted to the participating units during the study period, 225 contributed to the 28-day in-patient study, and 234 were followed up at 3 months after discharge. STRATIFY performed poorly in predicting falls in the first 28 days (sensitivity 11.3% and specificity 89.5%) and after discharge (sensitivity 16.3% and specificity 86.4%). There is a need for a stroke-specific rather than a generic falls risk assessment tool. (RH).
Accession NumberCPA-060517208 A
ClassmarkOLF: CA3: 4C: 5HC: CQA: LM: 3J: 82N

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