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Combined Assessment of Cognitive and Balance Abilities to Predict Falls in Patients in the Convalescent Rehabilitation Ward.

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Titel: Combined Assessment of Cognitive and Balance Abilities to Predict Falls in Patients in the Convalescent Rehabilitation Ward.
Autoren: Kawamura, Koki1,2 (AUTHOR) kawamura@ncgg.go.jp, Ishino, Shota1 (AUTHOR), Masato Hotta3 (AUTHOR), Kagaya, Hitoshi1 (AUTHOR), Kondo, Izumi4 (AUTHOR), Ozaki, Kenichi1 (AUTHOR), Kokubo, Manabu5 (AUTHOR)
Quelle: Journal of Aging & Health. Dec2025, Vol. 37 Issue 10, p694-701. 8p.
Schlagwörter: *RISK assessment, *COGNITIVE testing, *PATIENTS, *RECEIVER operating characteristic curves, *T-test (Statistics), *RESEARCH funding, *SCIENTIFIC observation, *HOSPITAL admission & discharge, *STANDING position, *RETROSPECTIVE studies, *DESCRIPTIVE statistics, *MANN Whitney U Test, *CHI-squared test, *REHABILITATION centers, *KAPLAN-Meier estimator, *LOG-rank test, *CONVALESCENCE, *MEDICAL records, *ACQUISITION of data, *DATA analysis software, *CONFIDENCE intervals, *COGNITIVE rehabilitation, *POSTURAL balance, *ACCIDENTAL falls, *HOSPITAL wards
Abstract: Objective: This study aimed to investigate the relationship between falls and cognitive and balance problems in patients. Methods: This retrospective observational study analyzed the medical records of 1010 older patients admitted to a convalescent rehabilitation ward. The primary endpoint was fall occurrence during ward stays. The main outcomes were the Mini-Mental State Examination (MMSE) and Standing Test for Imbalance and Disequilibrium (SIDE), with patients divided into groups of MMSE ≥28 and <28 and SIDE ≥2b and <2b. Results: During ward stays, 220 patients (22%) fell. Estimating the fall risk of the MMSE ≥28 + SIDE ≥2b group compared to that of other groups revealed that only the MMSE <28 + SIDE <2b group had a significantly higher fall risk, with a hazard ratio [95% confidence interval] of 3.13 [1.51–6.46]. Conclusion: Combined MMSE and SIDE assessment at ward admission facilitated the easy identification of individuals at high fall risk. [ABSTRACT FROM AUTHOR]
Datenbank: Academic Search Index
Beschreibung
Abstract:Objective: This study aimed to investigate the relationship between falls and cognitive and balance problems in patients. Methods: This retrospective observational study analyzed the medical records of 1010 older patients admitted to a convalescent rehabilitation ward. The primary endpoint was fall occurrence during ward stays. The main outcomes were the Mini-Mental State Examination (MMSE) and Standing Test for Imbalance and Disequilibrium (SIDE), with patients divided into groups of MMSE ≥28 and <28 and SIDE ≥2b and <2b. Results: During ward stays, 220 patients (22%) fell. Estimating the fall risk of the MMSE ≥28 + SIDE ≥2b group compared to that of other groups revealed that only the MMSE <28 + SIDE <2b group had a significantly higher fall risk, with a hazard ratio [95% confidence interval] of 3.13 [1.51–6.46]. Conclusion: Combined MMSE and SIDE assessment at ward admission facilitated the easy identification of individuals at high fall risk. [ABSTRACT FROM AUTHOR]
ISSN:08982643
DOI:10.1177/08982643241302366