Risk-taking behaviour and executive functions, a major component of the risk of fall factors after recent stroke

Risk-taking behaviour and executive functions, a major component of the risk of fall factors after recent stroke

This study investigated the weight of different cognitive disorders on patient behaviour influencing the risk of falls after recent stroke. Survey and retrospective monocentric study. 74 professionals/108 patients. Survey of professionals to ask for their thoughts concerning the weight of different...

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Bibliographic Details
Published in:Journal of rehabilitation medicine Vol. 56; p. jrm40153
Main Authors: Yelnik, Alain P, Dekimèche, Ines, Jelili, Emna, Bargiotas, Ioannis, Jousse, Marylène, Beaudreuil, Johann, Schnitzler, Alexis
Format: Journal Article
Language:English
Published: Sweden MJS Publishing, on behalf of the Foundation for Rehabilitation Information 22-10-2024
Medical Journals Sweden
Subjects:
Accidental Falls
Adult
Aged
Aged, 80 and over
behaviour
Cognition Disorders - etiology
Executive Function - physiology
executive functions
fall
Female
Humans
Male
Middle Aged
Neuropsychological Tests
Original
Retrospective Studies
Risk Factors
Risk-Taking
stroke
Stroke - complications
Stroke - physiopathology
Stroke - psychology
Stroke Rehabilitation
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Summary:This study investigated the weight of different cognitive disorders on patient behaviour influencing the risk of falls after recent stroke. Survey and retrospective monocentric study. 74 professionals/108 patients. Survey of professionals to ask for their thoughts concerning the weight of different cognitive disorders on the risk of falls and a retrospective study of patients post-stroke to determine whether these cognitive deficits could distinguish fallers from non-fallers. Univariate and multivariate logistic regression analyses were conducted. In part 1, major cognitive disorders identified were anosognosia, confusion, inattention, precipitation, and unilateral spatial neglect. In part 2, 25 patients (23%) were fallers. After adjustment for length of rehabilitation stay and disease severity, on multivariate analysis, the cognitive disorders significantly associated with risk of falls were anosognosia (odds ratio 16), precipitation (13.3), inattention (8.3), and perseveration (4.9). Unilateral spatial neglect was not independently associated. Aphasia did not play a role. Some cognitive disorders, easily identified before any neuropsychological assessment, strongly modify patient behaviour in terms of risk of falls. It is proposed that these disorders should not be considered as an additional factor along with physical and general factors but rather as a multiplying factor applied to the others.
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ISSN:1651-2081
1650-1977
1651-2081
DOI:10.2340/jrm.v56.40153