Toshio Teranishi, RPT, PhD, Izumi Kondo, MD, PhD, Yuko Okuyama, RPT,
Genichi Tanino, RPT, PhD, Hiroyuki Miyasaka, OTR, PhD, Shigeru Sonoda, MD, PhD
Jpn J Compr Rehabil Sci 8: 10-15, 2017
Objective: To investigate factors affecting the occurrence
of falls during the early stage of hospitalization in a
Kaifukuki (convalescence) rehabilitation ward.
Methods: The subjects were 545 hospitalized patients,
divided into a fall group (having experienced a fall
within 14 days following admission) and a non-fall
group. Differences between the two groups in terms of
the Standing Test for Imbalance and Disequilibrium
(SIDE) level and in the subscales of the Functional
Independence Measure (FIM) were investigated.
Logistic regression was carried out on items for which
there were significant differences between the groups
as dependent variables and the occurrence of falls as
the objective variable, and the odds ratios were
computed.
Results: The fall group comprised 36 subjects. Significant
differences between groups were found in the SIDE
level, lower body dressing, bath transfer, stairs, social
interaction, problem solving, and memory. Logistic
regression only identified problem solving as associated
with the occurrence of falls (odds ratio, 0.288;
p=0.035). For the SIDE level, complete separation of
non-fall subjects was seen at levels of 2b or higher.
Conclusion: Falls in the early stage following
admission do not occur among individuals with good
balance, and problem solving according to the FIM is
involved in falls.
Key words: Kaifukuki rehabilitation ward, fall, determinant