BMJ 1995;311:1022 (14 October)

Letters

Falls due to stroke

Drug treatment and mental status of study patients is unclear

EDITOR,--Anne Forster and John Young's study on falls due to stroke1 would be more useful if it had addressed some of the other important issues--for example, a considerable proportion of the falls reported could have been due to concomitant use of prescribed psychotropic or hypnotic drugs or even alcohol consumption. Such use is not reported in the study, and readers remain unsure whether the researchers looked at this.

Cognitive impairment is an important contributor to falls among elderly people, but no mention is made of how many people in the study had cognitive impairment or, indeed, of what part it may have played in the self reporting of physical comorbidity.

Lastly, the authors report that there were no differences between "fallers" and "non-fallers" in respect of mental state but do not describe how mental state was assessed. It would perhaps . . . [Full text of this article]


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Relevant Article

Incidence and consequences offalls due to stroke: a systematic inquiry
Anne Forster and John Young
BMJ 1995 311: 83-86. [Abstract] [Full Text]




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