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Subcortical Vascular Lesions Predict Falls at 12 Months in Elderly Patients Discharged From a Rehabilitation Ward Fabio Guerini, MD, Giovanni B. Frisoni, MD, Alessandra Marrè, MD, Renato Turco, MD, Giuseppe Bellelli, MD, Marco Trabucchi, MD Archives of Physical Medicine and Rehabilitation Volume 89, Issue 8, Pages (August 2008) DOI: /j.apmr Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions
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Fig 1 CT scans of 4 patients with increasing severity of subcortical vascular lesions. (A) Absent or very mild disease with questionable white-matter hypodensity that might be regarded as “normal for age.” Subcortical vascular lesions: 0 (level 0/3). (B) Mild disease with class C leukoaraiosis or class B patchy and class A lacunes. Subcortical vascular lesions: 18.9 (level 1/3). Note the hypodense frontal periventricular caps. (C) Moderate disease with class C patchy and class A lacunes irrespective of class of leukoaraiosis. Subcortical vascular lesions: 35 (level 2/3). Note the isolated focal patchy lesion in the white matter of the right hemisphere. (D) Severe disease with class B or higher patchy lesions and class B or higher lacunes, irrespective of leukoaraiosis. Subcortical vascular lesions: 54.2 (level 3/3). Note the multiple, bilateral, patchy hypodense lesions in the white matter and the associated lacunes in the basal ganglia. Abbreviations: L, left; P, posterior; R, right. Archives of Physical Medicine and Rehabilitation , DOI: ( /j.apmr ) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions
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Fig 2 The predictive power of increasing severity of subcortical vascular lesions on falling at the 12-month follow-up in 214 patients consecutively admitted to the RACU. Bars denote 95% CIs in a logistic regression model adjusted for age, sex, MMSE score, and Barthel Index score at admission. SVLs 0 (ref) ≤12.6; SVLs 1, 12.7–22.4; SVLs 2, 22.5–41.8; SVLs 3, ≥41.9. Abbreviation: SVLs, subcortical vascular lesions. Archives of Physical Medicine and Rehabilitation , DOI: ( /j.apmr ) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions
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