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Published on: August 17, 2017
Long-Term Factors Associated With Falls and Fractures Poststroke
Emma J Foster1, Raphae S Barlas1, Joao H Bettencourt-Silva2,3
1Ageing Clinical and Experimental Research (ACER) Team, School of Medicine, Medical Sciences & Nutrition, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, United Kingdom.
Identifying risk factors for poststroke falls and fractures is crucial. Age, previous falls, and atrial fibrillation increase risk, while certain strokes and higher disability scores may decrease it.
Area of Science:
- Neurology
- Geriatrics
- Public Health
Background:
- Poststroke falls and fractures are significant concerns with poorly understood risk factors.
- Identifying these risk factors is essential for improving patient outcomes and preventing secondary injuries.
Purpose of the Study:
- To evaluate demographic, stroke-related, and comorbid factors associated with increased risk of falls and fractures after stroke.
- To inform the development of targeted preventative strategies for poststroke complications.
Main Methods:
- Analysis of data from 7,267 hospitalized stroke patients (2003-2015).
- Utilized logistic regression and Cox-proportional hazard models for short-term and long-term follow-up (up to 10 years).
- Adjusted for multiple confounders including patient characteristics, stroke type, and comorbidities.
Main Results:
- 15.7% experienced falls and 9.2% sustained fractures over 10 years.
- Increased risk of falls and fractures associated with age, prior falls, and atrial fibrillation.
- Chronic kidney disease, hyperlipidemia, and prior stroke/TIA also linked to increased fall or fracture risk.
Conclusions:
- Demographic, stroke-specific, and comorbid factors significantly influence poststroke fall and fracture incidence.
- Further research is needed to explore reversible factors and preventative interventions.
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