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Post-Stroke Osteoporosis Screening: A Scoping Review.

Sydney Knight, Rachel Swance1, Emma A Bateman2

  • 1Department of Physical Medicine and Rehabilitation, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.

Cerebrovascular Diseases (Basel, Switzerland)
|December 3, 2024
PubMed
Summary

Post-stroke osteoporosis screening lacks specific guidelines, with current screening rates below 10%. This review highlights the urgent need for tailored osteoporosis screening and risk assessment tools for stroke survivors.

Keywords:
Bone healthComplications of strokeFracture riskOsteoporosisScreeningStroke

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Area of Science:

  • Gerontology
  • Neurology
  • Orthopedics

Background:

  • Post-stroke individuals face elevated risks of fragility fractures.
  • Current medical practice lacks specific osteoporosis screening recommendations for the post-stroke population.

Purpose of the Study:

  • To conduct a scoping review of existing literature on osteoporosis screening in adults following a stroke.
  • To map the available evidence and identify gaps in post-stroke osteoporosis screening.

Main Methods:

  • A comprehensive literature search was conducted across MEDLINE, Embase, and CINAHL databases.
  • Studies published in English before May 2024 focusing on post-stroke osteoporosis screening were included.
  • Data extraction and analysis were performed descriptively and narratively by two independent reviewers.

Main Results:

  • Eight articles (five published papers, three conference abstracts) met the inclusion criteria.
  • Study designs included cross-sectional, cohort, and survey research.
  • Reported post-stroke osteoporosis screening rates were consistently below 10%, with no specific screening guidelines identified.

Conclusions:

  • The current literature reveals a significant gap in evidence and established guidelines for osteoporosis screening in post-stroke patients.
  • There is a critical need for the development of osteoporosis screening guidelines and validated risk assessment tools tailored to the post-stroke population.