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Fractures after stroke

A Ramnemark1, L Nyberg, B Borssén

  • 1Department of Geriatric Medicine, Umeå University, Sweden. anna.ramnemark@germed.umu.se

Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA
|August 6, 1998
PubMed
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Fractures are a common complication after stroke, particularly hip fractures. Prevention strategies should address fall risks and osteoporosis in stroke survivors.

Area of Science:

  • Neurology
  • Orthopedics
  • Epidemiology

Background:

  • Fractures represent a significant complication for stroke survivors.
  • A substantial proportion of patients with femoral neck fractures have a history of stroke.

Purpose of the Study:

  • To determine the incidence of fractures following acute stroke.
  • To compare hip fracture rates in stroke patients with the general population.

Main Methods:

  • Retrospective analysis of 1139 patients admitted for acute stroke.
  • Fracture data collected from stroke onset to study end or death.
  • Follow-up duration of 4132 patient-years (median 2.9 years).

Main Results:

  • 154 fractures occurred in 120 patients, with a median time of 24 months from stroke onset to first fracture.

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  • Women experienced significantly more fractures than men (p < 0.001).
  • Fractures predominantly affected the paretic side in patients with paresis (p < 0.001) and 84% resulted from falls.
  • Hip fractures were most common, with an incidence 2-4 times higher than in the general population.

    • Conclusions:

    • Fractures are a frequent complication post-stroke, often caused by falls and affecting the paretic limb.
    • Increased incidence of hip fractures highlights the vulnerability of stroke patients.
    • Emphasizes the need for targeted prevention of post-stroke fractures, addressing falls and osteoporosis.