@article{ref1,
title="Cumulative risk and factors associated with fall-related fractures in stroke survivors after discharge from rehabilitation wards: a retrospective study with a 6-year follow-up",
journal="Journal of rehabilitation medicine",
year="2022",
author="Kumagai, Masashi and Otaka, Yohei and Yoshida, Taiki and Kitamura, Shin and Ushizawa, Kazuki and Mori, Naoki and Matsuura, Daisuke and Honaga, Kaoru and Kondo, Kunitsugu and Shimizu, Eiji",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: To investigate the long-term cumulative risk and factors associated with fall-related fractures in stroke survivors discharged from convalescent rehabilitation wards. <br><br>DESIGN: Retrospective cohort study. PARTICIPANTS: A total of 786 stroke survivors discharged from a rehabilitation hospital. <br><br>METHODS: Data regarding fall-related fractures posthospital discharge were collected using self-reported questionnaires. The Kaplan-Meier method was used to calculate the cumulative incidence of fall-related fractures, and risk factors were analysed using Cox proportional hazard regression analysis. <br><br>RESULTS: Of 1,861 consecutive stroke survivors who had been discharged from hospital, 786 (42.2%) provided information concerning fall-related fractures. Duration from time of discharge to time of collection of questionnaires ranged from 1 to 6 years (mean 38.0 months). The cumulative incidence of fall-related fractures at 1-, 2-, 3-, 4-, and 5-years post-discharge was 4.2%, 7.9%, 10.8%, 12.5% and 13.7%, respectively. Cox proportional hazard regression analysis indicated that female sex (hazard ratio (HR) 1.69) and moderate lower limb paresis (HR 3.08) were significant risk factors. <br><br>CONCLUSION: The cumulative risk of fall-related fractures in stroke survivors post-discharge from a rehabilitation hospital was notably high. Intensive preventive intervention should be considered for female stroke survivors with moderate lower limb paresis.<p /> <p>Language: en</p>",
language="en",
issn="1650-1977",
doi="10.2340/jrm.v54.2314",
url="http://dx.doi.org/10.2340/jrm.v54.2314"
}