TY - JOUR
PY - 2022//
TI - 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
JO - Journal of rehabilitation medicine
A1 - Kumagai, Masashi
A1 - Otaka, Yohei
A1 - Yoshida, Taiki
A1 - Kitamura, Shin
A1 - Ushizawa, Kazuki
A1 - Mori, Naoki
A1 - Matsuura, Daisuke
A1 - Honaga, Kaoru
A1 - Kondo, Kunitsugu
A1 - Shimizu, Eiji
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - OBJECTIVE: To investigate the long-term cumulative risk and factors associated with fall-related fractures in stroke survivors discharged from convalescent rehabilitation wards.
DESIGN: Retrospective cohort study. PARTICIPANTS: A total of 786 stroke survivors discharged from a rehabilitation hospital.
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.
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.
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. Language: en
LA - en
SN - 1650-1977
UR - http://dx.doi.org/10.2340/jrm.v54.2314
ID - ref1
ER -