CUMULATIVE RISK AND ASSOCIATED FACTORS FOR FALL-RELATED FRACTURES IN STROKE SURVIVORS AFTER DISCHARGE FROM REHABILITATION WARDS: A RETROSPECTIVE STUDY WITH A 6-YEAR FOLLOW-UP

Masashi Kumagai, Yohei Otaka, Taiki Yoshida, Shin Kitamura, Kazuki Ushizawa, Naoki Mori, Daisuke Matsuura, Kaoru Honaga, Kunitsugu Kondo, Eiji Shimizu

研究成果: Article査読

抄録

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 post-hospital 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.

本文言語English
論文番号jrm00294
ジャーナルJournal of rehabilitation medicine
54
DOI
出版ステータスPublished - 2022

All Science Journal Classification (ASJC) codes

  • 医学(全般)

フィンガープリント

「CUMULATIVE RISK AND ASSOCIATED FACTORS FOR FALL-RELATED FRACTURES IN STROKE SURVIVORS AFTER DISCHARGE FROM REHABILITATION WARDS: A RETROSPECTIVE STUDY WITH A 6-YEAR FOLLOW-UP」の研究トピックを掘り下げます。これらがまとまってユニークなフィンガープリントを構成します。

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