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Fracture risk was increased after stroke with a marked increase immediately after stroke

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QUESTIONS: Does risk of fracture increase after stroke? What is the time course of any increase in fracture risk?


Inception cohort followed up for ≤10 years (mean 2.5 y).




273 288 patients (mean age 74 y, 50% men) admitted to hospital with a first ever stroke identified using the National Swedish Register.

Assessment of prognostic factors

All hospital records were examined to identify people who were admitted to hospital for stroke during a 10 year period. Age, sex, and duration of hospital stay were recorded.

Main outcome measure

Subsequent admission to hospital for fracture.

Main results

24 666 people (9%) had a fracture subsequent to stroke, of which 14 263 (58%) were hip fractures. The incidence of all fractures and hip fractures in patients with stroke was compared with the general population. For any fracture requiring admission to hospital, …

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  • Source of funding: Strakan Group Plc, Scotland.

  • For correspondence: Professor J A Kanis, Centre for Metabolic Bone Diseases (World Health Organisation Collaborating Centre), University of Sheffield Medical School, Beech Hill Road, Sheffield S10 2RX, UK. Fax +44 (0)1142 739176.