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

https://doi.org/10.1136/ebn.4.4.122

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    Kanis J, Oden A, Johnell O.Acute and long-term increase in fracture risk after hospitalization for stroke.Stroke2001 Mar;32:702–6OpenUrlAbstract/FREE Full Text

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

    Design

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

    Setting

    Sweden.

    Patients

    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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    Footnotes

    • 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.