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
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 hospit...
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2022-06-01
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| Series: | Journal of Rehabilitation Medicine |
| Subjects: | |
| Online Access: | https://medicaljournalssweden.se/jrm/article/view/2314 |
| _version_ | 1811332655170453504 |
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| author | Masashi Kumagai Yohei Otaka Taiki Yoshida Shin Kitamura Kazuki Ushizawa Naoki Mori Daisuke Matsuura Kaoru Honaga Kunitsugu Kondo Eiji Shimizu |
| author_facet | Masashi Kumagai Yohei Otaka Taiki Yoshida Shin Kitamura Kazuki Ushizawa Naoki Mori Daisuke Matsuura Kaoru Honaga Kunitsugu Kondo Eiji Shimizu |
| author_sort | Masashi Kumagai |
| collection | DOAJ |
| description |
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.
LAY ABSTRACT
This study aimed to investigate the risk of fall-related fractures and associated factors in stroke survivors who had been discharged from rehabilitation wards. A questionnaire was sent by post to 1,861 post-discharge stroke survivors to investigate their experiences of fall-related fractures, to which 786 stroke survivors responded. The 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. The presence of moderate lower limb paresis and female sex were associated with 3.08- and 1.69-times higher risk of developing a fall-related fracture, respectively. Intensive preventive intervention should be considered for female stroke survivors with moderate lower limb paresis following discharge from rehabilitation wards.
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| first_indexed | 2024-04-13T16:40:21Z |
| format | Article |
| id | doaj.art-b88eb3c111dc408b95663f4387e72e4a |
| institution | Directory Open Access Journal |
| issn | 1651-2081 |
| language | English |
| last_indexed | 2024-04-13T16:40:21Z |
| publishDate | 2022-06-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Rehabilitation Medicine |
| spelling | doaj.art-b88eb3c111dc408b95663f4387e72e4a2022-12-22T02:39:17ZengMedical Journals SwedenJournal of Rehabilitation Medicine1651-20812022-06-015410.2340/jrm.v54.2314Cumulative Risk And Associated Factors For Fall-Related Fractures In Stroke Survivors After Discharge From Rehabilitation Wards: A Retrospective Study With A 6-Year Follow-UpMasashi Kumagai0Yohei Otaka1Taiki Yoshida2Shin Kitamura3Kazuki Ushizawa4Naoki Mori5Daisuke Matsuura6Kaoru Honaga7Kunitsugu Kondo8Eiji Shimizu9Department of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba; Department of Cognitive Behavioral Physiology, Chiba University Graduate School of Medicine, ChibaDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba; Department of Rehabilitation Medicine I, School of MedicineDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba; Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Aichi; Department of Health Sciences and Social Welfare, Waseda University Graduate School of Human Sciences, SaitamaDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba; Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Aichi; Department of Occupational Therapy, Tokyo Metropolitan University Graduate School of Human Health Sciences, Tokyo,Department of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba; Department of Rehabilitation Medicine I, School of MedicineDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba; Department of Rehabilitation Medicine, Keio University School of Medicine, TokyoDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, ChibaDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba; Department of Rehabilitation Medicine, Juntendo University Graduate School of Medicine, Tokyo, JapanDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, ChibaDepartment of Cognitive Behavioral Physiology, Chiba University Graduate School of Medicine, Chiba 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. LAY ABSTRACT This study aimed to investigate the risk of fall-related fractures and associated factors in stroke survivors who had been discharged from rehabilitation wards. A questionnaire was sent by post to 1,861 post-discharge stroke survivors to investigate their experiences of fall-related fractures, to which 786 stroke survivors responded. The 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. The presence of moderate lower limb paresis and female sex were associated with 3.08- and 1.69-times higher risk of developing a fall-related fracture, respectively. Intensive preventive intervention should be considered for female stroke survivors with moderate lower limb paresis following discharge from rehabilitation wards. https://medicaljournalssweden.se/jrm/article/view/2314accidental fallbone fracturecerebrovascular disorderrehabilitationrisk factor |
| spellingShingle | Masashi Kumagai Yohei Otaka Taiki Yoshida Shin Kitamura Kazuki Ushizawa Naoki Mori Daisuke Matsuura Kaoru Honaga Kunitsugu Kondo Eiji Shimizu 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 Journal of Rehabilitation Medicine accidental fall bone fracture cerebrovascular disorder rehabilitation risk factor |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | accidental fall bone fracture cerebrovascular disorder rehabilitation risk factor |
| url | https://medicaljournalssweden.se/jrm/article/view/2314 |
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