Hip Fractures in Persons with Stroke

Background. Our aim was to determine the incidence of hip fractures within two years after stroke, to identify associated factors, to evaluate which test instruments that best could identify people at risk, and to describe the circumstances that prevailed when they sustained their hip fractures. Met...

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Main Authors: Åsa G. Andersson, Åke Seiger, Peter Appelros
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Stroke Research and Treatment
Online Access:http://dx.doi.org/10.1155/2013/954279
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author Åsa G. Andersson
Åke Seiger
Peter Appelros
author_facet Åsa G. Andersson
Åke Seiger
Peter Appelros
author_sort Åsa G. Andersson
collection DOAJ
description Background. Our aim was to determine the incidence of hip fractures within two years after stroke, to identify associated factors, to evaluate which test instruments that best could identify people at risk, and to describe the circumstances that prevailed when they sustained their hip fractures. Method. A total of 377 persons with first-ever stroke were followed up for a 24-month period. Stroke severity, cognition, and associated medical conditions were registered. The following test instruments were used: National Institutes of Health Stroke Scale, Mini-Mental State Examination, Berg Balance Scale, Timed Up & Go, and Stops Walking When Talking. Result. Sixteen of the persons fractured their hip within the study period, which corresponds to an incidence of 32 hip fractures per 1000 person-years. Persons with fractures more often had impaired vision and cognitive impairment and more had had previous fractures. Of the investigated test instruments, Timed Up & Go was the best test to predict fractures. Conclusion. The incidence of hip fractures in persons with stroke was high in this study. Persons with previous fractures, and visual and cognitive defects are at the greatest risk. Certain test instruments could be used in order to find people at risk, which should be targeted for fall preventive measures.
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spelling doaj-art-94340eaafe6d4a339214425a1ef6cf5f2025-02-03T01:28:09ZengWileyStroke Research and Treatment2090-81052042-00562013-01-01201310.1155/2013/954279954279Hip Fractures in Persons with StrokeÅsa G. Andersson0Åke Seiger1Peter Appelros2Departments of Geriatrics and Neurology, Örebro University Hospital, 701 85 Örebro, SwedenNVS Department, Karolinska Institutet, 171 77 Stockholm, SwedenDepartments of Geriatrics and Neurology, Örebro University Hospital, 701 85 Örebro, SwedenBackground. Our aim was to determine the incidence of hip fractures within two years after stroke, to identify associated factors, to evaluate which test instruments that best could identify people at risk, and to describe the circumstances that prevailed when they sustained their hip fractures. Method. A total of 377 persons with first-ever stroke were followed up for a 24-month period. Stroke severity, cognition, and associated medical conditions were registered. The following test instruments were used: National Institutes of Health Stroke Scale, Mini-Mental State Examination, Berg Balance Scale, Timed Up & Go, and Stops Walking When Talking. Result. Sixteen of the persons fractured their hip within the study period, which corresponds to an incidence of 32 hip fractures per 1000 person-years. Persons with fractures more often had impaired vision and cognitive impairment and more had had previous fractures. Of the investigated test instruments, Timed Up & Go was the best test to predict fractures. Conclusion. The incidence of hip fractures in persons with stroke was high in this study. Persons with previous fractures, and visual and cognitive defects are at the greatest risk. Certain test instruments could be used in order to find people at risk, which should be targeted for fall preventive measures.http://dx.doi.org/10.1155/2013/954279
spellingShingle Åsa G. Andersson
Åke Seiger
Peter Appelros
Hip Fractures in Persons with Stroke
Stroke Research and Treatment
title Hip Fractures in Persons with Stroke
title_full Hip Fractures in Persons with Stroke
title_fullStr Hip Fractures in Persons with Stroke
title_full_unstemmed Hip Fractures in Persons with Stroke
title_short Hip Fractures in Persons with Stroke
title_sort hip fractures in persons with stroke
url http://dx.doi.org/10.1155/2013/954279
work_keys_str_mv AT asagandersson hipfracturesinpersonswithstroke
AT akeseiger hipfracturesinpersonswithstroke
AT peterappelros hipfracturesinpersonswithstroke