Risk of fractures after stroke

Cerebrovasc Dis. 2008;25(1-2):95-9. doi: 10.1159/000111997. Epub 2007 Dec 6.

Abstract

Background: The aim of this study was to determine the risk of fractures after stroke/transient ischemic attack (TIA) in relatively young patients.

Methods: Administrative claims data were identified for patients aged 18 years and older hospitalized for stroke/TIA from 1997 to 2005 using ICD-9 codes. Fractures after stroke/TIA were identified for the same time period.

Results: The median age was 56 years. Females represented 47%. There were 411 ischemic strokes, 195 TIAs and 36 intracerebral hemorrhages, as well as 46 fractures in 41 individuals. The risk of fracture after stroke/TIA was 1.2% at 30 days and 3.1% at 1 year. There was no significant difference in survival free from fracture between ischemic stroke and TIA cases (p = 0.8489).

Conclusions: Patients with stroke/TIA, including men and younger patients, appear to be at risk for bone fractures.

MeSH terms

  • Age Factors
  • Brain Ischemia / complications
  • Cerebral Hemorrhage / complications
  • Cohort Studies
  • Female
  • Fractures, Bone / etiology*
  • Humans
  • Ischemic Attack, Transient / complications*
  • Male
  • Middle Aged
  • Retrospective Studies
  • Risk Assessment
  • Stroke / complications*