Risk of fractures after stroke.
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.
Brown
Devin L
DL
Stroke Program, University of Michigan Medical School, Ann Arbor, MI 48109, USA.
Morgenstern
Lewis B
LB
Majersik
Jennifer J
JJ
Kleerekoper
Michael
M
Lisabeth
Lynda D
LD
D000367:Age Factors; D002545:Brain Ischemia / Q000150:complications; D002543:Cerebral Hemorrhage / Q000150:complications; D015331:Cohort Studies; D005260:Female; D050723:Fractures, Bone / Q000209:etiology*; D006801:Humans; D002546:Ischemic Attack, Transient / Q000150:complications*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D018570:Risk Assessment; D020521:Stroke / Q000150:complications*