Detailed Information

Cited 0 time in webofscience Cited 0 time in scopus
Metadata Downloads

The Epidemiology of Fracture in Patients with Acute Ischemic Stroke in Korea

Authors
Lee, Kyung BokLee, Jung-GonKim, Beom JoonKim, Jun YupLee, Keon-JooHan, Moon-KuPark, Jong-MooKang, KyusikCho, Yong-JinPark, Hong-KyunHong, Keun-SikPark, Tai HwanLee, Soo JooOh, Mi-SunYu, Kyung-HoLee, Byung-ChulCha, Jae-KwanKim, Dae-HyunKim, Joon-TaeLee, JunHong, Jeong-HoSohn, Sung IlKim, Dong-EogChoi, Jay ChoiYeo, Min-JuKim, Wook-JooChae, Jae EunLee, Ji SungLee, JuneyoungBae, Hee-Joon
Issue Date
10-6월-2019
Publisher
KOREAN ACAD MEDICAL SCIENCES
Keywords
Stroke; Fracture; Incidence
Citation
JOURNAL OF KOREAN MEDICAL SCIENCE, v.34, no.22
Indexed
SCIE
SCOPUS
KCI
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
Volume
34
Number
22
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/64784
DOI
10.3346/jkms.2019.34.e164
ISSN
1011-8934
Abstract
Background: Patients who survive an acute phase of stroke are at risk of falls and fractures afterwards. However, it is largely unknown how frequent fractures occur in the Asian stroke population. Methods: Patients with acute (< 7 days) ischemic stroke who were hospitalized between January 2011 and November 2013 were identified from a prospective multicenter stroke registry in Korea, and were linked to the National Health Insurance Service claim database. The incidences of fractures were investigated during the first 4 years after index stroke. The cumulative incidence functions (CIFs) were estimated by the Gray's test for competing risk data. Fine and Gray model for competing risk data was applied for exploring risk factors of post-stroke fractures. Results: Among a total of 11,522 patients, 1,616 fracture events were identified: 712 spine fractures, 397 hip fractures and 714 other fractures. The CIFs of any fractures were 2.63% at 6 months, 4.43% at 1 year, 8.09% at 2 years and 13.00% at 4 years. Those of spine/hip fractures were 1.11%/0.61%, 1.88%/1.03%, 3.28%/1.86% and 5.79%/3.15%, respectively. Age by a 10-year increment (hazard ratio [HR], 1.23; 95% confidence interval [CI], 1.17-1.30), women (HR, 1.74; 95% CI, 1.544.97), previous fracture (HR, 1.72; 95% CI, 1.54-1.92) and osteoporosis (HR, 1.44; 95% CI, 1.27-1.63) were independent risk factors of post-stroke fracture. Conclusion: The CIFs of fractures are about 8% at 2 years and 13% at 4 years after acute ischemic stroke in Korea. Older age, women, pre-stroke fracture and osteoporosis raised the risk of post-stroke fractures.
Files in This Item
There are no files associated with this item.
Appears in
Collections
College of Medicine > Department of Medical Science > 1. Journal Articles

qrcode

Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.

Altmetrics

Total Views & Downloads

BROWSE