ArticleJournal of Korean medical science2019
The Epidemiology of Fracture in Patients with Acute Ischemic Stroke in Korea.
Article in Journal of Korean medical science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 20 citations in OpenAlex.
- High-resolution peripheral quantitative computed tomography imaging and bone biomarker characteristics of patients with ischemic stroke or transient ischemic attack-baseline analysis of the Post-stroke Osteopathy study.Archives of osteoporosis · 2026Article
- Body Composition Alterations in Patients with Chronic Stroke: A Cross-Sectional Study.Journal of musculoskeletal & neuronal interactions · 2025Article
- Association Between Changes in Smoking Habits and Incident Fracture After Acute Ischemic Stroke.Journal of the American Heart Association · 2024Article
- Impact of changes in physical activity and incident fracture after acute ischemic stroke.Scientific reports · 2023Article
- The pathogenesis of post-stroke osteoporosis and the role oxidative stress plays in its development.Frontiers in medicine · 2023Review
- Change in Bone Mineral Density in Stroke Patients with Osteoporosis or Osteopenia.International journal of environmental research and public health · 2022Article
- A Time-Dependent Analysis of Association between Acupuncture Utilization and the Prognosis of Ischemic Stroke.Healthcare (Basel, Switzerland) · 2022Article
- Characteristics of fracture in patients who firstly starts kidney replacement therapy in Korea: a retrospective population-based study.Scientific reports · 2022Article
- Five-Year Risk of Acute Myocardial Infarction After Acute Ischemic Stroke in Korea.Journal of the American Heart Association · 2021Observational
- Factors associated with fracture after stroke and TIA: a long-term follow-up.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020Article
- Acute Stroke Care in Korea in 2013-2014: National Averages and Disparities.Journal of Korean medical science · 2020Article
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Authors and funding
31 authors at 12 institutions in 1 country.
Funding
Abstract
backgroundPatients 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.
methodsPatients 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.
resultsAmong 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, 1.54-1.97), 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.
conclusionThe 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.
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