Evidence map›Paper›PMID 35652928›Full record

ArticleJournal of rehabilitation medicine2022

Cumulative Risk And Associated Factors For Fall-Related Fractures In Stroke Survivors After Discharge From Rehabilitation Wards: A Retrospective Study With A 6-Year Follow-Up.

Masashi Kumagai, Yohei Otaka, Taiki Yoshida, Shin Kitamura, Kazuki Ushizawa, Naoki Mori, Daisuke Matsuura, Kaoru Honaga, Kunitsugu Kondo, Eiji Shimizu

Open access · goldAbstract read
In one paragraph

Article in Journal of rehabilitation medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Masashi KumagaiDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba; Department of Cognitive Behavioral Physiology, Chiba University Graduate School of Medicine, Chiba.
Yohei OtakaDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba; Department of Rehabilitation Medicine I, School of Medicine. otaka119@mac.com.
Taiki YoshidaDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba; Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Aichi; Department of Health Sciences and Social Welfare, Waseda University Graduate School of Human Sciences, Saitama.
Shin KitamuraDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba; Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Aichi; Department of Occupational Therapy, Tokyo Metropolitan University Graduate School of Human Health Sciences, Tokyo,.
Kazuki UshizawaDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba; Department of Rehabilitation Medicine I, School of Medicine.
Naoki MoriDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba; Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo.
Daisuke MatsuuraDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba.
Kaoru HonagaDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba; Department of Rehabilitation Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Kunitsugu KondoDepartment of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba.
Eiji ShimizuDepartment of Cognitive Behavioral Physiology, Chiba University Graduate School of Medicine, Chiba.
Hebei Rehabilitation Hospital · JPChiba University · JPFujita Health University · JPFujita Health University Hospital · JPKeio University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the long-term cumulative risk and factors associated with fall-related fractures in stroke survivors discharged from convalescent rehabilitation wards.

designRetrospective cohort study.

participantsA total of 786 stroke survivors discharged from a rehabilitation hospital.

methodsData regarding fall-related fractures posthospital discharge were collected using self-reported questionnaires. The Kaplan-Meier method was used to calculate the cumulative incidence of fall-related fractures, and risk factors were analysed using Cox proportional hazard regression analysis.

resultsOf 1,861 consecutive stroke survivors who had been discharged from hospital, 786 (42.2%) provided information concerning fall-related fractures. Duration from time of discharge to time of collection of questionnaires ranged from 1 to 6 years (mean 38.0 months). The cumulative incidence of fall-related fractures at 1-, 2-, 3-, 4-, and 5-years post-discharge was 4.2%, 7.9%, 10.8%, 12.5% and 13.7%, respectively. Cox proportional hazard regression analysis indicated that female sex (hazard ratio (HR) 1.69) and moderate lower limb paresis (HR 3.08) were significant risk factors.

conclusionThe cumulative risk of fall-related fractures in stroke survivors post-discharge from a rehabilitation hospital was notably high. Intensive preventive intervention should be considered for female stroke survivors with moderate lower limb paresis.

Indexed as

StrokeStroke RehabilitationAftercareFemaleFollow-Up StudiesHumansMuscle WeaknessParesisPatient DischargeRetrospective StudiesRisk FactorsSurvivors

Identifiers

PMID35652928
PMCPMC9255282
OpenAlexW4281776640

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.