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Stroke Research and Treatment
Volume 2013 (2013), Article ID 954279, 7 pages
http://dx.doi.org/10.1155/2013/954279
Clinical Study

Hip Fractures in Persons with Stroke

1Departments of Geriatrics and Neurology, Örebro University Hospital, 701 85 Örebro, Sweden
2NVS Department, Karolinska Institutet, 171 77 Stockholm, Sweden

Received 12 November 2012; Revised 22 December 2012; Accepted 15 March 2013

Academic Editor: Frances Batchelor

Copyright © 2013 Åsa G. Andersson et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Our aim was to determine the incidence of hip fractures within two years after stroke, to identify associated factors, to evaluate which test instruments that best could identify people at risk, and to describe the circumstances that prevailed when they sustained their hip fractures. Method. A total of 377 persons with first-ever stroke were followed up for a 24-month period. Stroke severity, cognition, and associated medical conditions were registered. The following test instruments were used: National Institutes of Health Stroke Scale, Mini-Mental State Examination, Berg Balance Scale, Timed Up & Go, and Stops Walking When Talking. Result. Sixteen of the persons fractured their hip within the study period, which corresponds to an incidence of 32 hip fractures per 1000 person-years. Persons with fractures more often had impaired vision and cognitive impairment and more had had previous fractures. Of the investigated test instruments, Timed Up & Go was the best test to predict fractures. Conclusion. The incidence of hip fractures in persons with stroke was high in this study. Persons with previous fractures, and visual and cognitive defects are at the greatest risk. Certain test instruments could be used in order to find people at risk, which should be targeted for fall preventive measures.