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Long-Term Factors Associated With Falls and Fractures Poststroke

Overview of attention for article published in Frontiers in Neurology, April 2018
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Title
Long-Term Factors Associated With Falls and Fractures Poststroke
Published in
Frontiers in Neurology, April 2018
DOI 10.3389/fneur.2018.00210
Pubmed ID
Authors

Emma J. Foster, Raphae S. Barlas, Joao H. Bettencourt-Silva, Allan B. Clark, Anthony K. Metcalf, Kristian M. Bowles, John F. Potter, Phyo K. Myint

Abstract

Risk factors for poststroke falls and fractures remain poorly understood. This study aimed to evaluate which factors increased risk of these events after stroke. Data from 7,267 hospitalized stroke patients were acquired from the Norfolk and Norwich University Hospital Stroke Register from 2003-2015. The impacts of multiple patient level and stroke characteristics and comorbidities on post-discharge falls and fractures were assessed. Univariate and multivariable models were constructed, adjusting for multiple confounders, using binary logistic regression for short-term analysis (up to 1-year post-discharge) and Cox-proportional hazard models for longer term analysis (1-3, 3-5, and 0-10 years follow-up). The mean age (SD) was 76.3 ± 12.1 years at baseline. 1,138 (15.7%) participants had an incident fall; and 666 (9.2%) an incident fracture during the 10-year follow-up (total person years = 64,447.99 for falls and 67,726.70 for fractures). Half of the sample population were females (50.6%) and the majority had an ischemic stroke (89.8%). After adjusting for confounders: age, sex, previous history of falls, and atrial fibrillation were associated with an increased risk of both falls and fractures during follow-up. Furthermore, chronic kidney disease and hyperlipidemia were associated with an increased risk of falls, while previous stroke/transient ischemic attack increased fracture risk. Total anterior circulation stroke and a prestroke modified Rankin Scale score of 3-5 were associated with decreased risk of both events, with hypertension and cancer decreasing risk of falls only. We identified demographic, stroke-related, and comorbid factors associated with poststroke falls and fracture incidence. Further studies are required to examine and establish the relationship between reversible factors and further explore the role of preventative measures to prevent poststroke falls and fractures.

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Mendeley readers

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The data shown below were compiled from readership statistics for 52 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 52 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 11 21%
Other 6 12%
Student > Ph. D. Student 6 12%
Researcher 5 10%
Student > Bachelor 4 8%
Other 7 13%
Unknown 13 25%
Readers by discipline Count As %
Medicine and Dentistry 16 31%
Nursing and Health Professions 8 15%
Neuroscience 4 8%
Engineering 2 4%
Sports and Recreations 1 2%
Other 3 6%
Unknown 18 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 April 2018.
All research outputs
#20,478,782
of 23,039,416 outputs
Outputs from Frontiers in Neurology
#8,940
of 11,934 outputs
Outputs of similar age
#290,542
of 329,118 outputs
Outputs of similar age from Frontiers in Neurology
#213
of 272 outputs
Altmetric has tracked 23,039,416 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 11,934 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.3. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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We're also able to compare this research output to 272 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.