Osteoporosis and fracture risk assessment in adults with ischaemic stroke
Authors' conclusion
This study found that a simple bedside tool, the FRAC-stroke score, can predict fracture after ischaemic stroke.
Study context
- Population
- Adults aged ≥ 50 years admitted with ischaemic stroke over a 12-month period (2020), telephone interview one-year post-strokeconsented to interview
- Participants
- 131 adults
- Outcome
- Prevalence of osteoporosis, falls and fractures
- Follow-up
- One-year post-stroke
Main finding
As reported in the abstract
12 months post-stroke
Minimal trauma fracture in the 12 months post-stroke (6 female)
Eleven (8.4%)
FRAC-stroke score ≥ 15 (≥ 5% risk of fracture in the year after stroke)
34
25.9%
Falls pre- vs post-stroke
19.8% vs 31.3%
p = 0.04
Observational data: associations, not effects.
Further findings
FRAC-stroke score, fracture vs no fracture post stroke
- FRAC-stroke score higher with fracture than without
- 20.4 vs 8.9, p < 0.001
FRAC-stroke score for predicting fracture (ROC)
- AUC
- 0.867 (95% CI 0.785-0.949, p < 0.005)
- Optimal cutoff
- 12
- Sensitivity at cutoff 12
- 90.9%
- Specificity at cutoff 12
- 70%
Original publication
Osteoporosis and fracture risk assessment in adults with ischaemic stroke. Osteoporos Int. Published 4 May 2024. doi:10. 1007/ s00198-024-07099-0
Composed by AI from the published abstract and checked against it. How Briefs are made →