Deans' stroke musings: 35DETERMINANTS OF POST-DISCHARGE FALLS AND FRACTURES AFTER STROKE OVER LONG TERM FOLLOW UP

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Sunday, August 6, 2017

35DETERMINANTS OF POST-DISCHARGE FALLS AND FRACTURES AFTER STROKE OVER LONG TERM FOLLOW UP

Where is the fall prevention protocol that would prevent these falls? Solve the correct problem.
https://academic.oup.com/ageing/article-abstract/46/suppl_2/ii11/3950180/35DETERMINANTS-OF-POST-DISCHARGE-FALLS-AND#.WYcMaeaXKK4.twitter

E J Foster R S Barlas A B Clark J H Bettencourt-Silva K M Bowles A K Metcalf J F Potter P K Myint

Age and Ageing, Volume 46, Issue suppl_2, 1 July 2017, Pages ii11–ii13, https://doi.org/10.1093/ageing/afx110.35

Published:

10 July 2017

Neurological deficits post-stroke and associated reduced bone mass lead to increased fall and fracture risk, known to be associated with increased mortality. Despite recent advances identifying risk factors for falls post-stroke in survivors, they remain poorly understood. This study aimed to investigate which factors increased the risk of falls and fractures after stroke.
We analysed data from a regional stroke register, between 2003-2015. The data entry team documented paper-based records at baseline. Incident falls and fractures were followed up by record linkage. Univariate and multivariate Cox Proportional Hazard models were constructed - adjusting for patient/stroke characteristics and co-morbidities - analysing over 10-years follow up.
7248 patients discharged after acute stroke (89.6% ischaemic) were included. The mean age (SD) was 76.3 ± 12.1 years; 50.6% women. 1136 (15.7%)...