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Specialty: Orthopaedics

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Total 785 results found since Jan 2013.

Time to stroke: A Western Trauma Association multicenter study of blunt cerebrovascular injuries
CONCLUSIONS The majority of patients suffer BCVI-related stroke in the first 72 hours after injury. Time to stroke can help inform clinicians about initiation of treatment in the multiply injured patient. LEVEL OF EVIDENCE Prognostic/Epidemiologic, level III.
Source: The Journal of Trauma: Injury, Infection, and Critical Care - October 26, 2018 Category: Orthopaedics Tags: 2018 WTA PODIUM PAPER Source Type: research

Association of stroke subtypes with risk of hip fracture: a population-based study in Taiwan
ConclusionOverall, stroke significantly increases the incidence of HF, and the risk of HF is significantly higher in ICH patients and female gender. We should identify stroke patients at risk of HF and pay more attention to prevent them from fall in poststroke long-term care.
Source: Archives of Orthopaedic and Trauma Surgery - November 22, 2017 Category: Orthopaedics Source Type: research

Factors associated with fracture after stroke and TIA: a long-term follow-up
ConclusionStroke was positively associated with fracture in patients<  80 years, while TIA was positively associated with fracture in patients ≥ 80 years and females. Dementia and analgesic therapy were also associated with fracture after either stroke or TIA.
Source: Osteoporosis International - July 9, 2020 Category: Orthopaedics Source Type: research

Risk of hip fracture following stroke, a meta-analysis of 13 cohort studies
This study systematically reviews prospective and retrospective cohort studies evaluating the risk of hip fracture following stroke. Stroke survivors are at high risk of hip fracture and had a 1.5-fold increased risk compared to stroke-free men and women of the same age. Hip fracture often occurs in ageing and female stroke patients. We performed a meta-analysis to summarize evidence from prospective and retrospective cohort studies about the risk of hip fracture following stroke. We identified English and non-English publications in MEDLINE and EMBASE using stroke and fracture as keywords to 31 December 2015. The data of ...
Source: Osteoporosis International - August 12, 2016 Category: Orthopaedics Source Type: research

Increased risk of stroke among hip fracture patients: a nationwide cohort study
Conclusions Hip fracture is independently associated with a subsequent risk of stroke.
Source: Osteoporosis International - October 10, 2014 Category: Orthopaedics Source Type: research

Not all in your head (and neck): Stroke after blunt cerebrovascular injury is associated with systemic hypercoagulability
CONCLUSION Patients who suffer BCVI-related stroke are hypercoagulable compared with those with BCVI who remain asymptomatic. Increased angle or MA should be considered when assessing the risk of thrombosis and determining the optimal time to initiate antithrombotic therapy in patients with BCVI. LEVEL OF EVIDENCE Prognostic, Level III.
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 1, 2019 Category: Orthopaedics Tags: 2019 WTA PODIUM PAPERS Source Type: research

Risk of osteoporotic fractures following stroke in older persons
Conclusion To evaluate the relative risk of stroke survivors for osteoporotic fractures, functional status appears to be a relevant parameter.
Source: Osteoporosis International - January 8, 2015 Category: Orthopaedics Source Type: research

Chronic effects of stroke on hip bone density and tibial morphology: a longitudinal study
Conclusions There is evidence of continuous trabecular bone loss in the paretic tibial distal epiphysis among chronic stroke patients, but it tends to plateau after 2 years of stroke onset. The steady state may have been reached earlier in the hip and tibial diaphysis.
Source: Osteoporosis International - September 2, 2015 Category: Orthopaedics Source Type: research

Perioperative stroke in patients undergoing elective spinal surgery: a retrospective analysis using the Japanese diagnosis procedure combination database
Conclusions: Perioperative stroke occurred in 0.22 % of patients undergoing spinal surgery. Resection of a spinal cord tumor was associated with increased risk of perioperative stroke as well as advanced age, comorbidities at admission, cervical spine surgery, surgery in a teaching hospital, and length of stay.
Source: BMC Musculoskeletal Disorders - October 2, 2015 Category: Orthopaedics Authors: Junichi OhyaHirotaka ChikudaTakeshi OichiHiromasa HoriguchiKatsushi TakeshitaSakae TanakaHideo Yasunaga Source Type: research

Gait speed and spasticity are independently associated with estimated failure load in the distal tibia after stroke: an HR-pQCT study
ConclusionThe paretic distal tibia showed more compromised vBMD, cortical area, cortical thickness, and estimated failure load than the non-paretic tibia. Gait speed and spasticity were independently associated with estimated failure load. As treatment programs focusing on these potentially modifiable stroke-related impairments are feasible to administer, future studies are needed to determine the efficacy of such intervention strategies for improving bone strength in individuals with chronic stroke.
Source: Osteoporosis International - October 12, 2021 Category: Orthopaedics Source Type: research

Incidence of and Risk Factors for Inpatient Stroke After Hip Fractures in the Elderly.
Abstract Although uncommon, stroke can be a catastrophic inpatient complication for patients with hip fractures. The current study determines the incidence of inpatient stroke after hip fractures in elderly patients, identifies risk factors associated with such strokes, and determines the association of stroke with short-term inpatient outcomes. A retrospective review of all patients aged 65 years or older with isolated hip fractures in the 2011 and 2012 National Trauma Data Bank was conducted. A total of 37,584 patients met inclusion criteria. Of these patients, 162 (0.4%) experienced a stroke during their hospit...
Source: Orthopedics - November 11, 2017 Category: Orthopaedics Authors: Samuel AM, Diaz-Collado PJ, Szolomayer LK, Nelson SJ, Webb ML, Lukasiewicz AM, Grauer JN Tags: Orthopedics Source Type: research

Saving bones without risking brain —bisphosphonates and risk of stroke: matched case-control study
ConclusionsWe found no association between bisphosphonate treatment and risk of stroke, after adjusting for other confounders.
Source: Osteoporosis International - June 16, 2019 Category: Orthopaedics Source Type: research

Intraoperative Ischemic Stroke in Elective Spine Surgery: A Retrospective Study of Incidence and Risk
Conclusion. . With the increase of spinal procedures, it is important to identify patients at risk for having an ischemic stroke and to optimize their comorbidities preoperatively. Patients with intraoperative ischemic stroke carry a higher risk for morbidity and mortality during the index hospitalization. Level of Evidence: 4
Source: Spine - January 8, 2020 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research

Impact of stroke history on the risk of recurrent hip fracture or major osteoporotic fractures among patients with incident hip fracture. A nationwide cohort study
In conclusion, stroke history was associated with slightly higher risk of recurrent fracture among patients with first-time hip fracture in the overall analysis, although the confidence interval included a null result. The association was modified by baseline mobility: Pati ents with stroke history and good mobility had a markedly higher risk, whereas patients with stroke and poor mobility did not.This article is protected by copyright. All rights reserved.
Source: Journal of Bone and Mineral Research - December 19, 2022 Category: Orthopaedics Authors: Thomas J. Hjelholt, S øren P. Johnsen, Peter K. Brynningsen, Grethe Andersen, Alma B. Pedersen Tags: Research Article Source Type: research