Brain Neurorehabil.  2011 Sep;4(2):126-131. 10.12786/bn.2011.4.2.126.

Analysis of Stroke Patients with Hip Fracture

• Yoon TS
• Yoon JJ
• Han SJ
• Kim JO

• KMID: 2048467
• DOI: http://doi.org/10.12786/bn.2011.4.2.126

Abstract

OBJECTIVE
To investigate the specific features of stroke patients with hip fracture, and the correlation of fracture occurrence with rehabilitation after stroke onset. METHOD: We retrospectively analyzed 181 stroke patients in a total of 892 patients who underwent an operation due to hip fracture. The assessment factors consists of age, the location of brain lesion, bone marrow density, body mass index, the presence of diabetes mellitus and anemia, laboratory findings of serum albumin, calcium and phosphate. We also analyzed subject's dominant hand side, experience of rehabilitation, and the duration between stroke onset and occurrence of hip fracture.
RESULTS
Among 181 patients (56 male, 125 female), most common location of the brain lesion was the subcortex. About 70% of patients had osteoporosis, anemia and hypoalbuminemia. Among 34 hemiplegic patients, most of them had hip fracture on hemiplegic side (91.2%). The duration between stroke onset and occurrence of hip fracture of the patients who had experience of rehabilitation after stroke was longer than that of the patients without rehabilitation experience (p<0.05).
CONCLUSION
Woman, osteoporosis, anemia and hypoalbuminemia are correlated with the hip fracture in stroke patient. The hip fracture of the stroke patient who did not have rehabilitation experience occurred earlier. The rehabilitation therapy including education for prevention of falling may be helpful to stroke patients with these factors.

Keyword

hip fracture; rehabilitation; stroke

MeSH Terms

Anemia
Body Mass Index
Bone Marrow
Brain
Calcium
Diabetes Mellitus
Female
Hand
Hip
Humans
Hypoalbuminemia
Male
Osteoporosis
Retrospective Studies
Serum Albumin
Stroke
Calcium
Serum Albumin

Figure

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  Fig. 1 A diagram of total subects. Patients who showed normal brain imaging or did not have brain imaging were excluded.

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  Fig. 2 Gender and prevalence of hypoalbuminemia and anemia. About 70% of subjects were female, and had hypoalbuminemia and anemia.

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  Fig. 3 BMD T-scores of subjects. Osteoporosis and osteopenia were revealed in 70.4% and 19.7%, and only about 10% of the subjects were in normal range.

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