Hip fracture after stroke in the elderly: Trends in the beginning of the 21st century and projections into the future in australia
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Fisher, Alex; Martin, Jodie; Srikusalanukul, Wichat; Smith, Paul
Description
AIMS: To estimate age- and sex-specific incidence rates and time trends of post-stroke hip fracture (HF) in the Australian Capital Territory (ACT) and to present projections of future post-stroke HF incidence in Australia until 2051.METHODS: Analysis of annual age- and sex-specific standardized (to 2006 Australian population) post-stroke HF incidence rates in older stroke survi-vors (aged ≥60 years) over an 11 year period (between 1999/2000 and 2009/2010). Projections of number of post-stroke...[Show more]
dc.contributor.author | Fisher, Alex | |
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dc.contributor.author | Martin, Jodie | |
dc.contributor.author | Srikusalanukul, Wichat | |
dc.contributor.author | Smith, Paul | |
dc.date.accessioned | 2015-12-10T23:04:11Z | |
dc.identifier.issn | 1179-5530 | |
dc.identifier.uri | http://hdl.handle.net/1885/62257 | |
dc.description.abstract | AIMS: To estimate age- and sex-specific incidence rates and time trends of post-stroke hip fracture (HF) in the Australian Capital Territory (ACT) and to present projections of future post-stroke HF incidence in Australia until 2051.METHODS: Analysis of annual age- and sex-specific standardized (to 2006 Australian population) post-stroke HF incidence rates in older stroke survi-vors (aged ≥60 years) over an 11 year period (between 1999/2000 and 2009/2010). Projections of number of post-stroke HF in 2021 and 2051 are based on demographic predictors obtained from the Australian Bureau of Statistics.RESULTS: Over the study period among 1784 stroke survivors HF was recorded in 61 (3.42%) subjects (40 women and 21 men), indicating a HF incidence rate of 6.31 per 1000 stroke person-years. The standardized annual post-stroke HF incidence rate (per 100,000 person-years) in women was 1.7 times higher than in men (18.9 vs. 11.1 per, p = 0.008), and in the oldest group (>80 years) compared to aged 60-69 years was 10 times higher for women (47.54 vs. 4.73) and 4 times higher for men (26.65 vs. 6.50). Post-stroke HF occurred on average within the first 2.3 years, about 2 times more often in women aged ≥75 years (p = 0.033) and in survivors after an ischaemic stroke (p = 0.052), but age per se did not affect the time to HF. During the 11-year period the incidence rates of post-stroke HF decreased annually in total by 17.9%.CONCLUSIONS: Post-stroke HF is relatively common, prevalent in women and occurs on average within 2.3 years after the stroke. The incidence of post-stroke HF in elderly people is decreasing. However, because of population ageing and increasing number of stroke survivors, the absolute number of post-stroke patients sustaining a HF and their proportion among the total HF population could be expected to increase. | |
dc.publisher | Libertas Academica Ltd. | |
dc.source | Clinical Medicine Insights: Geriatrics | |
dc.title | Hip fracture after stroke in the elderly: Trends in the beginning of the 21st century and projections into the future in australia | |
dc.type | Journal article | |
local.description.notes | Imported from ARIES | |
local.identifier.citationvolume | 7 | |
dc.date.issued | 2014 | |
local.identifier.absfor | 110399 - Clinical Sciences not elsewhere classified | |
local.identifier.absfor | 111717 - Primary Health Care | |
local.identifier.ariespublication | U3488905xPUB681 | |
local.type.status | Published Version | |
local.contributor.affiliation | Fisher, Alex, College of Medicine, Biology and Environment, ANU | |
local.contributor.affiliation | Martin, Jodie, College of Medicine, Biology and Environment, ANU | |
local.contributor.affiliation | Srikusalanukul, Wichat, Canberra Hospital | |
local.contributor.affiliation | Smith, Paul, College of Medicine, Biology and Environment, ANU | |
local.bibliographicCitation.startpage | 1 | |
local.bibliographicCitation.lastpage | 14 | |
local.identifier.doi | 10.4137/CMGer.S13572 | |
dc.date.updated | 2015-12-10T08:42:48Z | |
local.identifier.scopusID | 2-s2.0-84897869917 | |
dcterms.accessRights | Open Access | |
dcterms.license | The Clinical Medicine Insights: Geriatrics content is copyright SAGE Publications and licensed under a [http://creativecommons.org/licenses/by-nc-nd/3.0/ Creative C\ ommons Attribution-Noncommercial-No Derivative Works 3.0 United States License].https://www.clockss.org/clockss/Clinical_Medicine_Insights:_Geriatrics | |
dcterms.provenance | This journal has now been triggered from the CLOCKSS Archive. In keeping with its unique mandate, CLOCKSS is proud to offer continuing and public access to volumes 1,3-4 & 6-10 of the Clinical Medicine Insights: Geriatrics.https://www.clockss.org/clockss/Clinical_Medicine_Insights:_Geriatrics | |
dcterms.provenance | This journal has now been triggered from the CLOCKSS Archive. In keeping with its unique mandate, CLOCKSS is proud to offer continuing and public access to volumes 1,3-4 & 6-10 of the Clinical Medicine Insights: Geriatrics.- https://www.clockss.org/clockss/Clinical_Medicine_Insights:_Geriatrics | |
Collections | ANU Research Publications |
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