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Differences in fracture incidence according to caregiver type in stroke survivors

 Juyeong Kim  ;  Kyoung Hee Cho  ;  Sang Gyu Lee  ;  Ye Seol Lee  ;  Sung-In Jang  ;  Eun-Cheol Park 
 Journal of Stroke and Cerebrovascular Diseases, Vol.27(10) : 2849-2856, 2018 
Journal Title
 Journal of Stroke and Cerebrovascular Diseases 
Issue Date
Primary caregiver ; fracture ; postdischarge ; stroke ; stroke survivor
BACKGROUND: To assess whether the type of primary caregiver is a risk factor of the incidence of fracture among older adults who have survived a stroke. METHODS: Data from 4282 stroke survivors in the National Health Insurance Service-Senior Cohort (2002-2013) were used in this study. We categorized type of primary caregiver as none, spouse/family caregiver, and formal caregiver. The incidence of fracture within the year postdischarge was used as the outcome variable. These data were subjected to a survival analysis using the Cox proportional hazard model. RESULTS: Of the 4282 stroke survivors, 308 (7.2%) experienced a fracture during the 1-year follow-up period. According to type of primary caregiver, the adjusted hazard ratio (HR) of fracture was lower among those whose caregiver was a spouse (HR = .68, 95% confidence interval [CI], .48-.96] and those with a formal caregiver (HR = .59, 95% CI, .36-.97) compared to stroke survivors with no caregiver. In particular, those with a family or formal caregiver who were being cared for in nursing facilities were less likely to be associated with fracture than those with no caregiver. CONCLUSIONS: The adjusted HR of fracture among stroke survivors was lower among those with primary caregivers compared to those without them. Thus, the government should monitor and allocate the appropriate attention to stroke survivors after discharge in order to ensure that they obtain the needed health care, especially for stroke survivors who are without a primary caregiver.
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1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
Lee, Sang Gyu(이상규) ORCID logo https://orcid.org/0000-0003-4847-2421
Jang, Sung In(장성인) ORCID logo https://orcid.org/0000-0002-0760-2878
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