{"id":14521,"date":"2019-05-28T08:00:45","date_gmt":"2019-05-28T13:00:45","guid":{"rendered":"http:\/\/www.paristn.net\/articles\/?p=14521"},"modified":"2019-05-27T11:00:19","modified_gmt":"2019-05-27T16:00:19","slug":"american-heart-association-says-many-stroke-patients-not-screened-for-osteoporosis-despite-known-risks","status":"publish","type":"post","link":"https:\/\/www.paristn.net\/articles\/2019\/05\/28\/american-heart-association-says-many-stroke-patients-not-screened-for-osteoporosis-despite-known-risks\/","title":{"rendered":"American Heart Association says Many Stroke Patients not screened for Osteoporosis, despite known risks"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-56563\" title=\"American Heart Association\" src=\"http:\/\/www.clarksvilleonline.com\/wp-content\/uploads\/2010\/12\/American-Heart-Association-new-logo-480x230.jpg\" alt=\"American Heart Association\" width=\"240\" height=\"115\"><strong>Dallas, TX<\/strong> &#8211; The majority of <a href=\"https:\/\/www.strokeassociation.org\/en\/about-stroke\/types-of-stroke\/hemorrhagic-strokes-bleeds\"  target=\"_blank\" rel=\"noopener noreferrer\">stroke<\/a> survivors are not screened or treated for osteoporosis, broken bones, or fall risk \u2014 despite stroke being a risk factor for these conditions. The risk is up to four times greater than in healthy people, according to new research in the American Heart Association\u2019s journal <em>Stroke.<\/em><\/p>\n<p>Stroke survivors often face reduced mobility \u2014 a trait that decreases bone mineral density and increases risk for bone breaks.<\/p>\n<div id=\"attachment_427317\" style=\"width: 490px\" class=\"wp-caption aligncenter\"><a target=\"_blank\" href=\"http:\/\/www.clarksvilleonline.com\/wp-content\/uploads\/2018\/06\/Head-and-brain-illustration.jpg\"  class=\"thickbox no_icon\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-427317\" class=\"wp-image-427317 size-medium\" title=\"Many stroke survivors have an increased risk of osteoporosis, falls or breaks when compared to healthy people. (American Heart Association)\" src=\"http:\/\/www.clarksvilleonline.com\/wp-content\/uploads\/2018\/06\/Head-and-brain-illustration-480x270.jpg\" alt=\"Many stroke survivors have an increased risk of osteoporosis, falls or breaks when compared to healthy people. (American Heart Association)\" width=\"480\" height=\"270\"><\/a><p id=\"caption-attachment-427317\" class=\"wp-caption-text\">Many stroke survivors have an increased risk of osteoporosis, falls or breaks when compared to healthy people. (American Heart Association)<\/p><\/div>\n<p><!--more--><\/p>\n<p>Less than one-third of older women living in the United States are screened for osteoporosis and the treatment rate for some high-risk patients tops out at 30 percent.<\/p>\n<p>\u201cOur study adds to previous research that found despite an increased risk, only a small number of people who have recently had a stroke are tested and treated for osteoporosis,\u201d said Moira Kapral, M.D., M.Sc., FRCPC, lead author of the study and professor of medicine <a target=\"_blank\" href=\"http:\/\/www.clarksvilleonline.com\/?p=453950&amp;preview=true\" id=\"post-preview\" class=\"preview button\"  target=\"wp-preview-453950\" rel=\"noopener noreferrer\"><\/a>and director of the division of general internal medicine at the University of Toronto in Canada.<\/p>\n<p>Researchers identified stroke survivors age 65 and older who either had visited the emergency department or had been hospitalized for strokes (<a href=\"https:\/\/www.strokeassociation.org\/en\/about-stroke\/types-of-stroke\/ischemic-stroke-clots\"  target=\"_blank\" rel=\"noopener noreferrer\">ischemic<\/a> or <a href=\"https:\/\/www.strokeassociation.org\/en\/about-stroke\/types-of-stroke\/hemorrhagic-strokes-bleeds\"  target=\"_blank\" rel=\"noopener noreferrer\">intracerebral hemorrhage<\/a>) between July 1st, 2003 and March 31st, 2013 at 11 regional stroke centers throughout Ontario, Canada from the Ontario Stroke Registry. Using administrative databases allowed researchers to link the registry with information about bone mineral density testing, prescription medications and deaths.<\/p>\n<h3>Of the 16,581 stroke survivors included in the study, only:<\/h3>\n<ul>\n<li>5.1 percent had bone mineral density testing;<\/li>\n<li>15.5 percent were prescribed medications for osteoporosis within one year after stroke; and<\/li>\n<li>a small percentage of stroke survivors were prescribed medications for osteoporosis for the first time.<\/li>\n<\/ul>\n<p>The study also found that, while overall screening and treatment for osteoporosis and related conditions was low, certain stroke survivors were more likely to have bone mineral density testing. These people tended to be younger, female and to have had low-trauma fractures in the year after their stroke. Patients were more likely to be prescribed medications for osteoporosis post-stroke if they were female, already had osteoporosis, had previously broken bones, had previously had bone mineral density testing and had fallen or broken bones after their stroke.<\/p>\n<p>[320right]\u201cThis study offers more evidence that there is a missed opportunity to identify people with stroke at increased risk of fractures, and to initiate treatment to prevent bone loss and fractures,\u201d Kapral said.<\/p>\n<p>Co-authors are Eshita Kapoor, H.B.Sc.; Peter C. Austin, Ph.D.; Shabbir M. H. Alibhai, M.D., M.Sc.; Angela Cheung, M.D., Ph.D.; Peter Cram, M.D., M.B.A.; Leanna K. Casaubon, M.D., M.Sc.; Jiming Fang, Ph.D.; Joan Porter, M.Sc.; Eric E. Smith, M.D., Ph.D.; Marla Prager, M.D.; and Moira K. Kapral, M.D., M.Sc. Author disclosures are on the manuscript.<\/p>\n<p>The Heart and Stroke Foundation of Canada funded the study.<\/p>\n<p><strong>Additional Resources:<\/strong><\/p>\n<ul>\n<li>View the <a href=\"https:\/\/www.ahajournals.org\/doi\/10.1161\/STROKEAHA.118.024685\"  target=\"_blank\" rel=\"noopener noreferrer\">manuscript<\/a> online.<\/li>\n<li><a href=\"http:\/\/newsroom.heart.org\/news\/accaha-guidance-for-preventing-heart-disease-stroke-released\"  target=\"_blank\" rel=\"noopener noreferrer\">ACC\/AHA Guidance for Preventing Heart Disease, Stroke Released<\/a><\/li>\n<li><a href=\"https:\/\/www.strokeassociation.org\/\"  target=\"_blank\" rel=\"noopener noreferrer\">strokeassociation.org\/<\/a>&nbsp;<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Dallas, TX &#8211; The majority of stroke survivors are not screened or treated for osteoporosis, broken bones, or fall risk \u2014 despite stroke being a risk factor for these conditions. The risk is up to four times greater than in healthy people, according to new research in the American Heart Association\u2019s journal Stroke. Stroke survivors [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[86],"tags":[2538,4030,3761,2543],"class_list":["post-14521","post","type-post","status-publish","format-standard","hentry","category-health","tag-american-heart-association","tag-dallas-tx","tag-osteoporosis","tag-stroke"],"_links":{"self":[{"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/posts\/14521","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/comments?post=14521"}],"version-history":[{"count":1,"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/posts\/14521\/revisions"}],"predecessor-version":[{"id":14522,"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/posts\/14521\/revisions\/14522"}],"wp:attachment":[{"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/media?parent=14521"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/categories?post=14521"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/tags?post=14521"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}