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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Differences in Fracture Incidence According to Caregiver Type in Stroke Survivors
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Differences in Fracture Incidence According to Caregiver Type in Stroke Survivors

机译：裂缝发病率的差异根据护腿幸存者中的照相者类型

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BackgroundTo assess whether the type of primary caregiver is a risk factor of the incidence of fracture among older adults who have survived a stroke. MethodsData 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. ResultsOf 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. ConclusionsThe 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.
机译：背景评估主要护理者的类型是否是中风后存活的老年人骨折发生率的风险因素。方法本研究采用国家医疗保险服务高级队列（2002-2013）中4282名中风幸存者的数据。我们将主要照料者分为无照料者、配偶/家庭照料者和正式照料者。出院后一年内骨折的发生率被用作结果变量。使用Cox比例风险模型对这些数据进行生存分析。结果4282名中风幸存者中，308名（7.2%）在1年的随访期间发生骨折。根据主要照料者的类型，与没有照料者的中风幸存者相比，由配偶照料者（HR？=0.68，95%置信区间[CI]，.48-.96]和有正式照料者（HR？=0.59，95%置信区间[CI]，.36-.97]）的患者骨折的调整后危险比（HR）较低。尤其是，那些有家庭或正式护理人员在护理机构接受护理的人，比那些没有护理人员的人更不可能发生骨折。结论有主要照料者的脑卒中幸存者骨折校正HR低于无照料者。因此，政府应在出院后对中风幸存者进行监测并给予适当关注，以确保他们获得所需的医疗保健，尤其是对于没有主要护理者的中风幸存者。

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