The FRAX® tool has been developed to evaluate fracture risk of patients. But it does not include falls which are a well established clinical risk factor for fracture. Also, previous studies have suggested an up to 4-fold increase in the risk of fractures in those with stroke compared to healthy controls.
So, is FRAX tool really useful & necessary for "Stroke survivors" to computes the 10-year probability of fractures ?
From;
JAMA Neurol. doi:10.1001/jamaneurol.2019.1114
"The best validated and most commonly used score is the World Health Organization Fracture Risk(FRAX) score. However, the FRAX score was derived in a general community population, does not take into account unique stroke-related predictors, and has not been validated in a population of stroke survivors. "
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