CONCLUSIONS: This large international prospective study found 1 in 25 stroke survivors experienced serious falls in the first year after stroke. Fractures were a common outcome of these falls, but the true post-stroke fracture rate is likely to be underestimated due to our study methods, such as the exclusion of individuals with poor premorbid mobility and the absence of data on fractures not relating to falls or leading to an inpatient hospital admission. Clear associations between older …