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Prevalence and outcome of pre-onset frailty in patients with acute stroke.
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![loading](/sites/all/modules/hf_eds/images/loading.gif)
- Author(s): Iwasawa, Tatsuya; Aoyagi, Yoichiro; Suda, Satoshi; Ishiyama, Daisuke; Toi, Kennosuke; Ohashi, Miho; Kimura, Kazumi
- Source:
Topics in Stroke Rehabilitation; Jul2024, Vol. 31 Issue 5, p493-500, 8p- Subject Terms:
STROKE prognosis; ACUTE diseases; BODY mass index; RESEARCH funding; HYPERLIPIDEMIA; FRAIL elderly; DISABILITY evaluation; SEX distribution; LOGISTIC regression analysis; FUNCTIONAL status; DISCHARGE planning; AGE distribution; DESCRIPTIVE statistics; MANN Whitney U Test; CHI-squared test; MULTIVARIATE analysis; LONGITUDINAL method; ODDS ratio; ATRIAL fibrillation; QUALITY of life; STROKE patients; HEALTH outcome assessment; DATA analysis software; CONFIDENCE intervals; PSYCHOSOCIAL factors - Source:
- Additional Information
- Subject Terms:
- Abstract: Frailty in older individuals is an underappreciated condition that affects the incidence and/or prognosis of stroke. We evaluated the prevalence of pre-onset frailty in patients with acute first-onset and recurrent strokes and association between pre-onset frailty and functional disability at hospital discharge. This prospective cohort study included 210 acute stroke patients admitted to the Stroke Unit of Nippon Medical School Hospital during November 2021–June 2022. The mean participant age was 79.2 ± 7.4 years. Age, sex, pre-onset frailty, body mass index (BMI), stroke type, medical history, and National Institutes of Health Stroke Scale (NIHSS) score at admission were evaluated. Frailty was defined as a clinical frailty scale (CFS) score ≥ 5. Frailty prevalence was calculated for all patients, and scores of functional disabilities at discharge were evaluated using modified Rankin scale. Overall frailty prevalence was 31% in all stroke patients, with 24% and 47% of first-onset and recurrent strokes, respectively. Pre-onset frailty, NIHSS score at admission, age, stroke type, previous stroke, sex, BMI, dyslipidemia, and atrial fibrillation were significantly associated with functional disability at discharge. Logistic regression analysis revealed that CFS score, NIHSS score at admission, and previous stroke were independent predictors of functional disability at discharge. Approximately one-fourth of patients with first-onset stroke had pre-onset frailty; the rate doubled in recurrent stroke; these rates appear to be much larger than rate in healthy individuals. Pre-onset frailty, a negative independent factor affecting functional disability at discharge, is important for pre-onset frailty evaluation and rehabilitation intervention in acute stroke patients. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Topics in Stroke Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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