We use cookies to ensure that we give you the best experience on our website Learn more

May 8, 2018

Europe Stroke Organisation Conference

IMPACT OF PREMORBID FRAILTY ON STROKE OUTCOMES

;

Sivakumar, R.;

Saksena, R.

frailty

stroke outcome

stroke in frail

Abstract

Abstract

thumbnail

Keywords

frailty

stroke outcome

stroke in frail

Abstract

Impact of premorbid Frailty on stroke outcomes R. Sivakumar1, R. Saksena1. 1Colchester General Hospital, Stroke unit, Colchester, United Kingdom. Background and Aims Frailty amongst stroke patients is increasing and is associated with poorer outcomes. We sought to evaluate the impact of frailty on stroke outcomes in our population which has higher frailty rates than the national average. Method Design: Prospective cohort analysis. Stroke subjects admitted over a 4 year period in a district general hospital in UK were included. Data collected prospectively of all patients with stroke was used for analysis. Frailty was defined as pre-stroke modified Rankin score of 3 and above (3-5) Results Frail patients present with slightly higher severity of stroke, and are slightly less likely to receive thrombolysis. They have a much higher incidence of stroke related complications such as pneumonia, and Urinary tract infections. They are more likely to be placed on palliative care. There is a higher likelihood of death and new institutionalisation. Key results are presented in Table 1. Table Premorbid Rankin score of 3-5 association with increased mortality was retained(Odds ratio: 1.5934(1.1978 to 2.1196) when corrected for other covariates such as stroke type, NIHSS, age, gender, history of Atrial Fibrillation, heart failure, Diabetes. So was the association for UTI, palliative care on discharge and new institutionalisation. Conclusion Frail patients present with slightly higher severity of stroke, slightly less likely to receive thrombolysis, have a much higher incidence of stroke related complications including death and higher likelihood of new institutionalisation. By being aware of the association with pre-stroke frailty and poor outcomes, clinicians can improve outcomes by augmenting evidence based care provision for frail patients

Discover over 20,000 new abstracts, posters and presentations from leading academic conferences every month. Stay on top of the latest findings, methodologies and discussions happening in your research field around the world.

Company

Legal

Follow us

© Copyright 2019 Morressier GmbH. All rights reserved.

© Copyright 2019 Morressier GmbH.
All rights reserved.