Deans' stroke musings: Risk factors for mortality in adult COVID-19 patients; frailty predicts fatal outcome in older patients

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Thursday, November 26, 2020

Risk factors for mortality in adult COVID-19 patients; frailty predicts fatal outcome in older patients

You are at high risk for dying if you get COVID-19, so maybe you want to check your Clinical Frailty Scale here.

I think I fall under #1.

1 Very Fit – People who are robust, active, energetic and motivated. These people commonly exercise regularly. They are among the fittest for their age

Risk factors for mortality in adult COVID-19 patients; frailty predicts fatal outcome in older patients

Tehrani S, Killander A, Åstrand P, et al

International Journal of Infectious Diseases|October 30, 2020

Researchers sought to determine the demographics, co-morbidities as well as mortality rate among hospitalized patients with verified COVID-19. Additionally, they investigated whether poor outcome in patients aged 65 years and older is better predicted by functional status, according to Clinical Frailty Scale (CFS), vs age and co-morbidities. For 60 days, 255 randomly selected hospitalized COVID-19 patients with age ranged between 20 and 103 years were observed. The three most prevalent co-morbidities were hypertension, diabetes mellitus and obesity. Significant contributors to a fatal outcome in hospitalized patients with COVID-19 were: higher age, chronic kidney disease and previous stroke. CFS was identified as the strongest prognostic factor for death in patients aged 65 years and older.

Read the full article on International Journal of Infectious Diseases.