Deans' stroke musings: Prevalence of frailty among older patients with acute ischemic stroke and its association with short-term functional outcome: a cohort study in Vietnam

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.

Friday, June 27, 2025

Prevalence of frailty among older patients with acute ischemic stroke and its association with short-term functional outcome: a cohort study in Vietnam

Frailty pre stroke IS NOT A VALID EXCUSE in not getting these patients to 100% recovery! You're grasping at straws, get the hell out of stroke and let smarter people solve stroke.
Prevalence of frailty among older patients with acute ischemic stroke and its association with short-term functional outcome: a cohort study in Vietnam

BMC Geriatrics volume 25, Article number: 430 (2025) Cite this article

Abstract

Background

Among older adults with acute illnesses, frailty is common and strongly associated with poorer prognosis. This study aimed to investigate the prevalence of pre-stroke frailty and its association with short-term functional outcomes in older patients with acute ischemic stroke (AIS).

Methods

We included consecutive AIS patients aged ≥ 60 years admitted to a hospital in Vietnam. Pre-stroke frailty was assessed using the modified Short Emergency Geriatric Assessment (mSEGA) frailty scale (score 0–8: not frail; score 9–11: frail; score 12–26: very frail). Short-term functional outcomes were evaluated using the modified Rankin Scale (mRS) at 30 days based on follow-up clinical assessments and interviews, with poor outcomes defined as mRS ≥ 3. The association between pre-stroke frailty and stroke outcomes was assessed using multivariable logistic regression analysis.

Results

A total of 304 participants (61.5% with mild and 38.5% with moderate stroke) were included, with a mean age of 78.0 ± 8.5 years, and 57.6% were female. The prevalence of pre-stroke frailty and very frailty was 30.6% and 32.2%, respectively. Multivariable logistic regression analysis demonstrated that pre-stroke very frail status remained an independent predictor of poor functional outcomes at 30 days, with an adjusted odds ratio (OR) of 3.29 (95% CI: 1.45–7.46, p = 0.004), after adjustment for age, sex, baseline NIHSS, and treatment strategy.

Conclusions

This study revealed a high prevalence of pre-stroke frailty among older patients with AIS in Vietnam. Pre-stroke very frail status was significantly associated with an increased risk of poor functional outcomes in this population.(The goal in stroke is 100% recovery for all, you leave NO survivor behind!