Your competent? doctor has had years to come up with a protocol to prevent frailty post stroke.
Did that occur? NO? So, you don't have a functioning stroke doctor or hospital, do you? RUN AWAY!
Did this trigger your incompetent? hospital to create a a 24 hour coffee station?
The latest here:
A narrative review of interventions for post-stroke frailty: current advances and future directions
Xiaowen Fan
Yi Xia2- 1Department of Breast Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China
- 2School of Nursing, Nanchang University, Nanchang, Jiangxi, China
Frailty affects the health outcomes of stroke patients. Timely identification of the progression of frailty in stroke patients and intervention play a crucial role in prognosis. This article reviews domestic and international literature on frailty interventions for stroke patients, focusing on the definition of stroke combined with frailty, frailty staging, and the effects of exercise, nutritional, cognitive, and psychosocial interventions, and medication management on the prognosis of stroke. The aim is to provide a reference for improving the prognosis of stroke patients with frailty.
1 Introduction
Stroke, commonly known as cerebrovascular accident, refers to a group of brain diseases caused by circulatory disorders leading to sudden localized or diffuse neurological deficits (1). Stroke has become the second leading cause of mortality in rural residents and the third in urban residents in China. In China, there are over 2 million new stroke cases annually, with the highest disability-adjusted life years (DALYs) among all diseases (2). Research indicates that stroke accelerates the progression of frailty, which in turn significantly impacts health outcomes in stroke patients. Frailty is linked to stroke severity, cognitive function, morbidity and mortality (3).
Frailty is defined as a nonspecific pathological state in older adults, characterized by a decline in physiological functional reserve, elevates bodily vulnerability and diminishes stress resistance. Which can lead to multisystem pathophysiological alterations (4). Moreover, frailty is a subnormal state in older adults between health and disease, which is not only a common clinical state after stroke, but also increases the risk of adverse health events such as falls, incapacitation, cognitive impairment and disability. Frailty is an important determinant of poor recovery after stroke (5).
Stroke patients presenting with symptoms such as reduced body mass, reduced grip strength, and slowed gait and meeting the diagnostic criteria for frailty is stroke combined with frailty (3), and it often leads to the occurrence of a range of adverse health outcomes such as prolonged hospitalization and reduced physical functioning (5, 6). According to Fried’s frailty phenotype, older adults can be classified into three frailty stages: robust, pre-frailty, and frailty (4). Among stroke patients, the prevalence of pre-frailty and frailty is 49 and 22%, respectively (7). For stroke patients with frailty, active interventions and long-term follow-up are critical to improving recovery outcomes, alleviating healthcare burdens, and reducing mortality. In recent years, the number of articles about frailty at home and abroad has been fluctuating, and exercise, nutrition, cognitive and psychosocial interventions for patients with frailty have become the hotspots of many scholars’ attention, and certain research results have been achieved. This article aims to synthesize existing research on the impact of interventions targeting frail patients with stroke, drawing from both domestic and international studies, with the objective of providing valuable insights to improve clinical outcomes and prognosis for stroke patients complicated by frailty.
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