Articles Vol. 65 No. CĐ10 - Bệnh viện Thống Nhất 30/10/2024

29. CHARACTERISTICS OF FRAILTY IN ELDERLY ACUTE ISCHEMIC STROKE PATIENT TREATED WITH ENDOVASCULAR REVASCULARIZATION

Trang Mong Hai Yen1,2, Huynh Quoc Duc1,2, Le Dinh Thanh1,2
1 Thong Nhat Hospital
2 Bệnh viện Thống Nhất
Corresponding author: trangmonghaiyen@gmail.com
DOI: 10.52163/yhc.v65iCD10.1616
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Keywords
CFS IADL ADL Frailty Elderly acute ischemic stroke
Abstract

Objective: This study aimed to characterize frailty in elderly patients who have acute ischemic stroke (AIS) treated with endovascular revascularization.

Patients and methods: A prospective research analyses elderly AIS patients who was treated with endovascular revascularization patients from April 2023 to December 2023, in 108 Military Hospital.

Results: The rate of patients < 75 years old are 81.7%; and 68.3% of patients are male; 29.3% of patients have university degree or higher. Lifestyle: 42.7% of patients use alcohol currently; 23.2% of patients have smoking habit. Marital status: 97.6% of patients are married. The Mean of ADL is 5.4 score, IADL is 7.0 score, number of diseases is 1.63 score, Frailty is 3.7 score. Age group < 75 years old has CFS mean is 3.5 score and age group > 75 years old has CFS mean is 4.3 score (p = 0.011). Patients who have a habit of using alcohol have higher frailty scores than patients who have quit using alcohol or never use alcohol (p = 0.012). Patients who have a habit of smoking have higher frailty scores than patients who have quit smoking or never smoke (p = 0.09). There’s a statistically significant difference in CFS score among the age groups of patients (p = 0.003). As age increases, CFS score increases. There’s statistically significant difference in CFS score with patient’s IADL (instrumental activities of daily living) (p = 0.01). As IADL decreases, CFS score increases. There’s a statistically significant difference in CFS score with patient’s ADL (p < 0.001). As ADL decreases, CFS score increases.

Conclusion: the older patients, the higher risk of frailty. There is a statistically significant relationship between age group, smoking habits and alcohol use with frailty scores. We also used linear regression to statistic and the results showed that as age increased, frailty increased; as IADL and ADL decrease, CFS increases.

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