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Impact of Frailty Risk on Functional Outcome after Aneurysmal Subarachnoid Hemorrhage: A Historical Cohort Study
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- YAMAMOTO Yoshinori
- Department of Rehabilitation Medicine, Mie University Graduate School of Medicine Department of Rehabilitation, Mie University Hospital
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- USHIDA Kenta
- Department of Rehabilitation Medicine, Mie University Graduate School of Medicine Department of Rehabilitation, Mie University Hospital
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- KATO Yuki
- Department of Rehabilitation Medicine, Mie University Graduate School of Medicine Department of Rehabilitation, Mie University Hospital
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- SHIRAI Yuka
- Department of Rehabilitation Medicine, Mie University Graduate School of Medicine Clinical Nutrition Unit, Hamamatsu University hospital
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- SHIMIZU Miho
- Department of Rehabilitation, Mie University Hospital
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- HORI Shinsuke
- Department of Rehabilitation, Mie University Hospital
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- MOMOSAKI Ryo
- Department of Rehabilitation Medicine, Mie University Graduate School of Medicine Department of Rehabilitation, Mie University Hospital
Bibliographic Information
- Published
- 2024-11-15
- Resource Type
- journal article
- DOI
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- 10.2176/jns-nmc.2023-0251
- Publisher
- The Japan Neurosurgical Society
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Description
<p>We evaluated the utility of the Hospital Frailty Risk Score (HFRS) as a predictor of adverse events post-hospitalization in a retrospective analysis of patients undergoing neurosurgical procedures due to aneurysmal subarachnoid hemorrhage (SAH). This historical cohort study analyzed the data of patients hospitalized with aneurysmal SAH (n = 1,343) between April 2014 and August 2020 who were registered in the JMDC database. We used HFRS to classify the patients into the low-frailty risk group (HFRS < 5) and high-frailty risk group (HFRS ≥ 5). The primary outcome was a modified Rankin Scale (mRS) score of 0-2 points at discharge. Of 1,343 patients, 1,001 (74.5%) and 342 (25.5%) were in the low- and high-frailty risk groups, respectively. A high-frailty risk was negatively associated with a mRS score of 0-2 at discharge (high-frailty risk group: odds ratio 0.4; 95% confidence interval [CI]: 0.3-0.6) and home discharge (high-frailty risk group: odds ratio 0.5; 95% CI: 0.4-0.7). A high-frailty risk was negatively associated with Barthel Index gain (high-frailty risk group: coefficient −10.4, 95% CI: −14.7 to −6.2) and had a longer length of stay (high-frailty risk group: coefficient 8.4, 95% CI: 5.1-11.7). HFRS could predict adverse outcomes during hospitalization of aneurysmal SAH patients.</p>
Journal
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- Neurologia medico-chirurgica
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Neurologia medico-chirurgica 64 (11), 409-417, 2024-11-15
The Japan Neurosurgical Society
