Evidence map›Paper›PMID 34069797›Full record

ArticleJournal of clinical medicine2021

Analysis of Frailty in Geriatric Patients as a Prognostic Factor in Endovascular Treated Patients with Large Vessel Occlusion Strokes.

Marlena Schnieder, Mathias Bähr, Mareike Kirsch, Ilko Maier, Daniel Behme, Christian Heiner Riedel, Marios-Nikos Psychogios, Alex Brehm, Jan Liman, Christine A F von Arnim

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Review
  8. Article
  9. Review
  10. Frailty and stroke: Global implications for assessment, research, and clinical care-A WSO scientific statement.International journal of stroke : official journal of the International Stroke Society · 2025
    Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Observational
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Marlena SchniederDepartment of Neurology, University Medical Center Göttingen, 37073 Göttingen, Germany.ORCID 0000-0001-6966-8613
Mathias BährDepartment of Neurology, University Medical Center Göttingen, 37073 Göttingen, Germany.
Mareike KirschDepartment of Geriatrics, University Medical Center Göttingen, 37073 Göttingen, Germany.
Ilko MaierDepartment of Neurology, University Medical Center Göttingen, 37073 Göttingen, Germany.
Daniel BehmeDepartment of Neuroradiology, University Hospital of Magdeburg, 39120 Magdeburg, Germany.
Christian Heiner RiedelDepartment of Neuroradiology, University Medical Center Göttingen, 37073 Göttingen, Germany.
Marios-Nikos PsychogiosDepartment of Interventional and Diagnostical Neuroradiology, Clinic for Radiology and Nuclearmedicine, University Hospital Basel, 4031 Basel, Switzerland.
Alex BrehmDepartment of Interventional and Diagnostical Neuroradiology, Clinic for Radiology and Nuclearmedicine, University Hospital Basel, 4031 Basel, Switzerland.ORCID 0000-0002-1630-6210
Jan LimanDepartment of Neurology, University Medical Center Göttingen, 37073 Göttingen, Germany.ORCID 0000-0002-7465-9655
Christine A F von ArnimDepartment of Geriatrics, University Medical Center Göttingen, 37073 Göttingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Frailty is associated with an increased risk of adverse health-care outcomes in elderly patients. The Hospital Frailty Risk Score (HFRS) has been developed and proven to be capable of identifying patients which are at high risk of adverse outcomes. We aimed to investigate whether frail patients also face adverse outcomes after experiencing an endovascular treated large vessel occlusion stroke (LVOS). In this retrospective observational cohort study, we analyzed patients ≥ 65 years that were admitted during 2015-2019 with LVOS and endovascular treatment. Primary outcomes were mortality and the modified Rankin Scale (mRS) after three months. Regression models were used to determine the impact of frailty. A total of 318 patients were included in the cohort. The median HFRS was 1.6 (IQR 4.8). A total of 238 (75.1%) patients fulfilled the criteria for a low-frailty risk with a HFRS < 5.72 (22.7%) for moderate-frailty risk with an HFRS from 5-15 and 7 (2.2%) patients for a high-frailty risk. Multivariate regression analyses revealed that the HFRS was associated with an increased mortality after 90 days (CI (95%) 1.001 to 1.236; OR 1.112) and a worse mRS (CI (95%) 1.004 to 1.270; OR 1.129). We identified frailty as an impact factor on functional outcome and mortality in patients undergoing thrombectomy in LVOS.

Indexed as

elderly patientsfrailtyhospital frailty risk scoremechanical thrombectomystroke

Identifiers

PMID34069797
PMCPMC8157268

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.