Clinical Report: The Frequency of Cognitive Frailty Among Elderly Stroke Patients in China
Overview
This systematic review and meta-analysis evaluates the prevalence of cognitive frailty (CF) among older adults with stroke in China, revealing a pooled prevalence of 33%. Factors such as age, alcohol consumption, malnutrition, and depression significantly influence CF prevalence.
Background
Cognitive frailty is a critical syndrome that combines physical frailty and mild cognitive impairment, particularly relevant in the context of stroke recovery. As the aging population in China grows, understanding CF's prevalence and associated factors is essential.
Data Highlights
Characteristic
Prevalence
Overall CF Prevalence
33% (95% CI: 28–39%)
CF in Patients ≥80 years
Higher than 60–79 years (p < 0.05)
CF in Alcohol Consumers
Higher than Non-consumers (p < 0.05)
CF in Malnutrition
47% (95% CI: 34–60%)
CF in Depression
62% (95% CI: 53–71%)
Key Findings
The pooled prevalence of cognitive frailty among older adults with stroke in China is 33%.
Patients aged ≥80 years show a significantly higher prevalence of cognitive frailty compared to those aged 60–79 years.
Alcohol consumption is associated with a higher prevalence of cognitive frailty.
Malnutrition and depression are linked to particularly high prevalence rates of cognitive frailty at 47% and 62%, respectively.
There is a need for larger studies to confirm these findings due to the limited evidence base and high heterogeneity.
Clinical Implications
Clinicians should be aware of the prevalence of cognitive frailty in older stroke patients, particularly among those with malnutrition and depression.
Conclusion
The findings indicate the prevalence of cognitive frailty among older stroke patients in China.
