Importance of frailty evaluation in the prediction of the prognosis of patients with chronic subdural hematoma

Geriatrics & Gerontology International
Kiyoharu ShimizuKaoru Kurisu

Abstract

The present study aimed to clarify the relationship between frailty and prognosis of patients with chronic subdural hematoma. This retrospective study involved 211 patients aged ≥65 years with chronic subdural hematoma, who underwent surgery at Higashihiroshima Medical Center, Hiroshima, Japan, between July 2011 and May 2017. The study outcome was the patient's modified Rankin Scale score at 3 months after surgery. A logistic regression analysis was carried out to analyze factors that influenced the outcome. Chronic subdural hematoma patients with frailty had a poorer prognosis than those without (median modified Rankin Scale: 4 and 2, P < 0.001; proportions of patients discharged to home: 35% and 91%, P < 0.001, respectively). After adjusting for patients' background, the patients' modified Rankin Scale scores at 3 months after surgery were found to be associated with age, controlling nutritional status score and recurrence, but not with frailty. However, receiver operating characteristic curves of the model with the Clinical Frailty Scale were more accurately correlated with prognosis than those of the model without this scale (area under the curve 0.98, 95% confidence interval 0.96-0.99; and 0.87, 95% confidence interval 0.8...Continue Reading

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Citations

Apr 27, 2020·Journal of Neurology·Ellie Edlmann, Peter C Whitfield
Jan 19, 2020·Neurosurgical Review·Julia PazniokasChristian A Bowers
Jul 1, 2020·Journal of Neurointerventional Surgery·Gary B RajahJason M Davies
Nov 22, 2020·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Nathan A ShlobinGail Rosseau

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