Correlation between frailty and carotid plaque stability in patients with ischemic stroke
10.3760/cma.j.cn115682-20231226-02822
- VernacularTitle:缺血性脑卒中患者衰弱与颈动脉斑块稳定性的相关性研究
- Author:
Shuqi SHI
1
;
Yan HE
;
Yuchun LIU
;
Tingting XU
;
Yundi YIN
;
Zhiling ZHAO
;
Haiya SUN
Author Information
1. 山东第一医科大学护理学院，济南 250117
- Keywords:
Stroke;
Ischemic stroke;
Frailty;
Unstable plaque
- From:
Chinese Journal of Modern Nursing
2024;30(14):1857-1863
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the correlation between frailty and carotid plaque stability in patients with ischemic stroke.Methods:This study was a cross-sectional study. From May to December 2023, convenience sampling was used to select 360 patients with ischemic stroke in the Department of Neurology of Affiliated Hospital of Jining Medical University and underwent carotid artery color Doppler ultrasound examination as the study subject. Patients were surveyed using the General Information Questionnaire, Barthel Index and the Edmonton Frail Scale. Carotid artery color Doppler ultrasound was used to evaluate the stability of carotid plaques in patients. Multivariate Logistic regression was used to explore the correlation between frailty and carotid plaque stability.Results:A total of 360 questionnaires were distributed, and 352 valid questionnaires were collected, with a valid response rate of 97.78%. The incidence of frailty in 352 ischemic stroke patients was 44.89% (158/352). Multivariate analysis showed that compared to stable plaques, unstable carotid plaques were an independent risk factor for frailty in patients with ischemic stroke ( OR=2.127, 95% confidence interval: 1.247-3.626) . Conclusions:Compared to stable plaques, unstable carotid plaques increase the risk of frailty in patients with ischemic stroke. Strengthening the assessment of carotid plaques in patients with ischemic stroke by nursing staff can early identify high-risk individuals for frailty, and timely carry out personalized interventions, thereby reducing the occurrence of adverse health events in patients.
