Objective To provide a reference for the selection of frailty assessment tools for stroke patients by conducting a literature review of existing frailty assessment tools for stroke patients.Methods Systematic searches were conducted in PubMed,Web of Science,EMbase,SinoMed,Wanfang,VIP,and China National Knowledge Infrastructure(CNKI)databases from their inception to May 2023.The literature that met the research purpose and question were screened,and the basic in-formation of each article,including the first author,publication year,country of publication,type of research design,name of the assessment tool,dimensions of scale,the number of items,and assess-ment time,was extracted.Results A total of 1,729 articles were retrieved in this study.After multi-ple screenings,22 articles(including 8 frailty assessment tools)were ultimately included.The analy-sis results showed that the evaluation indicators,evaluation time,and evaluation methods of the 8 frail-ty assessment tools were different and had their own advantages and disadvantages.Among them,the frailty index was the most commonly used frailty assessment tool for stroke patients.The selection of ef-fective frailty assessment tools for stroke patients is essential for strengthening prestroke risk stratifica-tion and improving poststroke outcomes.Conclusion There are significant differences among different frailty assessment tools,and existing assessment tools have limitations in measuring frailty in stroke pa-tients.Comprehensive assessments should be conducted in combination with clinicians'experience and judgment.New frailty assessment tools are needed in future research to better guide the rehabilitation treatment and management of stroke patients.

Objective To provide a reference for the selection of frailty assessment tools for stroke patients by conducting a literature review of existing frailty assessment tools for stroke patients.Methods Systematic searches were conducted in PubMed,Web of Science,EMbase,SinoMed,Wanfang,VIP,and China National Knowledge Infrastructure(CNKI)databases from their inception to May 2023.The literature that met the research purpose and question were screened,and the basic in-formation of each article,including the first author,publication year,country of publication,type of research design,name of the assessment tool,dimensions of scale,the number of items,and assess-ment time,was extracted.Results A total of 1,729 articles were retrieved in this study.After multi-ple screenings,22 articles(including 8 frailty assessment tools)were ultimately included.The analy-sis results showed that the evaluation indicators,evaluation time,and evaluation methods of the 8 frail-ty assessment tools were different and had their own advantages and disadvantages.Among them,the frailty index was the most commonly used frailty assessment tool for stroke patients.The selection of ef-fective frailty assessment tools for stroke patients is essential for strengthening prestroke risk stratifica-tion and improving poststroke outcomes.Conclusion There are significant differences among different frailty assessment tools,and existing assessment tools have limitations in measuring frailty in stroke pa-tients.Comprehensive assessments should be conducted in combination with clinicians'experience and judgment.New frailty assessment tools are needed in future research to better guide the rehabilitation treatment and management of stroke patients.

Objective:To investigate the efficacy of functional endoscopic sinus surgery（FESS） in the treatment of olfactory dysfunction in patients with chronic rhinosinusitis with nasal polyps （CRSwNP） , at the same time, it provides an evidence for the prognosis evaluation of olfaction and the clinical application of oERPs to evaluate the plasticity of olfaction cortex. Methods:From October 2021 to October 2022, 45 patients with CRSwNP who underwent FESS nine-step standardized treatment in our department were recruited as the research subjects, divided into 22 patients with eosinophilic CRSwNP（ECRS）and 23 patients with non-eosinophilic CRSwNP（nECRS）. VAS-olfactory dysfunction （VAS-OD） score, SNOT-22 olfactory score, Sniffin' Sticks test and oERPs collection and processing were performed before the operation. All items were evaluated again 3 months after the operation. Results:VAS-OD and SNOT-22 olfactory score were significantly lower in all CRSwNP patients after the operation than those before the operation[F（1, 43） =357.429, P<0.001; F（1, 43） =185.657, P<0.001], the scores of T, D, I and TDI scores in Sniffin' Sticks test were significantly higher than those before the operation[F（1, 43） =126.302, P<0.001; F（1, 43） =311.301, P<0.001; F（1, 43） =131.401, P<0.001; F（1, 43） =295.885, P<0.001]; The decrease of VAS-OD and SNOT-22 olfactory score in the ECRS group was smaller than that in the nECRS group[F（1, 43） =4.825, P=0.033; F（1, 43） =9.916, P=0.003], T, D and TDI scores were significantly lower in nECRS group than those in nECRS group[F（1, 43） =6.719, P=0.013; F（1, 43） =4.890, P=0.032; F（1, 43） =4.469, P=0.040]; There was a positive correlation between preoperative eosinophil-to-lymphocyte ratio（ELR） and SNOT-22 olfactory score and how much it changes（r=0.455, P=0.002; r=-0.414, P=0.005）, a negative correlation between T, TDI score and how much they change respectively（r=-0.431, P=0.003; r=-0.385, P=0.009; r=-0.383, P=0.010; r=-0.316, P=0.035）. The latency of P3 was significantly shorter after operation than that before operation in all CRSwNP patients[F（1, 14） =24.840, P<0.001], however, the amplitude has no significant surgical effect. Conclusion:FESS could significantly improve the olfactory function of CRSwNP patients, while changes in plasticity may occur in the olfactory cortex. In addition, the preoperative peripheral blood eosinophil granulocyte level can predict the postoperative olfactory improvement.
Humans ; Prospective Studies ; Nasal Polyps/surgery* ; Rhinitis/surgery* ; Sinusitis/surgery* ; Olfaction Disorders/etiology* ; Chronic Disease ; Endoscopy/adverse effects*