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Open AccessFeature PaperCommentary
Geriatrics 2017, 2(3), 24;

Stroke in Frail Older People

Department of Electronic and Digital Arts, University of Kent, Canterbury CT2 7NZ, UK
Clinical Gerontology, King’s College Hospital, London SE5 9RS, UK
Received: 3 April 2017 / Revised: 20 June 2017 / Accepted: 22 June 2017 / Published: 15 July 2017
(This article belongs to the Special Issue Stroke in Ageing)
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The population is ageing, with the greatest proportional increase in those >80 years of age. Many of these people will be frail and at risk of stroke. Research has shown that the very old have much to benefit from hyperacute stroke intervention, but at the same time they suffer increased mortality. Their outcome following stroke and intervention is more often predicted by the presence of frailty rather than age alone. Intervention both in primary prevention and hyperacute stroke management needs to allow for preexisting morbidity and frailty in deciding what is and what is not appropriate, rather than an arbitrary decision on age. Frail older people are more likely to develop delirium and dysphagia combined with poor mouthcare and die, yet all of these issues are managed badly. An increased awareness of these complications of stroke in the frail older person is necessary. View Full-Text
Keywords: acute; stroke; old age; frailty; complications; ethics acute; stroke; old age; frailty; complications; ethics

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Smithard, D.G. Stroke in Frail Older People. Geriatrics 2017, 2, 24.

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