Table 1

Characteristics of frail and non-frail older acute ischaemic stroke patients that underwent endovascular thrombectomy

VariableNot frail (CFS 1–3) n = 94Frail (CFS > 3) n = 104P value
Baseline characteristics and investigations
 Age (years), mean (SD)75.7 (4.3)80.4 (5.9)<0.001
 Female, % (n)41.5 (39)61.5 (64)0.005
Race, % (n)
 Chinese80.9 (76)69.2 (72)0.240
 Malay10.6 (10)22.1 (23)0.120
 Indian5.3 (5)6.7 (7)1.000
 Others3.2 (3)1.9 (2)1.000
Co-morbidities
 Hypertension, % (n)77.7 (73)90.4 (94)0.014
 Diabetes mellitus, % (n)30.9 (29)35.6 (37)0.481
 Dyslipidaemia, % (n)64.9 (61)70.2 (73)0.426
 Ischaemic heart disease, % (n)25.5 (24)26.9 (28)0.824
 Smoking, % (n)6.4 (6)1.9 (2)0.153
 Atrial fibrillation, % (n)52.1 (49)71.2 (74)0.006
 Previous stroke/TIA, % (n)8.6 (8)21.2 (22)0.014
 Cognitive impairment, % (n)4.3 (4)18.3 (19)0.002
 NIHSS on arrival, median (IQR)18 (13–23)20 (16–23)1.000
TOAST, % (n)
 Large artery atherosclerosis33.0 (30)17.6 (18)0.014
 Cardioembolism51.6 (47)70.6 (72)0.007
 Small vessel occlusion00N/A
 Stroke of other determined   aetiology0.0 (0)1.0 (1)1.000
 Stroke of undetermined aetiology15.4 (14)2.0 10.8 (11)0.342
Site of occlusion, % (n)
 M1-MCA48.9 (46)49.0 (51)0.989
 M2-MCA9.6 (9)6.7 (7)0.463
 M3-MCA3.2 (3)2.9 (3)1.000
 Carotid T16.0 (15)22.1 (23)0.272
 Tandem11.7 (11)8.7 (9)0.477
 Basilar artery8.5 (8)9.6 (10)0.787
 Multi-vessel2.1 (2)1.0 (1)0.605
Procedure timings
 Time from onset to arrival (min),   median (IQR)85 (42–184)73 (38–177)0.355
 Time from door to imaging (min),   median (IQR)1 (0–12)2 (0–13)0.580
 Time from door to needle (min),   median (IQR)48 (40–57)49 (42–59)0.560
 Time from onset to puncture   (min), median (IQR)214 (165–308)210 (161–310)0.897
 Time taken for clot retrieval (min),   median (IQR)35 (21–58)35 (20–60)0.889
 Bridging thrombolysis, % (n)62.8 (59)57.7 (60)0.467
Laboratory findings, mean (SD)
 Creatinine (μmol/l)94.3 (105.1)111.5 (81.2)0.198
 Haemoglobin (g/dl)13.0 (1.7)12.2 (2.2)0.005
 Albumin (g/l)34.0 (4.0)32.3 (4.6)0.018
Outcomes
Outcomes in hospital
 Duration of hospitalisation (days),   median (IQR)15 (8–28)15 (8–24)0.539
 In-hospital mortality, % (n)9.6 (9)18.3 (19)0.080
 Carer required, % (n)72.8 (59)91.6 (76)0.002
mRS at 3 months, % (n)
 014.9 (14)4.8 (5)0.016
 18.5 (8)3.8 (4)0.170
 27.4 (7)7.7 (8)0.948
 321.3 (20)14.4 (15)0.207
 425.5 (24)29.8 (31)0.502
 59.6 (9)16.3 (17)0.159
 612.8 (12)23.1 (24)0.060
Stroke outcomes
 Functional independence at 3 months   (mRS 0–2), % (n)30.9 (29)16.3 (17)0.016
 Successful reperfusion (mTICI ≥2b), % (n)87.8 (79)80.0 (80)0.147
 Symptomatic ICH, % (n)5.3 (5)2.9 (3)0.481
 Haemorrhagic transformation, % (n)26.1 (24)29.7 (30)0.576
VariableNot frail (CFS 1–3) n = 94Frail (CFS > 3) n = 104P value
Baseline characteristics and investigations
 Age (years), mean (SD)75.7 (4.3)80.4 (5.9)<0.001
 Female, % (n)41.5 (39)61.5 (64)0.005
Race, % (n)
 Chinese80.9 (76)69.2 (72)0.240
 Malay10.6 (10)22.1 (23)0.120
 Indian5.3 (5)6.7 (7)1.000
 Others3.2 (3)1.9 (2)1.000
Co-morbidities
 Hypertension, % (n)77.7 (73)90.4 (94)0.014
 Diabetes mellitus, % (n)30.9 (29)35.6 (37)0.481
 Dyslipidaemia, % (n)64.9 (61)70.2 (73)0.426
 Ischaemic heart disease, % (n)25.5 (24)26.9 (28)0.824
 Smoking, % (n)6.4 (6)1.9 (2)0.153
 Atrial fibrillation, % (n)52.1 (49)71.2 (74)0.006
 Previous stroke/TIA, % (n)8.6 (8)21.2 (22)0.014
 Cognitive impairment, % (n)4.3 (4)18.3 (19)0.002
 NIHSS on arrival, median (IQR)18 (13–23)20 (16–23)1.000
TOAST, % (n)
 Large artery atherosclerosis33.0 (30)17.6 (18)0.014
 Cardioembolism51.6 (47)70.6 (72)0.007
 Small vessel occlusion00N/A
 Stroke of other determined   aetiology0.0 (0)1.0 (1)1.000
 Stroke of undetermined aetiology15.4 (14)2.0 10.8 (11)0.342
Site of occlusion, % (n)
 M1-MCA48.9 (46)49.0 (51)0.989
 M2-MCA9.6 (9)6.7 (7)0.463
 M3-MCA3.2 (3)2.9 (3)1.000
 Carotid T16.0 (15)22.1 (23)0.272
 Tandem11.7 (11)8.7 (9)0.477
 Basilar artery8.5 (8)9.6 (10)0.787
 Multi-vessel2.1 (2)1.0 (1)0.605
Procedure timings
 Time from onset to arrival (min),   median (IQR)85 (42–184)73 (38–177)0.355
 Time from door to imaging (min),   median (IQR)1 (0–12)2 (0–13)0.580
 Time from door to needle (min),   median (IQR)48 (40–57)49 (42–59)0.560
 Time from onset to puncture   (min), median (IQR)214 (165–308)210 (161–310)0.897
 Time taken for clot retrieval (min),   median (IQR)35 (21–58)35 (20–60)0.889
 Bridging thrombolysis, % (n)62.8 (59)57.7 (60)0.467
Laboratory findings, mean (SD)
 Creatinine (μmol/l)94.3 (105.1)111.5 (81.2)0.198
 Haemoglobin (g/dl)13.0 (1.7)12.2 (2.2)0.005
 Albumin (g/l)34.0 (4.0)32.3 (4.6)0.018
Outcomes
Outcomes in hospital
 Duration of hospitalisation (days),   median (IQR)15 (8–28)15 (8–24)0.539
 In-hospital mortality, % (n)9.6 (9)18.3 (19)0.080
 Carer required, % (n)72.8 (59)91.6 (76)0.002
mRS at 3 months, % (n)
 014.9 (14)4.8 (5)0.016
 18.5 (8)3.8 (4)0.170
 27.4 (7)7.7 (8)0.948
 321.3 (20)14.4 (15)0.207
 425.5 (24)29.8 (31)0.502
 59.6 (9)16.3 (17)0.159
 612.8 (12)23.1 (24)0.060
Stroke outcomes
 Functional independence at 3 months   (mRS 0–2), % (n)30.9 (29)16.3 (17)0.016
 Successful reperfusion (mTICI ≥2b), % (n)87.8 (79)80.0 (80)0.147
 Symptomatic ICH, % (n)5.3 (5)2.9 (3)0.481
 Haemorrhagic transformation, % (n)26.1 (24)29.7 (30)0.576

Abbreviations: CFS, Clinical Frailty Scale; ICH, intracerebral haemorrhage; IQR, interquartile range; MCA, middle cerebral artery; mRS, Modified Rankin Score; mTICI, Modified Treatment in Cerebral Infarction; NIHSS, National Institutes of Health Stroke Scale; SD, standard deviation; TIA, transient ischaemic attack; TOAST, Trial of Org 10,172 in Acute Stroke Treatment.

Bold: p < 0.05.

Table 1

Characteristics of frail and non-frail older acute ischaemic stroke patients that underwent endovascular thrombectomy

VariableNot frail (CFS 1–3) n = 94Frail (CFS > 3) n = 104P value
Baseline characteristics and investigations
 Age (years), mean (SD)75.7 (4.3)80.4 (5.9)<0.001
 Female, % (n)41.5 (39)61.5 (64)0.005
Race, % (n)
 Chinese80.9 (76)69.2 (72)0.240
 Malay10.6 (10)22.1 (23)0.120
 Indian5.3 (5)6.7 (7)1.000
 Others3.2 (3)1.9 (2)1.000
Co-morbidities
 Hypertension, % (n)77.7 (73)90.4 (94)0.014
 Diabetes mellitus, % (n)30.9 (29)35.6 (37)0.481
 Dyslipidaemia, % (n)64.9 (61)70.2 (73)0.426
 Ischaemic heart disease, % (n)25.5 (24)26.9 (28)0.824
 Smoking, % (n)6.4 (6)1.9 (2)0.153
 Atrial fibrillation, % (n)52.1 (49)71.2 (74)0.006
 Previous stroke/TIA, % (n)8.6 (8)21.2 (22)0.014
 Cognitive impairment, % (n)4.3 (4)18.3 (19)0.002
 NIHSS on arrival, median (IQR)18 (13–23)20 (16–23)1.000
TOAST, % (n)
 Large artery atherosclerosis33.0 (30)17.6 (18)0.014
 Cardioembolism51.6 (47)70.6 (72)0.007
 Small vessel occlusion00N/A
 Stroke of other determined   aetiology0.0 (0)1.0 (1)1.000
 Stroke of undetermined aetiology15.4 (14)2.0 10.8 (11)0.342
Site of occlusion, % (n)
 M1-MCA48.9 (46)49.0 (51)0.989
 M2-MCA9.6 (9)6.7 (7)0.463
 M3-MCA3.2 (3)2.9 (3)1.000
 Carotid T16.0 (15)22.1 (23)0.272
 Tandem11.7 (11)8.7 (9)0.477
 Basilar artery8.5 (8)9.6 (10)0.787
 Multi-vessel2.1 (2)1.0 (1)0.605
Procedure timings
 Time from onset to arrival (min),   median (IQR)85 (42–184)73 (38–177)0.355
 Time from door to imaging (min),   median (IQR)1 (0–12)2 (0–13)0.580
 Time from door to needle (min),   median (IQR)48 (40–57)49 (42–59)0.560
 Time from onset to puncture   (min), median (IQR)214 (165–308)210 (161–310)0.897
 Time taken for clot retrieval (min),   median (IQR)35 (21–58)35 (20–60)0.889
 Bridging thrombolysis, % (n)62.8 (59)57.7 (60)0.467
Laboratory findings, mean (SD)
 Creatinine (μmol/l)94.3 (105.1)111.5 (81.2)0.198
 Haemoglobin (g/dl)13.0 (1.7)12.2 (2.2)0.005
 Albumin (g/l)34.0 (4.0)32.3 (4.6)0.018
Outcomes
Outcomes in hospital
 Duration of hospitalisation (days),   median (IQR)15 (8–28)15 (8–24)0.539
 In-hospital mortality, % (n)9.6 (9)18.3 (19)0.080
 Carer required, % (n)72.8 (59)91.6 (76)0.002
mRS at 3 months, % (n)
 014.9 (14)4.8 (5)0.016
 18.5 (8)3.8 (4)0.170
 27.4 (7)7.7 (8)0.948
 321.3 (20)14.4 (15)0.207
 425.5 (24)29.8 (31)0.502
 59.6 (9)16.3 (17)0.159
 612.8 (12)23.1 (24)0.060
Stroke outcomes
 Functional independence at 3 months   (mRS 0–2), % (n)30.9 (29)16.3 (17)0.016
 Successful reperfusion (mTICI ≥2b), % (n)87.8 (79)80.0 (80)0.147
 Symptomatic ICH, % (n)5.3 (5)2.9 (3)0.481
 Haemorrhagic transformation, % (n)26.1 (24)29.7 (30)0.576
VariableNot frail (CFS 1–3) n = 94Frail (CFS > 3) n = 104P value
Baseline characteristics and investigations
 Age (years), mean (SD)75.7 (4.3)80.4 (5.9)<0.001
 Female, % (n)41.5 (39)61.5 (64)0.005
Race, % (n)
 Chinese80.9 (76)69.2 (72)0.240
 Malay10.6 (10)22.1 (23)0.120
 Indian5.3 (5)6.7 (7)1.000
 Others3.2 (3)1.9 (2)1.000
Co-morbidities
 Hypertension, % (n)77.7 (73)90.4 (94)0.014
 Diabetes mellitus, % (n)30.9 (29)35.6 (37)0.481
 Dyslipidaemia, % (n)64.9 (61)70.2 (73)0.426
 Ischaemic heart disease, % (n)25.5 (24)26.9 (28)0.824
 Smoking, % (n)6.4 (6)1.9 (2)0.153
 Atrial fibrillation, % (n)52.1 (49)71.2 (74)0.006
 Previous stroke/TIA, % (n)8.6 (8)21.2 (22)0.014
 Cognitive impairment, % (n)4.3 (4)18.3 (19)0.002
 NIHSS on arrival, median (IQR)18 (13–23)20 (16–23)1.000
TOAST, % (n)
 Large artery atherosclerosis33.0 (30)17.6 (18)0.014
 Cardioembolism51.6 (47)70.6 (72)0.007
 Small vessel occlusion00N/A
 Stroke of other determined   aetiology0.0 (0)1.0 (1)1.000
 Stroke of undetermined aetiology15.4 (14)2.0 10.8 (11)0.342
Site of occlusion, % (n)
 M1-MCA48.9 (46)49.0 (51)0.989
 M2-MCA9.6 (9)6.7 (7)0.463
 M3-MCA3.2 (3)2.9 (3)1.000
 Carotid T16.0 (15)22.1 (23)0.272
 Tandem11.7 (11)8.7 (9)0.477
 Basilar artery8.5 (8)9.6 (10)0.787
 Multi-vessel2.1 (2)1.0 (1)0.605
Procedure timings
 Time from onset to arrival (min),   median (IQR)85 (42–184)73 (38–177)0.355
 Time from door to imaging (min),   median (IQR)1 (0–12)2 (0–13)0.580
 Time from door to needle (min),   median (IQR)48 (40–57)49 (42–59)0.560
 Time from onset to puncture   (min), median (IQR)214 (165–308)210 (161–310)0.897
 Time taken for clot retrieval (min),   median (IQR)35 (21–58)35 (20–60)0.889
 Bridging thrombolysis, % (n)62.8 (59)57.7 (60)0.467
Laboratory findings, mean (SD)
 Creatinine (μmol/l)94.3 (105.1)111.5 (81.2)0.198
 Haemoglobin (g/dl)13.0 (1.7)12.2 (2.2)0.005
 Albumin (g/l)34.0 (4.0)32.3 (4.6)0.018
Outcomes
Outcomes in hospital
 Duration of hospitalisation (days),   median (IQR)15 (8–28)15 (8–24)0.539
 In-hospital mortality, % (n)9.6 (9)18.3 (19)0.080
 Carer required, % (n)72.8 (59)91.6 (76)0.002
mRS at 3 months, % (n)
 014.9 (14)4.8 (5)0.016
 18.5 (8)3.8 (4)0.170
 27.4 (7)7.7 (8)0.948
 321.3 (20)14.4 (15)0.207
 425.5 (24)29.8 (31)0.502
 59.6 (9)16.3 (17)0.159
 612.8 (12)23.1 (24)0.060
Stroke outcomes
 Functional independence at 3 months   (mRS 0–2), % (n)30.9 (29)16.3 (17)0.016
 Successful reperfusion (mTICI ≥2b), % (n)87.8 (79)80.0 (80)0.147
 Symptomatic ICH, % (n)5.3 (5)2.9 (3)0.481
 Haemorrhagic transformation, % (n)26.1 (24)29.7 (30)0.576

Abbreviations: CFS, Clinical Frailty Scale; ICH, intracerebral haemorrhage; IQR, interquartile range; MCA, middle cerebral artery; mRS, Modified Rankin Score; mTICI, Modified Treatment in Cerebral Infarction; NIHSS, National Institutes of Health Stroke Scale; SD, standard deviation; TIA, transient ischaemic attack; TOAST, Trial of Org 10,172 in Acute Stroke Treatment.

Bold: p < 0.05.

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