%0 Journal Article
%T Impact of frailty on functional improvement following traumatic spinal cord injury: a Japanese single-center experience
%J Journal of clinical medicine
%D 2024
%A Konomi, Tsunehiko
%A Yoshikawa, Minako
%A Kajikawa, Keita
%A Kitagawa, Takahiro
%A Kobayashi, Yoshiomi
%A Furukawa, Mitsuru
%A Fujiyoshi, Kanehiro
%A Yato, Yoshiyuki
%V 13
%N 14
%P -
%X Study Design: This is a retrospective case series study. <br><br>OBJECTIVE: The aim of this study was to investigate whether frailty contributes to functional recovery in individuals with spinal cord injury (SCI). <br><br>METHODS: A total of 121 patients with SCI (106 cervical SCI, 15 thoracic SCI) discharged from our center over the past three years were studied. Moreover, 11-factor modified frailty index (mFI) scores, the length of hospital stays, the rate of returning home, and improvement in Spinal Cord Independence Measure (SCIM) scores were assessed retrospectively. <br><br>RESULTS: The average age at the time of injury for all 121 cases was 59.6 years. Based on pre-injury assessments, 24 cases were categorized as the Frail group, and 97 cases were categorized as the Robust group. The Frail group had SCIM improvement rates of 16.7% and a home discharge rate of 45.8%. In contrast, the Robust group had SCIM improvement rates of 33.5% and a home discharge rate of 68.0%, with statistically significant differences between the two groups. A significant negative correlation was observed between mFI scores and SCIM improvement rates (R = -0.231, p = 0.014). <br><br>CONCLUSIONS: This study suggests that individuals with pre-existing frailty before SCI experience poorer SCIM improvement rates and face challenges in returning home.<p /> <p>Language: en</p>
%G en
%I MDPI: Multidisciplinary Digital Publishing Institute
%@ 2077-0383
%U http://dx.doi.org/10.3390/jcm13144154