Summary of the best evidence for frailty management in patients with ischemic stroke during the rehabilitation period

Background To retrieve and summarize the best evidence for frailty management in patients with ischemic stroke during the rehabilitation period, providing reference for clinical practice. Methods The system searches for literature on stroke frailty management in domestic and foreign databases and guideline websites, with a search period from the establishment of the database to November 2024. Two researchers independently evaluated the quality of the literature and organized and summarized the evidence. Results A total of 22 articles were included, 4 guidelines, 1 expert consensus, 7 systematic reviews, 1 evidence summary, 1 quasi-experimental study, and 8 randomized controlled trials. Finally, 31 pieces of evidence were summarized from six aspects: frailty assessment, team building, exercise intervention, nutritional support, psychosocial support, and health education. Conclusions The best evidence summary for frailty management in stroke patients is comprehensive, and medical staff should combine clinical application evidence to effectively improve patient frailty.