This study aimed to systematically evaluate the status and influencing factors of frailty in elderly stroke patients in China. Methods Literature about the incidence and influencing factors of frailty in elderly stroke patients in China were retrieved from CNKI, Wanfang database, VIP, CBM, PubMed, Embase, Web of Science and Cochrane Library. The retrieval time was from the establishment of the database to June 2024. Meta-analysis was performed using RevMan5.3 and Stata 14.0 software. Results A total of 20 articles were included. The results of Meta-analysis showed that the incidence of frailty in elderly stroke patients in China was 49.0 % [95 % CI (38.0 % -60.0 % ) ]. Among them, age, malnutrition, multi-disease coexistence, depression, sleep disorders, impaired activities of daily living, severe neurological impairment, multiple medication, history of falls, and living alone were risk factors; physical exercise is a protective factor. Conclusion The incidence of frailty in elderly stroke patients in China is high, and there are many risk factors. Medical staff should pay attention to the early screening and identification of risk factors in elderly stroke patients to reduce the occurrence of frailty.

Mengdan Deng, Wenting Zhang. Meta-analysis of the incidence and influencing factors of frailty in elderly stroke patients in China. Frontiers in Medical Science Research (2026), Vol. 8, Issue 2: 21-29. https://doi.org/10.25236/FMSR.2026.080203.

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