Risk of sarcopenia in hospitalized patients and related clinical factors: a multicenter study from Turkey.

Autor: Ozer FF; Department of Geriatrics, Erciyes University Faculty of Medicine, Kayseri, Turkey. firuzozer@gmail.com.; Department of Geriatrics, Kayseri City Hospital, Kocasinan, 38080, Kayseri, Turkey. firuzozer@gmail.com., Akin S; Department of Geriatrics, Erciyes University Faculty of Medicine, Kayseri, Turkey., Tasci İ; Department of Internal Medicine, Gulhane School of Medicine, Ankara, Turkey., Tasar PT; Department of Internal Medicine, Atatürk University Faculty of Medicine, Erzurum, Turkey., Savas S; Department of Geriatrics, Ege University Faculty of Medicine, Izmir, Turkey., Cincin AT; Department of Geriatrics, Marmara University Faculty of Medicine, Istanbul, Turkey., Yavuzer H; Department of Geriatrics, Cerrahpasa University Faculty of Medicine, Istanbul, Turkey., Erdincler DS; Department of Geriatrics, Cerrahpasa University Faculty of Medicine, Istanbul, Turkey., Balci C; Department of Geriatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey., Esme M; Department of Geriatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey., Ozturk ZA; Department of Geriatrics, Gaziantep University Faculty of Medicine, Gaziantep, Turkey., Sezgin G; Department of Internal Medicine, Maltepe University Faculty of Medicine, Istanbul, Turkey., Nalbant S; Department of Internal Medicine, Maltepe University Faculty of Medicine, Istanbul, Turkey., Varli M; Department of Geriatrics, Ankara University Faculty of Medicine, Ankara, Turkey., Karan MA; Department of Geriatrics, İstanbul University Faculty of Medicine, Istanbul, Turkey., Saka B; Department of Geriatrics, İstanbul University Faculty of Medicine, Istanbul, Turkey.
Jazyk: angličtina
Zdroj: European geriatric medicine [Eur Geriatr Med] 2021 Aug; Vol. 12 (4), pp. 863-870. Date of Electronic Publication: 2021 Apr 17.
DOI: 10.1007/s41999-021-00499-z
Abstrakt: Purpose: To investigate the risk of sarcopenia in hospitalized older patients and to assess the associations between sarcopenia risk and health care outcomes including dependency, malnutrition, and dysphagia.
Methods: This multicenter cross-sectional study was a part of the annual National Prevalence Measurement of Quality of Care (LPZ) in Turkey. Hospitalized patients age 65 and older were included in the study. The SARC-F was used to assess risk of sarcopenia. Dependency was appraised according to the Care Dependency Scale (CDS). Nutritional status was established with respect to the Malnutrition Universal Screening Tool (MUST). Dysphagia was screened by two structured questions.
Results: A total of 492 patients were included in the analysis. Two hundred and forty patients (48.8%) were at risk of sarcopenia. Sarcopenia risk was more prevalent among women (p = 0.007) and patients with risk of sarcopenia were older (p < 0.001). Hospital stay was longer and malnutrition and dysphagia were more prevalent in patients with sarcopenia risk than without (all p < 0.001). All nutritional interventions were applied mostly to patients with sarcopenia risk than without. In multivariate analysis, advanced age (OR: 1.068, CI 1.032-1.104, p < 0.001), female gender (OR: 2.414, CI 1.510-3.857, p < 0.001), and dependency (OR: 5.022, CI 2.922-8.632, p < 0.001) were independently associated with sarcopenia risk.
Conclusions: Sarcopenia risk is related with unfavorable outcomes in hospitalized patients. Primarily older female patients are at risk for sarcopenia. It is important to recognize sarcopenia at an early stage and to prevent its progression, before dependency develops. The SARC-F may be a useful tool for screening sarcopenia risk in hospitalized patients.
(© 2021. European Geriatric Medicine Society.)
Databáze: MEDLINE
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