Sarcopenia predicts readmission and mortality in elderly patients in acute care wards: a prospective study
| Autor: | Lei Zhang, Haozhong Wang, Ming Yang, Birong Dong, Xiaoyi Hu, Qiukui Hao |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
education.field_of_study business.industry Hazard ratio Confounding Population 030204 cardiovascular system & hematology Anthropometry medicine.disease 03 medical and health sciences 0302 clinical medicine Physiology (medical) Internal medicine Sarcopenia Acute care Physical therapy medicine Orthopedics and Sports Medicine Observational study 030212 general & internal medicine Prospective cohort study business education human activities |
| Zdroj: | Journal of Cachexia, Sarcopenia and Muscle. 8:251-258 |
| ISSN: | 2190-5991 |
| Popis: | Background The aim of this study is to assess the prevalence of sarcopenia and investigate the associations between sarcopenia and long-term mortality and readmission in a population of elderly inpatients in acute care wards. Methods We conducted a prospective observational study in the acute care wards of a teaching hospital in western China. The muscle mass was estimated according to a previously validated anthropometric equation. Handgrip strength was measured with a handheld dynamometer, and physical performance was measured via a 4 m walking test. Sarcopenia was defined according to the recommended diagnostic algorithm of the Asia Working Group for Sarcopenia. The survival status and readmission information were obtained via telephone interviews at 12, 24, and 36 months during the 3 year follow-up period following the baseline investigation. Results Two hundred and eighty-eight participants (mean age: 81.1 ± 6.6 years) were included. Forty-nine participants (17.0%) were identified as having sarcopenia. This condition was similar in men and women (16.9% vs. 17.5%, respectively, P = 0.915). During the 3 year follow-up period, 49 men (22.7%) and 9 women (16.4%) died (P = 0.307). The mortality of sarcopenic participants was significantly increased compared with non-sarcopenic participants (40.8% vs. 17.1%, respectively, P |
| Databáze: | OpenAIRE |
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