A pilot study examining the use of ultrasound to measure sarcopenia, frailty and fall in older patients
| Autor: | Thiti Wongtangman, Phraewa Thatphet, Emily Benton, Hamid Shokoohi, Andrew S. Liteplo, Shan W. Liu, Sarah Yacoub, Michael A. Loesche |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Sarcopenia Frail Elderly Poison control Pilot Projects Risk Assessment Occupational safety and health Weight loss Injury prevention medicine Humans Prospective Studies Prospective cohort study Geriatric Assessment Aged Ultrasonography Aged 80 and over business.industry Ultrasound Human factors and ergonomics General Medicine medicine.disease Emergency Medicine Physical therapy Accidental Falls Female medicine.symptom business Emergency Service Hospital human activities |
| Zdroj: | The American journal of emergency medicine. 46 |
| ISSN: | 1532-8171 |
| Popis: | The importance of this study is to devise an efficient tool for assessing frailty in the ED. The goals of this study are 1) to correlate ultrasonographic (US) measurements of muscle thickness in older ED patients with frailty and 2) to correlate US-measured sarcopenia with falls, subsequent hospitalizations and ED revisits.Participants were conveniently sampled from a single ED in this prospective cohort pilot study of patients aged 65 or older. Participants completed a Fatigue, Resistance, Ambulation, Illness and Loss of Weight (FRAIL) scale assessment and US measurements of their upper arm muscles, quadricep muscles, and abdominal wall muscles thickness. We conducted one-month follow-up phone calls to assess for falls, ED revisits, and subsequent hospital visits.We enrolled 43 patients (mean age of 78.5). Ultrasound measurements of the three muscle groups were not significantly different between frail and non-frail groups. Frail participants had greater bicep asymmetry (a difference of 0.47 cm vs 0.24 cm, p .01). A predictive logistic regression model using average quadriceps thickness and biceps asymmetry was found to identify frail patients (AUC of 0.816). Participants with subsequent falls had smaller quadriceps (1.18 cm smaller, p .01). Subsequently hospitalized patients were found to have smaller quadriceps muscles (0.54 cm smaller, p = .03) and abdominal wall muscles (0.25 cm smaller, p = .01).US measurements of sarcopenia in older patients had mild to moderate associations with frailty, falls and subsequent hospitalizations. Further investigation is needed to confirm these findings. |
| Databáze: | OpenAIRE |
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