Sarcopenia is a predictive factor for prolonged intensive care unit stays in high‐energy blunt trauma patients
| Autor: | Yuji Shono, Kensuke Kubota, Kenta Momii, Ken Shirabe, Noriyuki Kaku, Takashi Nagata, Tomoharu Yoshizumi, Kentaro Tokuda, Makoto Hashizume, Tomohiko Akahoshi, Yoshihiko Maehara, Mitsuhiro Yasuda |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
muscle atrophy
medicine.medical_specialty Flail chest medicine.medical_treatment Liver transplantation intensive care unit law.invention sarcopenia 03 medical and health sciences 0302 clinical medicine law Intensive care medicine High‐energy blunt trauma Risk factor business.industry RC86-88.9 General Engineering 030208 emergency & critical care medicine Medical emergencies. Critical care. Intensive care. First aid Original Articles medicine.disease Intensive care unit Surgery Pneumonia Blunt trauma 030220 oncology & carcinogenesis Sarcopenia Emergency medicine business |
| Zdroj: | Acute Medicine & Surgery, Vol 3, Iss 4, Pp 326-331 (2016) |
| ISSN: | 2052-8817 |
| Popis: | Aim Sarcopenia has been increasingly reported as a prognostic factor for outcome in settings such as cirrhosis, liver transplantation, and emergent surgery. We aimed to elucidate the significance of sarcopenia in severe blunt trauma patients. Methods We retrospectively analyzed 84 patients emergently admitted to the intensive care unit at Kyushu University Hospital (Fukuoka, Japan) from May 2012 to April 2015. We assessed the amount of skeletal muscle present according to computed tomography and its relevance to ventilation-free days, patients' length of stay in the intensive care unit, and 28-day mortality. Results Twenty-five (29.7%) patients were defined as sarcopenic. Sixteen (19.7%) patients required 15 days or more in the intensive care unit. The major reason was a prolonged ventilation requirement due to flail chest (n = 7) or pneumonia (n = 3). Sarcopenic patients' stays in intensive care were significantly longer than those of non-sarcopenic patients (18.7 versus 6.4 days, respectively; P < 0.001). Univariate and multivariate analyses showed sarcopenia to be a significant risk factor for prolonged intensive care unit stay. Conclusion Sarcopenia is a risk factor that predicts prolonged intensive care unit stay in high-energy blunt trauma patients. |
| Databáze: | OpenAIRE |
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