Original Article
J Frailty Sarcopenia Falls 2017 Dec; 2(4):65-72 Copied!
10.22540/JFSF-02-065 Copied!
The mortality determinants of sarcopenia and comorbidities in hospitalized geriatric patients
- School of Medicine, University of Antwerp, Antwerp 2610, Belgium
- University Centre for Geriatrics, ZNA (Ziekenhuis Netwerk Antwerp), Antwerp 2000, Belgium
- Belgian Ageing Muscle Society
Keywords:
Abstract Objectives Determine the influence of muscle mass, muscle strength, physical performance, nutritional status and certain comorbidities on the four years mortality risk of hospitalized geriatric patients. Design Retrospective cohort study. Setting During hospitalization of the included geriatric patients, the determinants of sarcopenia and nutritional status were obtained. Participants A total of 302 patients hospitalized at the geriatric department of the Saint-Elisabeth hospital in Antwerp (Belgium) from 01/08/2012 until 31/01/2013. Measurements Muscle mass was measured using a CT scan. The muscle strength was obtained by measuring the handgrip strength using a Jamar dynamometer. The physical performance was measured by performing the SPPB. The nutritional status was surveyed by using the MNA-SF. Comorbidities were obtained through medical records. Results The variables gender (HR= 0.609; 95% CI 0.442-0.838), nutritional status (HR= 2.953; 95% CI 1.924-4.531), muscle mass (HR= 0.443; 95% CI 0.251-0.780), muscle strength (HR= 0.215; CI 95% 0.079-0.587), physical performance (HR= 0.407; 95% CI 0.237-0.702) and heart failure (HR= 1.440; 95% CI 1.022-2.029) have been shown to be significant. Conclusion The determinants gender, nutritional status and physical performance have the greatest prognostic value.