The mortality determinants of sarcopenia and comorbidities in hospitalized geriatric patients. 2017

Scott Lamers, and Robin Degerickx, and Maurits Vandewoude, and Stany Perkisas
School of Medicine, University of Antwerp, Antwerp 2610, Belgium.

OBJECTIVE 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. METHODS Retrospective cohort study. METHODS During hospitalization of the included geriatric patients, the determinants of sarcopenia and nutritional status were obtained. METHODS 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. METHODS 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. CONCLUSIONS The determinants gender, nutritional status and physical performance have the greatest prognostic value.

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