Acute muscle loss in elderly hospitalized patients: Risk factors and adverse clinical outcomes

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-01-01 DOI:10.1016/j.gerinurse.2024.12.032

Jia Liu M.D , Heng Xue M.D , Yi-han Ma M.Med , Zheng Wang M.D.

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引用次数: 0

Abstract

Objective

To assess muscle loss via ultrasound in the elderly and its link to clinical outcomes and risk factors.

Methods

This retrospective cohort study assessed muscle loss in hospitalized elderly via ultrasound, comparing bilateral anterior thigh thickness (BATT) at admission and after seven days, exploring its relation to hospital-acquired complications (HACs).

Results

In 86 patients (mean age 83.6), a 4.2% BATT decline over a week was seen, with 39.5% losing more than 10%. BATT changes correlated with HACs, with a -10% change as a predictive threshold. Risk factors for severe muscle loss in elderly hospitalized patients include female gender, higher baseline nutrition risk screening 2002 (NRS2002) scores and higher level of coefficient of variation of red blood cell distribution width (RDW-CV).

Conclusions

Elderly hospitalized patients were at risk of acute muscle loss during their hospital stay. Severe BATT decline during hospitalization in elderly patients was independently associated with HACs.

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老年住院患者急性肌肉损失：危险因素和不良临床结果

目的：通过超声评估老年人肌肉损失及其与临床结局和危险因素的关系。方法：本回顾性队列研究通过超声评估住院老年人的肌肉损失，比较入院时和入院后7天的双侧大腿前厚度（BATT），探讨其与医院获得性并发症（HACs）的关系。结果：86例患者（平均年龄83.6岁）BATT在一周内下降4.2%，其中39.5%下降超过10%。BATT变化与HACs相关，以-10%的变化作为预测阈值。老年住院患者严重肌肉损失的危险因素包括女性、较高的基线营养风险筛查2002 （NRS2002）评分和较高的红细胞分布宽度变异系数（RDW-CV）水平。结论：老年住院患者在住院期间存在急性肌肉损失的风险。老年患者住院期间BATT严重下降与HACs独立相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.