Sarcopenia Is Poorly Documented in Geriatric Rehabilitation Inpatients: Restoring Health of Acutely Unwell Adults (RESORT).

IF 3.1 3区医学 Q3 GERIATRICS & GERONTOLOGY

Gerontology Pub Date : 2025-01-01 Epub Date: 2025-01-20 DOI:10.1159/000543620

Thang Dao, Cheng Hwee Soh, Esmee M Reijnierse, Lihuan Guan, Andrea B Maier

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引用次数: 0

Abstract

Introduction: Sarcopenia is highly prevalent in older inpatients. However, it is unclear if sarcopenia is documented routinely in geriatric rehabilitation. This study aimed to investigate the documentation of sarcopenia in medical records among geriatric rehabilitation patients.

Methods: Geriatric rehabilitation inpatients in a statewide hospital in VIC, Australia, were included. Patient characteristics, muscle measurements, and medical records at admission and discharge were collected. Sarcopenia was defined using the European Working Group on Sarcopenia in Older People 2 (EWGSOP2). Patient characteristics were compared between the groups with documented and non-documented sarcopenia using the Wilcoxon rank-sum or chi-square test.

Results: Of 1,890 geriatric rehabilitation inpatients (aged 83.4 [interquartile range: 77.6-88.4] years, 56.3% female), muscle measurements were available in 1,334 patients at admission. The prevalence of sarcopenia was 20.8% (n = 278). Sarcopenia was documented in 68 out of 1,890 patients; 23 of them did not have muscle mass or muscle strength measured. Forty-five patients with muscle measurements available were documented with sarcopenia either at discharge from acute admissions (n = 9), on rehabilitation admission (n = 25), or at discharge from rehabilitation (n = 26). Of these 45 patients, 8 patients had sarcopenia following the EWGSOP2 criteria. Compared with patients without sarcopenia documented, patients documented with sarcopenia had lower body mass index and sarcopenia screening (Strength, Assistance in Walking, Rise from a Chair, Climb Stairs, Falls History [SARC-F]) scores and higher Clinical Frailty Scale (CFS) scores and were likely to come from nursing homes.

Conclusions: Documentation of sarcopenia was lower than the prevalence of sarcopenia in geriatric rehabilitation inpatients. Sarcopenia was incorrectly documented as data on muscle measurement were missing to define sarcopenia. Practitioners likely used clinical impressions to document sarcopenia, rather than the formal diagnostic criteria.

查看原文本刊更多论文

骨骼肌减少症在老年康复住院患者中的记录很少：恢复急性不适成人的健康（RESORT）。

肌少症在老年住院患者中非常普遍。然而，目前尚不清楚肌肉减少症是否在老年康复中有常规记录。本研究旨在调查老年康复患者的医疗记录中关于肌肉减少症的记录。方法：纳入澳大利亚维多利亚州一家州立医院的老年康复住院患者。收集患者特征、肌肉测量和入院和出院时的医疗记录。肌少症的定义采用欧洲老年人肌少症工作组2 （EWGSOP2）。使用Wilcoxon秩和或卡方检验比较有记录和无记录的肌肉减少症组之间的患者特征。结果：1890例老年康复住院患者（年龄83.4岁[四分位数间距：77.6-88.4]岁，56.3%为女性），1334例患者入院时可进行肌肉测量。肌肉减少症患病率为20.8% （n = 278）。1,890名患者中有68名患有肌肉减少症；其中23人没有测量肌肉质量或肌肉力量。45例有肌肉测量的患者在急性住院出院时（n = 9）、康复住院时（n = 25）或康复出院时（n = 26）记录为肌肉减少症。在这45例患者中，8例患者符合EWGSOP2标准。与没有记录的肌肉减少症患者相比，记录的肌肉减少症患者的体重指数和肌肉减少症筛查（力量、行走辅助、从椅子上站起来、爬楼梯、跌倒史[SARC-F]）得分较低，临床虚弱量表（CFS）得分较高，并且可能来自养老院。结论：老年康复住院患者骨骼肌减少的文献记录低于骨骼肌减少的患病率。由于缺乏肌肉测量数据来定义肌肉减少症，因此错误地记录了肌肉减少症。从业者可能使用临床印象来记录肌肉减少症，而不是正式的诊断标准。

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

Gerontology 医学-老年医学

CiteScore

6.00

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： In view of the ever-increasing fraction of elderly people, understanding the mechanisms of aging and age-related diseases has become a matter of urgent necessity. ''Gerontology'', the oldest journal in the field, responds to this need by drawing topical contributions from multiple disciplines to support the fundamental goals of extending active life and enhancing its quality. The range of papers is classified into four sections. In the Clinical Section, the aetiology, pathogenesis, prevention and treatment of agerelated diseases are discussed from a gerontological rather than a geriatric viewpoint. The Experimental Section contains up-to-date contributions from basic gerontological research. Papers dealing with behavioural development and related topics are placed in the Behavioural Science Section. Basic aspects of regeneration in different experimental biological systems as well as in the context of medical applications are dealt with in a special section that also contains information on technological advances for the elderly. Providing a primary source of high-quality papers covering all aspects of aging in humans and animals, ''Gerontology'' serves as an ideal information tool for all readers interested in the topic of aging from a broad perspective.