Journal of frailty, sarcopenia and falls最新文献_第6页

Does stretching of anterior structures alone, or in combination with strengthening of posterior structures, decrease hyperkyphosis and improve posture in adults? A Systematic Review and Meta-analysis. 单独拉伸前部结构，或联合加强后部结构，是否能减轻成人后凸过度并改善姿势?系统回顾和荟萃分析。

Journal of frailty, sarcopenia and falls Pub Date : 2023-09-01 DOI: 10.22540/JFSF-08-174

Rebecca A Withers, C Ryanne Plesh, Dawn A Skelton

{"title":"Does stretching of anterior structures alone, or in combination with strengthening of posterior structures, decrease hyperkyphosis and improve posture in adults? A Systematic Review and Meta-analysis.","authors":"Rebecca A Withers, C Ryanne Plesh, Dawn A Skelton","doi":"10.22540/JFSF-08-174","DOIUrl":"https://doi.org/10.22540/JFSF-08-174","url":null,"abstract":"Kyphosis can lead to back pain, poor posture, and increased falls risk. This systematic review aimed to synthesize research on stretching alone, or in combination with strengthening, as a management for hyperkyphosis in the adult population (≥18 years old). An electronic database search was conducted from February to March 2022. The author and an independent reviewer screened titles and abstracts for inclusion criteria - those whose intervention involved stretching alone or with strengthening exercises. The author appraised and extracted data from included articles and performed a meta-analysis where appropriate. The database and citation search yielded 327 articles, 18 of which met inclusion criteria. One study included performed stretching as a standalone intervention; the remainder used a combination of stretching and strengthening. The meta-analysis (n=3, with 5 exercise groups) found a statistically significant difference (MD = -6.97 (95% CI -9.84, -4.10), p<0.00001) in post-intervention measures of hyperkyphosis favouring the exercise group. The narrative review of studies agrees with this finding, demonstrating statistically significant improvement in hyperkyphosis following various exercise programs. This review suggests that stretching and strengthening exercises improve hyperkyphosis in the short and long term. Low-quality evidence supports stretching as a standalone intervention. Further, more robust research is required to recommend procedures and determine if stretching alone is effective for treating hyperkyphosis in adults.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"8 3","pages":"174-187"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/08/5f/JFSF-8-174.PMC10472040.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10143351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Superimposed electromyostimulation of the thigh muscles during passive isokinetic cycling increases muscle strength without effort. 在被动等速循环中，大腿肌肉的叠加肌电刺激可以不费力地增加肌肉力量。

Journal of frailty, sarcopenia and falls Pub Date : 2023-09-01 DOI: 10.22540/JFSF-08-163

Kazuyuki Ogiso, Takuto Horasawa

{"title":"Superimposed electromyostimulation of the thigh muscles during passive isokinetic cycling increases muscle strength without effort.","authors":"Kazuyuki Ogiso, Takuto Horasawa","doi":"10.22540/JFSF-08-163","DOIUrl":"https://doi.org/10.22540/JFSF-08-163","url":null,"abstract":"Objectives: This study was designed to investigate the effects of a completely passive isokinetic cycle (PIC) exercise with electromyostimulation (EMS) on improving muscle strength and the changes in kinesthesia during daily activities.Methods: Twenty-nine sedentary females were divided into three groups. The EMS anterior and whole groups performed the PIC exercise without EMS 3 times a week for 3 weeks, followed by a 1-week break, and then performed it with EMS applied to the anterior and entire thigh muscles, respectively, 3 times a week for 3 weeks. The control group did not perform any training.Results: The PIC exercise with EMS significantly increased the 30s chair stand test scores by 12-16% and the maximum isometric knee extension and flexion torques by 38-68% in both EMS-applied groups. The participants found its exercise easy and felt more comfortable with daily physical activities. The exercise without EMS did not show similar improvements. Muscle soreness was significantly greater in the EMS anterior group than in the EMS whole group; however, it was not severe.Conclusions: The PIC exercise with EMS resulted in significant increases in muscle strength, facilitating a perceived ease of daily physical activities, while minimizing difficulties, effort, and notable muscle soreness.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"8 3","pages":"163-173"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e2/a6/JFSF-8-163.PMC10472036.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10149869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Resistance Training in Post-COVID Recovery: Rationale and Current Evidence. 抗阻训练在covid - 19后恢复:基本原理和当前证据。

Journal of frailty, sarcopenia and falls Pub Date : 2023-09-01 DOI: 10.22540/JFSF-08-188

George Mills, Enya Daynes, Hamish J C McAuley, Neil J Greening, Samuel Briggs-Price, Molly M Baldwin, Sally J Singh

{"title":"Resistance Training in Post-COVID Recovery: Rationale and Current Evidence.","authors":"George Mills, Enya Daynes, Hamish J C McAuley, Neil J Greening, Samuel Briggs-Price, Molly M Baldwin, Sally J Singh","doi":"10.22540/JFSF-08-188","DOIUrl":"https://doi.org/10.22540/JFSF-08-188","url":null,"abstract":"During hospitalisation with COVID-19, individuals may experience prolonged periods of immobilisation. Combined with the inflammatory effects of the virus, this may lead to a significant reduction in both muscle mass and strength. Data from several long-term studies suggest that these symptoms may not fully resolve within one year. Owing to its effectiveness at inducing muscle fibre hypertrophy and improving neuromuscular efficiency, resistance training is of great interest in the rehabilitation of this population. This narrative review aims to identify the rationale and potential efficacy of resistance training for restoring physical function following infection with SARS-CoV-2, as well as evidence of its use in clinical practice. The studies included in this narrative review consisted mostly of multi-component rehabilitation trials. Of these, widespread improvements in muscle strength were reported using intensities of up to 80% of participants' 1-repetition-maximum. Evidence thus far indicates that resistance training may be safe and effective in patients following COVID-19, although its individual contribution is difficult to discern. Future exercise intervention studies investigating the efficacy of resistance training as a sole modality are needed.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"8 3","pages":"188-194"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e7/b7/JFSF-8-188.PMC10472035.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10143348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The relationship between quadriceps femoris thickness measured by US and femoral cartilage thickness in knee osteoarthritis, its effect on radiographic stage and clinical parameters: comparison with healthy young population. 膝关节骨性关节炎患者股骨股四头肌厚度与股骨软骨厚度的关系及其对x线分期和临床参数的影响:与健康青年人群的比较

Journal of frailty, sarcopenia and falls Pub Date : 2023-09-01 DOI: 10.22540/JFSF-08-155

Ahmet Bozan, Belgin Erhan

{"title":"The relationship between quadriceps femoris thickness measured by US and femoral cartilage thickness in knee osteoarthritis, its effect on radiographic stage and clinical parameters: comparison with healthy young population.","authors":"Ahmet Bozan, Belgin Erhan","doi":"10.22540/JFSF-08-155","DOIUrl":"https://doi.org/10.22540/JFSF-08-155","url":null,"abstract":"Objective: In this study, we aimed to investigate the relationship between quadriceps muscle thickness and femoral cartilage thickness measured by ultrasonography (US) in knee osteoarthritis (OA), to correlate this relationship with radiographic stage and clinical parameters, and to compare these values with those in healthy young adults.Methods: A total of 71 patients with knee osteoarthritis and 31 healthy young adults were included in the study. Patients with knee osteoarthritis (Group 1) and healthy young adults (Group 2) were divided into two groups. Muscle thickness measurements of the quadriceps femoris muscle (M. vastus intermedius + M. rectus femoris) were performed by US.Results: Bilateral quadriceps muscle thickness and bilateral femoral cartilage thickness values were significantly lower in Group 1 than in Group 2. The 10-metre walk test score and Time Up and Go (TUG) test score were significantly higher in Group 1 than in Group 2. A strong positive correlation was found between bilateral quadriceps (RF+VI) muscle thickness and bilateral femoral cartilage thickness (medial, intercondylar, lateral) in Group 1.Conclusions: This study showed a strong positive correlation between quadriceps thickness and femoral cartilage thickness. According to these results, we conclude that US may have a place in the diagnosis of knee osteoarthritis.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"8 3","pages":"155-162"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fd/7f/JFSF-8-155.PMC10472037.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10143352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Optimizing intrinsic capacity to prevent frailty and sarcopenia in old age. 优化内在能力，预防老年虚弱和肌肉减少症。

Journal of frailty, sarcopenia and falls Pub Date : 2023-09-01 DOI: 10.22540/JFSF-08-136

Jagadish K Chhetri, Lina Ma, Lin Kang, Piu Chan

引用次数: 0

Older Hospitalised Patients' Reported Confidence in Managing Discharge Needs: A Retrospective Observational Study. 老年住院患者对出院需求管理的信心:一项回顾性观察性研究。

Journal of frailty, sarcopenia and falls Pub Date : 2023-09-01 DOI: 10.22540/JFSF-08-139

Peter Hartley, Olivia Sharpe, Roman Romero-Ortuno

{"title":"Older Hospitalised Patients' Reported Confidence in Managing Discharge Needs: A Retrospective Observational Study.","authors":"Peter Hartley, Olivia Sharpe, Roman Romero-Ortuno","doi":"10.22540/JFSF-08-139","DOIUrl":"https://doi.org/10.22540/JFSF-08-139","url":null,"abstract":"Objectives: To evaluate the introduction of a patient-reported outcome measure (PROM) of self-confidence in managing discharge needs in an acutely hospitalised older adult population.Methods: A retrospective service evaluation in an English hospital. The PROM measure consisted of a visual analogue scale asking patients to rate their confidence with managing the things that they would need to do at home. This was collected on admission and discharge.Results: Of 923 patients, 461 had both admission and discharge confidence scores. Median confidence was higher at discharge (8.00, IQR: 6.20-9.80) than on admission (7.20, 5.00-9.00) (P<0.001). Predictors of high confidence with managing discharge needs at admission were: being male; having a lower number of morbidities; self-reporting fewer falls over the last year; and a higher level of functional mobility. Low confidence score on admission, being from one's own home, and a higher number of physiotherapy contacts were associated with improvement in PROM scores. Self-confidence in managing discharge needs at discharge was not associated with readmission within 30 days.Conclusions: Measuring patient-reported confidence to manage discharge needs is feasible in an older inpatient population. Confidence improved from admission to discharge, and more frequent physiotherapy input was associated with improved confidence.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"8 3","pages":"139-147"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/90/94/JFSF-8-139.PMC10472038.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10505548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Do low levels of alanine aminotransferase, a baseline marker of sarcopenia and frailty, associate with worse clinical outcomes among hospitalized COVID-19 patients? A Retrospective Cohort Study. 在住院的COVID-19患者中，低水平的丙氨酸转氨酶(肌肉减少和虚弱的基线标志物)是否与较差的临床结果相关?回顾性队列研究。

Journal of frailty, sarcopenia and falls Pub Date : 2023-09-01 DOI: 10.22540/JFSF-08-148

Ehud Raz Gatt, Eyal Zilber, Max Perelman, Nitsan Landau, Maya Yakir, Noam Glick, Liat Negru, Gad Segal, Edward Itelman

{"title":"Do low levels of alanine aminotransferase, a baseline marker of sarcopenia and frailty, associate with worse clinical outcomes among hospitalized COVID-19 patients? A Retrospective Cohort Study.","authors":"Ehud Raz Gatt, Eyal Zilber, Max Perelman, Nitsan Landau, Maya Yakir, Noam Glick, Liat Negru, Gad Segal, Edward Itelman","doi":"10.22540/JFSF-08-148","DOIUrl":"https://doi.org/10.22540/JFSF-08-148","url":null,"abstract":"Objectives: COVID-19 geoperdize lives. Not all the risk factors for negative outcomes are known. Sarcopenia and frailty are common, negatively affecting clinical outcomes. Studies have shown that sarcopenia and frailty are associated with worse outcomes. Our objective was to examine whether low ALT (Alanine-aminotranferase), a surrogate marker for sarcopenia, is associated with worse clinical outcomes among hospitalized COVID-19 patients.Methods: We reviewed cases of COVID-19 in a tertiary hospital, during three COVID-19 waves and examined correlations between ALT and mortality using crude, univariate and multivariate analysis for age, gender, hypertension, Chronic obstructive pulmonary disease and Congestive heart failure.Results: 357 patients were included in this analysis. Median age was 69, 54% were males. Median ALT was 19 IU/L. During follow-up, 73 (20%) died. Patients with low ALT were more likely to die (HR 1.82, 95% CI 1.06-3.09, P=0.028). Other predictors for mortality were low albumin, background COPD, dyslipidemia, dementia, and malignancy. The multivariate analysis showed that low ALT was still an independent predictor of poor prognosis (HR 1.7, 95% CI 1.0-2.9, P=0.049).Conclusions: In our analysis of COVID-19 patients, low ALT levels were independently associated with increased risk of mortality, both as standalone and when incorporated into a multivariate analysis.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"8 3","pages":"148-154"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d9/23/JFSF-8-148.PMC10472039.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10524611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Feasibility of engaging older adults living with multiple long-term conditions, frailty, and a recent deterioration in health in a study of lifestyle: protocol for the LiLL-OPM study. 让患有多种长期疾病、身体虚弱和最近健康状况恶化的老年人参与生活方式研究的可行性:lll - opm研究方案

Journal of frailty, sarcopenia and falls Pub Date : 2023-06-01 DOI: 10.22540/JFSF-08-127

Christopher Hurst, Lorelle Dismore, Antoneta Granic, Ellen Tullo, Jane M Noble, Susan J Hillman, Miles D Witham, Avan A Sayer, Richard M Dodds, Sian M Robinson

{"title":"Feasibility of engaging older adults living with multiple long-term conditions, frailty, and a recent deterioration in health in a study of lifestyle: protocol for the LiLL-OPM study.","authors":"Christopher Hurst, Lorelle Dismore, Antoneta Granic, Ellen Tullo, Jane M Noble, Susan J Hillman, Miles D Witham, Avan A Sayer, Richard M Dodds, Sian M Robinson","doi":"10.22540/JFSF-08-127","DOIUrl":"https://doi.org/10.22540/JFSF-08-127","url":null,"abstract":"Community-dwelling older adults living with multiple long-term conditions (MLTC), frailty and a recent deterioration in health are underserved by research. This results in a limited evidence base for their care, including the potential benefits of lifestyle interventions such as structured exercise. The aims of the LiLL-OPM (Lifestyle in Later Life - Older People's Medicine) study are to determine if it is feasible to carry out a research project with these patients, describe their health and lifestyle, their attitudes to engaging in exercise and their experiences of taking part in the research. Older adults who are attending an Older People's Medicine Day Unit service in Newcastle, UK, and their informal carers will be invited to take part. The study will use mixed methods with semi-structured interviews and a health and lifestyle questionnaire, carried out in a way that is most convenient to participants, including in their own homes and with a flexible schedule of study visits. The findings from the feasibility study will provide invaluable data on how to design research, including the most suitable approaches to recruitment and data collection. This will improve the inclusion in research of older adults living with MLTC, frailty and a recent deterioration in health.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"8 2","pages":"127-135"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/24/bd/JFSF-8-127.PMC10233323.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9584098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Head mounted display effect on vestibular rehabilitation exercises performance. 头戴式显示器对前庭康复运动表现的影响。

Journal of frailty, sarcopenia and falls Pub Date : 2023-06-01 DOI: 10.22540/JFSF-08-066

Christos Nikitas, Dimitris Kikidis, Athanasios Pardalis, Michalis Tsoukatos, Sofia Papadopoulou, Athanasios Bibas, Doris E Bamiou

{"title":"Head mounted display effect on vestibular rehabilitation exercises performance.","authors":"Christos Nikitas, Dimitris Kikidis, Athanasios Pardalis, Michalis Tsoukatos, Sofia Papadopoulou, Athanasios Bibas, Doris E Bamiou","doi":"10.22540/JFSF-08-066","DOIUrl":"https://doi.org/10.22540/JFSF-08-066","url":null,"abstract":"Objectives: Vestibular rehabilitation clinical guidelines document the additional benefit offered by the Mixed Reality environments in the reduction of symptoms and the improvement of balance in peripheral vestibular hypofunction. The HOLOBalance platform offers vestibular rehabilitation exercises, in an Augmented Reality (AR) environment, projecting them using a low- cost Head Mounted Display. The effect of the AR equipment on the performance in three of the commonest vestibular rehabilitation exercises is investigated in this pilot study.Methods: Twenty-five healthy adults (12/25 women) participated, executing the predetermined exercises with or without the use of the AR equipment.Results: Statistically significant difference was obtained only in the frequency of head movements in the yaw plane during the execution of a vestibular adaptation exercise by healthy adults (0.97 Hz; 95% CI=(0.56, 1.39), p<0.001). In terms of difficulty in exercise execution, the use of the equipment led to statistically significant differences at the vestibular-oculomotor adaptation exercise in the pitch plane (OR=3.64, 95% CI (-0.22, 7.50), p=0.049), and in the standing exercise (OR=28.28. 95% CI (23.6, 32.96), p=0.0001).Conclusion: Τhe use of AR equipment in vestibular rehabilitation protocols should be adapted to the clinicians' needs.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"8 2","pages":"66-73"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ce/d3/JFSF-8-066.PMC10233325.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9584099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Frailty as a risk-stratification tool in patients undergoing transjugular intrahepatic portosystemic shunt (TIPS). 虚弱作为经颈静脉肝内门静脉分流术(TIPS)患者的风险分层工具。

Journal of frailty, sarcopenia and falls Pub Date : 2023-06-01 DOI: 10.22540/JFSF-08-083

Aalam Sohal, Hunza Chaudhry, Isha Kohli, Kirti Arora, Jay Patel, Nimrat Dhillon, Ishandeep Singh, Dino Dukovic, Marina Roytman

{"title":"Frailty as a risk-stratification tool in patients undergoing transjugular intrahepatic portosystemic shunt (TIPS).","authors":"Aalam Sohal, Hunza Chaudhry, Isha Kohli, Kirti Arora, Jay Patel, Nimrat Dhillon, Ishandeep Singh, Dino Dukovic, Marina Roytman","doi":"10.22540/JFSF-08-083","DOIUrl":"https://doi.org/10.22540/JFSF-08-083","url":null,"abstract":"Objectives: The concept of frailty has gained importance, especially in patients with liver disease. Our study systematically investigated the effect of frailty on post-procedural outcomes in patients undergoing transjugular intrahepatic portosystemic shunt (TIPS).Methods: We used National Inpatient Sample(NIS) 2016-2019 data to identify patients who underwent TIPS. Hospital frailty risk score (HFRS) was used to classify patients as frail (HFRS>=5) and non-frail (HFRS<5). The relationship between frailty and outcomes such as death, post-procedural shock, non-home discharge, length of stay (LOS), post-procedural LOS, and total hospitalization charges (THC) was assessed.Results: A total of 13,700 patients underwent TIPS during 2016-2019. Of them, 5,995 (43.76%) patients were frail, while 7,705 (56.24%) were non-frail. There were no significant differences between the two groups based on age, gender, race, insurance, and income. Frail patients had higher mortality (15.18% vs. 2.07%, p<0.001), a higher incidence of non-home discharge (53.38% vs. 19.08%, p<0.001), a longer overall LOS (12.5 days vs. 3.35,p<0.001), longer post-procedural stay (8.2 days vs. 3.4 days, p<0.001), and higher THC ($240,746.7 vs. $121,763.1, p<0.001) compared to the non-frail patients. On multivariate analysis, frail patients had a statistically significant higher risk of mortality (aOR-3.22, 95% CI-1.98- 5.00, p<0.001).Conclusion: Frailty assessment can be beneficial in risk stratification in patients undergoing TIPS.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"8 2","pages":"83-93"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f2/c7/JFSF-8-083.PMC10233326.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9575871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0