腰肌面积与老年髋部骨折患者的预后有关。

IF 2.4 3区 医学 Q3 ENDOCRINOLOGY & METABOLISM
Journal of Bone and Mineral Metabolism Pub Date : 2024-01-01 Epub Date: 2024-01-09 DOI:10.1007/s00774-023-01485-0
Seong-Eun Byun, Jin-Woo Kim, Jeongmo Koo, Soonchul Lee
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引用次数: 0

摘要

简介肌肉疏松症是预测髋部骨折患者预后的关键因素。本研究通过计算机断层扫描(CT)(1)确定腰肌横截面积(CSA)和其他肌肉与死亡率之间的关系,(2)确认髋部骨折老年患者肌肉CSA与使用DXA测量的关节瘦体重(ALM)之间的相关性:年龄≥50岁且接受过髋部骨折手术治疗的患者均符合本研究的条件。经过一系列排除标准后,217 名女性患者被纳入研究。研究人员回顾性地收集了患者数据,包括体质指数(BMI)、CSA和ALM等临床特征。统计分析采用 Kaplan-Meier 生存法和 Cox 比例危险回归分析。此外,还评估了CSA/BMI和ALM之间的相关性:结果:腰肌 CSA/BMI 最低四分位数患者的生存时间比其他四分位数患者短。在对多种变量进行考克斯比例危险回归分析调整后,腰肌 CSA/BMI 最低四分位数是导致死亡的风险因素。腰肌的 CSA/BMI 相关系数最高。其他肌肉的 CSA/BMI 比率与 ALM 呈中度正相关:结论:腰肌 CSA 与老年髋部骨折患者的预后有关,并与 ALM 呈中度正相关。因此,腰肌CSA有助于预测老年髋部骨折患者的存活率和肌肉质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Psoas muscle area is associated with prognosis in elderly patients with hip fracture.

Psoas muscle area is associated with prognosis in elderly patients with hip fracture.

Introduction: Sarcopenia is a key predictor of prognosis in patients with hip fractures. This study utilized computed tomography (CT) scan (1) to determine the association between psoas muscle cross-sectional area (CSA) and mortality, along with other muscles, and (2) to confirm the correlation between muscle CSA and appendicular lean mass (ALM) measured using DXA in elderly patients with hip fracture.

Materials and methods: Patients who were aged ≥ 50 years and underwent surgical treatment for hip fracture were eligible for this study. After a series of exclusion criteria, 217 female patients were included. Patient data, including clinical characteristics, such as body mass index (BMI), CSA, and ALM, were retrospectively collected. The Kaplan-Meier survival method and Cox proportional hazards regression analysis were used for the statistical analyses. The correlation between CSA/BMI and ALM was also assessed.

Results: Patients in the lowest quartile of psoas muscle CSA/BMI had shorter survival times than those in the other quartiles. When the Cox proportional hazards regression analysis was adjusted for multiple variables, the lowest quartile of the CSA/BMI of the psoas was a risk factor for mortality. The CSA/BMI of the psoas showed the highest correlation coefficient. The CSA/BMI ratio of the other muscles showed a moderately positive correlation with ALM.

Conclusion: The CSA of the psoas is associated with prognosis in elderly patients with hip fractures and shows a moderately positive correlation with ALM. Hence, the CSA of psoas is useful for predicting survival and muscle mass in elderly patients with hip fractures.

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来源期刊
Journal of Bone and Mineral Metabolism
Journal of Bone and Mineral Metabolism 医学-内分泌学与代谢
CiteScore
6.30
自引率
3.00%
发文量
89
审稿时长
6-12 weeks
期刊介绍: The Journal of Bone and Mineral Metabolism (JBMM) provides an international forum for researchers and clinicians to present and discuss topics relevant to bone, teeth, and mineral metabolism, as well as joint and musculoskeletal disorders. The journal welcomes the submission of manuscripts from any country. Membership in the society is not a prerequisite for submission. Acceptance is based on the originality, significance, and validity of the material presented. The journal is aimed at researchers and clinicians dedicated to improvements in research, development, and patient-care in the fields of bone and mineral metabolism.
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