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- Title
Frailty but not low muscle quality nor sarcopenia is independently associated with mortality among previously hospitalized older adults: A prospective study.
- Authors
da Costa Pereira, Jarson Pedro; da Silva Diniz, Alcides; Chaves de Lemos, Maria Conceição; Sabino Pinho Ramiro, Cláudia Porto; Coelho Cabral, Poliana
- Abstract
Aim: There are few studies comparing the effects of geriatric syndromes and abnormalities in nutritional status and body composition on outcomes among older individuals who have been previously hospitalized. Our study aimed to evaluate the frequency and diagnosis of geriatric syndromes, low muscle quality, and nutritional status in hospitalized older individuals, and to examine their impact on both short- and long-term outcomes. Methods: This was a prospective study involving older adults (≥60 years). We assessed nutritional status, muscle quality, sarcopenia, and frailty. The outcomes were functional dependence, length of hospital stay, transfer to the Intensive Care Unit, number of readmissions, and mortality. Multivariate analysis was conducted to identify independent risk factors. Results: Even after adjustment for age and sex, increased risk of death was associated with possible undernourishment, sarcopenia, low muscle quality, and frailty (P < 0.05), but not the length of hospital stay (P > 0.05). Our multivariate analysis showed that frailty was independently associated with mortality and functional dependence. Low muscle quality was independently associated with functional dependence. Conclusions: Geriatric syndromes, abnormalities in body composition, and the overall nutritional status of older patients are important risk factors for adverse outcomes, including functional dependence and mortality. These findings emphasize the need for interventions to improve muscle quality, prevent and treat malnutrition and sarcopenia, and address frailty in hospitalized patients.
- Subjects
EVALUATION of medical care; LENGTH of stay in hospitals; INTENSIVE care units; FRAIL elderly; NUTRITIONAL assessment; SKELETAL muscle; FUNCTIONAL status; SARCOPENIA; GERIATRIC assessment; PATIENT readmissions; HOSPITAL mortality; FUNCTIONAL assessment; HOSPITAL care of older people; DESCRIPTIVE statistics; MALNUTRITION; NUTRITIONAL status; LONGITUDINAL method
- Publication
Geriatrics & Gerontology International, 2023, Vol 23, Issue 10, p736
- ISSN
1444-1586
- Publication type
Article
- DOI
10.1111/ggi.14660