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- Title
Sarcopenia associated with 90-day readmission and overall survival after abdominal trauma.
- Authors
Fengchan Xi; Shanjun Tan; Tao Gao; Weiwei Ding; Yuqing Song; Jie Yang; Weiqin Li; Wenkui Yu; Xi, Fengchan; Tan, Shanjun; Gao, Tao; Ding, Weiwei; Song, Yuqing; Yang, Jie; Li, Weiqin; Yu, Wenkui
- Abstract
<bold>Background and Objectives: </bold>It is widely recognized that sarcopenia increases postoperative complications in trauma patients. However, the effects on prognosis remain unclear. This study aimed to evaluate the impact of sarcopenia on 90-day readmission and overall survival (OS) in abdominal trauma patients.<bold>Methods and Study Design: </bold>485 consecutive patients who underwent abdominal surgery after trauma in our institution were enrolled. Sarcopenia was diagnosed with low muscle mass and low muscle strength-handgrip. Multivariate logistic regression analysis was performed to identify factors that contributed to 90-day readmission and OS. Cox logistic regression analysis was used to assess the relationship between sarcopenia and OS.<bold>Results: </bold>Sarcopenia was present in 120 of 485 patients (24.7%) with abdominal trauma within one week after admission based on the diagnostic cut-off values (40.9 cm2/m2 for men and 36.8 cm2/m2 for women). 90-day readmission was significantly higher in the sarcopenia group (p=0.019), and OS lower in the sarcopenia group (p=0.025). Sarcopenia was an independent predictor of 90-day readmission [odds ratio (OR): 5.34, 95% confidence interval (CI): 2.52-11.3].<bold>Conclusions: </bold>Sarcopenia was associated with high 90-day readmission and low OS in abdominal trauma patients, and it was an independent risk factor for 90-day readmission.
- Subjects
SARCOPENIA; MUSCLE mass; LOGISTIC regression analysis; ABDOMINAL surgery; GRIP strength; RETROSPECTIVE studies; PATIENT readmissions; PROGNOSIS; COMPUTED tomography
- Publication
Asia Pacific Journal of Clinical Nutrition, 2020, Vol 29, Issue 4, p724
- ISSN
0964-7058
- Publication type
journal article
- DOI
10.6133/apjcn.202012_29(4).0007