| dc.rights.license | http://creativecommons.org/licenses/by/4.0 | es_MX |
| dc.creator | MARIO ULISES PEREZ ZEPEDA | es_MX |
| dc.creator | Aldo Sgaravatti | es_MX |
| dc.creator | Elsa Dent | es_MX |
| dc.date | 2017 | |
| dc.date.accessioned | 2021-12-08T18:50:48Z | |
| dc.date.available | 2021-12-08T18:50:48Z | |
| dc.identifier.uri | http://repositorio.inger.gob.mx/jspui/handle/20.500.12100/17339 | |
| dc.description | Introduction: Sarcopenia poses a significant problem for older adults, yet very little is known about this medical condition in the hospital setting. The aims of this hospital-based study were to determine: (i) the prevalence of sarcopenia; (ii) factors associated with sarcopenia; and (iii) the association of sarcopenia with adverse clinical outcomes post-hospitalisation.
Methods: This is a longitudinal analysis of consecutive patients aged ≥70 years admitted to a Geriatric Management and Evaluation Unit (GEMU) ward. Sarcopenia was classified using the European Working Group on Sarcopenia in Older People (EWGSOP) algorithm, which included: handgrip strength, gait speed, and muscle mass using Bioelectrical Impedance Analysis (BIA). Outcomes were assessed at 12-months post-hospital discharge, and included both mortality and admission to a hospital Emergency Department (ED). Kaplan-Meier methods were used to estimate survival, with Cox proportion hazard models then applied. All regression analyses controlled for age, sex, and co-morbidity.
Results: 172 patients (72% female) with a mean (SD) age of 85.2 (6.4) years were included. Sarcopenia was present in 69 (40.1%) of patients. Patients with sarcopenia were twice as likely to die in the 12-months post-hospitalisation (HR, 95% CI=2.23, 1.15-4.34), but did not have an increased likelihood of ED admission.
Conclusions: Sarcopenia showed an independent association with 12-month post-hospital mortality in older adults. With the new recognition of sarcopenia as a medical condition with its own unique ICD-10-CM code, awareness and diagnosis of sarcopenia in clinical settings is paramount. | es_MX |
| dc.format | Adobe PDF | es_MX |
| dc.language | eng | es_MX |
| dc.publisher | Elsevier | es_MX |
| dc.relation | https://www.sciencedirect.com/science/article/abs/pii/S0167494316301935?via%3Dihub | es_MX |
| dc.relation.requires | Si | es_MX |
| dc.rights | Acceso Abierto | es_MX |
| dc.source | Archives of Gerontology and Geriatrics (0167-4943) Vol. 69 (2017) | es_MX |
| dc.subject | MEDICINA Y CIENCIAS DE LA SALUD | es_MX |
| dc.subject | Ciencias médicas | es_MX |
| dc.subject | Ciencias clínicas | es_MX |
| dc.subject | Geriatría | es_MX |
| dc.subject | Personas mayores | es_MX |
| dc.subject | Older adults | es_MX |
| dc.subject | Envejecido | es_MX |
| dc.subject | Aged | es_MX |
| dc.subject | Atrofia muscular | es_MX |
| dc.subject | Muscular atrophy | es_MX |
| dc.subject | Mortalidad | es_MX |
| dc.subject | Mortality | es_MX |
| dc.subject | Fuerza muscular | es_MX |
| dc.subject | Muscle strength | es_MX |
| dc.subject | Sarcopenia | es_MX |
| dc.subject | Mexico | es_MX |
| dc.title | Sarcopenia and post-hospital outcomes in older adults: A longitudinal study | es_MX |
| dc.type | Preimpreso | es_MX |
| dc.audience | Researchers | es_MX |
| dc.creator.id | PEZM760111HDFRPR07 | es_MX |
| dc.creator.id | CA1237491 | es_MX |
| dc.creator.id | 0000-0002-4006-3992 | es_MX |
| dc.creator.nameIdentifier | curp | es_MX |
| dc.creator.nameIdentifier | ca | es_MX |
| dc.creator.nameIdentifier | cvu | es_MX |
