SARC-F Predicts Mortality Risk of Older Adults during Hospitalization

被引:14
|
作者
Ueshima, J. [1 ,2 ]
Maeda, K. [2 ,3 ]
Ishida, Y. [4 ]
Shimizu, A. [2 ,5 ]
Inoue, T. [6 ]
Nonogaki, T. [7 ]
Matsuyama, R. [8 ]
Yamanaka, Y. [8 ]
Mori, N. [2 ]
机构
[1] NTT Med Ctr Tokyo, Dept Clin Nutr & Food Serv, Shinagawa Ku, Tokyo, Japan
[2] Aichi Med Univ, Grad Sch Med, Dept Palliat & Support Med, Nagakute, Aichi, Japan
[3] Natl Ctr Geriatr & Gerontol, Dept Geriatr Med, 7-430 Morioka, Obu, Aichi 4748511, Japan
[4] Aichi Med Univ Hosp, Dept Nutr, Nagakute, Aichi, Japan
[5] Hamamatsu City Rehabil Hosp, Dept Nutr, Naka Ku, Hamamatsu, Shizuoka, Japan
[6] Niigata Univ Hlth & Welf, Dept Phys Therapy, Niigata, Niigata, Japan
[7] Aichi Med Univ Hosp, Dept Pharm, Nagakute, Aichi, Japan
[8] Aichi Med Univ, Grad Sch Med, Dept Oral & Maxillofacial Surg, Nagakute, Aichi, Japan
来源
JOURNAL OF NUTRITION HEALTH & AGING | 2021年 / 25卷 / 07期
基金
日本学术振兴会;
关键词
SARC-F; sarcopenia; acute care; hospital death; prognostic indices; COMPREHENSIVE GERIATRIC ASSESSMENT; QUALITY-OF-LIFE; PROGNOSTIC INDEXES; HANDGRIP STRENGTH; FUNCTIONAL LEVEL; FRAILTY INDEX; SARCOPENIA; QUESTIONNAIRE; COMORBIDITY; VALIDATION;
D O I
10.1007/s12603-021-1647-x
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Objectives To determine the association between SARC-F scores and the in-hospital mortality risk among older patients admitted to acute care hospitals. Design Single-center retrospective study. Setting A university hospital. Participants All consecutive patients aged older than 65 were admitted and discharged from the study hospital between July 2019 and September 2019. Measurements Relevant patient data included age, sex, body mass index, nutritional status, fat-free mass, disease, activities of daily living (ADL), duration of hospital stay, SARC-F, and occurrence of death within 30 days of hospitalization. The diseases that caused hospitalization and comorbidities (Charlson Comorbidity Index; CCI) were obtained from medical records. The Eastern Cooperative Oncology Group-performance status (PS) was used to determine ADL, and the in-hospital mortality rate within 30 days of hospitalization as the outcome. Results We analyzed 2,424 patients. The mean age was 75.9 +/- 6.9 and 55.5% were male. Fifty-three in-hospital mortalities occurred among the participants within the first 30 days of hospitalization. Patients who died in-hospital were older, had poorer nutritional status and severer PS scores, and more comorbidities than those who did not. A SARC-F score of >= 4 predicted a higher mortality risk within those 30 days with the following precision: sensitivity 0.792 and specificity 0.805. There were significantly more deaths in Kaplan-Meier curves regarding a score of SARC-F >= 4 than a score of SARC-F<4 (p<0.001). Cox proportional hazard analysis was used to identify the clinical indicators most associated with in-hospital mortality. SARC-F >= 4 (Hazard Ratio: HR 5.65, p<0.001), CCI scores (HR1.11, p=0.004), and infectious and parasitic diseases (HR3.13, p=0.031) were associated with in-hospital mortality. The SARC-F items with significant in-hospital mortality effects were assistance with walking (HR 2.55, p<0.001) and climbing stairs (HR 2.46, p=0.002). Conclusion The SARC-F questionnaire is a useful prognostic indicator for older adults because a SARC-F >= 4 score during admission to an acute care hospital predicts in-hospital mortality within 30 days of hospitalization.
引用
收藏
页码:914 / 920
页数:7
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