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Tytuł:
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A pilot study examining the use of ultrasound to measure sarcopenia, frailty and fall in older patients.
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Autorzy:
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Benton E; NewYork-Presbyterian Hospital, Department of Emergency Medicine, 525 East 68th Street, New York, NY 10065, United States of America. Electronic address: .
Liteplo AS; Massachusetts General Hospital, Department of Emergency Medicine, 55 Fruit Street, Boston, MA 02114, United States of America.
Shokoohi H; Massachusetts General Hospital, Department of Emergency Medicine, 55 Fruit Street, Boston, MA 02114, United States of America.
Loesche MA; Massachusetts General Hospital, Department of Emergency Medicine, 55 Fruit Street, Boston, MA 02114, United States of America.
Yacoub S; Massachusetts General Hospital, Department of Emergency Medicine, 55 Fruit Street, Boston, MA 02114, United States of America.
Thatphet P; Massachusetts General Hospital, Department of Emergency Medicine, 55 Fruit Street, Boston, MA 02114, United States of America.
Wongtangman T; Massachusetts General Hospital, Department of Emergency Medicine, 55 Fruit Street, Boston, MA 02114, United States of America.
Liu SW; Massachusetts General Hospital, Department of Emergency Medicine, 55 Fruit Street, Boston, MA 02114, United States of America.
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Źródło:
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The American journal of emergency medicine [Am J Emerg Med] 2021 Aug; Vol. 46, pp. 310-316. Date of Electronic Publication: 2020 Aug 07.
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Typ publikacji:
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Journal Article; Observational Study
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Język:
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English
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Imprint Name(s):
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Publication: 1983- : Philadelphia, PA : W B Saunders
Original Publication: [Philadelphia, PA. : Centrum Philadelphia, c1983]-
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MeSH Terms:
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Accidental Falls*
Frail Elderly*
Sarcopenia/*diagnostic imaging
Ultrasonography/*methods
Aged ; Aged, 80 and over ; Emergency Service, Hospital ; Female ; Geriatric Assessment ; Humans ; Male ; Pilot Projects ; Prospective Studies ; Risk Assessment
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Contributed Indexing:
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Keywords: Emergency medicine; Falls; Frailty; Geriatric; Ultrasound
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Entry Date(s):
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Date Created: 20201012 Date Completed: 20210827 Latest Revision: 20210827
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Update Code:
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20240105
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DOI:
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10.1016/j.ajem.2020.07.081
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PMID:
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33041131
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Introduction: The importance of this study is to devise an efficient tool for assessing frailty in the ED. The goals of this study are 1) to correlate ultrasonographic (US) measurements of muscle thickness in older ED patients with frailty and 2) to correlate US-measured sarcopenia with falls, subsequent hospitalizations and ED revisits.
Methods: Participants were conveniently sampled from a single ED in this prospective cohort pilot study of patients aged 65 or older. Participants completed a Fatigue, Resistance, Ambulation, Illness and Loss of Weight (FRAIL) scale assessment and US measurements of their upper arm muscles, quadricep muscles, and abdominal wall muscles thickness. We conducted one-month follow-up phone calls to assess for falls, ED revisits, and subsequent hospital visits.
Results: We enrolled 43 patients (mean age of 78.5). Ultrasound measurements of the three muscle groups were not significantly different between frail and non-frail groups. Frail participants had greater bicep asymmetry (a difference of 0.47 cm vs 0.24 cm, p < .01). A predictive logistic regression model using average quadriceps thickness and biceps asymmetry was found to identify frail patients (AUC of 0.816). Participants with subsequent falls had smaller quadriceps (1.18 cm smaller, p < .01). Subsequently hospitalized patients were found to have smaller quadriceps muscles (0.54 cm smaller, p = .03) and abdominal wall muscles (0.25 cm smaller, p = .01).
Conclusion: US measurements of sarcopenia in older patients had mild to moderate associations with frailty, falls and subsequent hospitalizations. Further investigation is needed to confirm these findings.
Competing Interests: Declaration of Competing Interest None.
(Copyright © 2020. Published by Elsevier Inc.)
