Department of Geriatrics, Erciyes University Faculty of Medicine, Kayseri, Turkey.
Department of Geriatrics, Kayseri City Hospital, Kocasinan, 38080, Kayseri, Turkey.
Eur Geriatr Med. 2021 Aug;12(4):863-870. doi: 10.1007/s41999-021-00499-z. Epub 2021 Apr 17.
To investigate the risk of sarcopenia in hospitalized older patients and to assess the associations between sarcopenia risk and health care outcomes including dependency, malnutrition, and dysphagia.
This multicenter cross-sectional study was a part of the annual National Prevalence Measurement of Quality of Care (LPZ) in Turkey. Hospitalized patients age 65 and older were included in the study. The SARC-F was used to assess risk of sarcopenia. Dependency was appraised according to the Care Dependency Scale (CDS). Nutritional status was established with respect to the Malnutrition Universal Screening Tool (MUST). Dysphagia was screened by two structured questions.
A total of 492 patients were included in the analysis. Two hundred and forty patients (48.8%) were at risk of sarcopenia. Sarcopenia risk was more prevalent among women (p = 0.007) and patients with risk of sarcopenia were older (p < 0.001). Hospital stay was longer and malnutrition and dysphagia were more prevalent in patients with sarcopenia risk than without (all p < 0.001). All nutritional interventions were applied mostly to patients with sarcopenia risk than without. In multivariate analysis, advanced age (OR: 1.068, CI 1.032-1.104, p < 0.001), female gender (OR: 2.414, CI 1.510-3.857, p < 0.001), and dependency (OR: 5.022, CI 2.922-8.632, p < 0.001) were independently associated with sarcopenia risk.
Sarcopenia risk is related with unfavorable outcomes in hospitalized patients. Primarily older female patients are at risk for sarcopenia. It is important to recognize sarcopenia at an early stage and to prevent its progression, before dependency develops. The SARC-F may be a useful tool for screening sarcopenia risk in hospitalized patients.
调查住院老年患者发生肌肉减少症的风险，并评估肌肉减少症风险与包括依赖、营养不良和吞咽困难在内的医疗保健结局之间的关系。
这是一项多中心横断面研究，是土耳其年度全国医疗质量患病率测量（LPZ）的一部分。研究纳入了年龄在 65 岁及以上的住院患者。使用 SARC-F 量表评估肌肉减少症风险。根据护理依赖量表（CDS）评估依赖程度。通过两个结构化问题筛查营养不良。
共纳入 492 名患者进行分析。240 名（48.8%）患者存在肌肉减少症风险。女性（p=0.007）和存在肌肉减少症风险的患者年龄更大（p<0.001）。存在肌肉减少症风险的患者住院时间更长，营养不良和吞咽困难的发生率更高（均 p<0.001）。与无肌肉减少症风险的患者相比，更多存在肌肉减少症风险的患者接受了所有营养干预措施。多变量分析显示，高龄（OR：1.068，95%CI 1.032-1.104，p<0.001）、女性（OR：2.414，95%CI 1.510-3.857，p<0.001）和依赖（OR：5.022，95%CI 2.922-8.632，p<0.001）与肌肉减少症风险独立相关。
住院患者的肌肉减少症风险与不良结局相关。主要是年龄较大的女性患者存在肌肉减少症风险。在发生依赖之前，早期识别并预防肌肉减少症的进展非常重要。SARC-F 可能是筛查住院患者肌肉减少症风险的有用工具。
