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住院老年人的偶发性肌肉减少症:系统评价。

Incident sarcopenia in hospitalized older people: A systematic review.

机构信息

Department of Medicine, Faculty of Medicine, Universiti Malaya, Wilayah Persekutuan Kuala Lumpur, Malaysia.

Department of Medicine, Hospital Sultanah Bahiyah, Alor Setar, Kedah Darul Aman, Malaysia.

出版信息

PLoS One. 2023 Aug 2;18(8):e0289379. doi: 10.1371/journal.pone.0289379. eCollection 2023.

Abstract

Hospitalization has been associated with the development of sarcopenia. This study aimed to examine the new incidences of hospital sarcopenia, associated risk factors and health outcomes, as defined by internationally recognized diagnostic criteria in hospitalized older people. Pre-defined search terms were run through five databases. Six studies that assessed sarcopenia on two separate time points during hospitalization on older inpatients were included. Prevalence of sarcopenia varied from 14.1% to 55% depending on diagnostic criteria and cut-off points used. New sarcopenia occurred between 12% to 38.7% patients following hospitalization. Risk factors were older age, longer duration of bed rest, lower baseline body mass index, cognitive impairment and activities of daily living disability. None of the studies reported health outcomes associated with newly developed sarcopenia in hospital.

摘要

住院与肌少症的发展有关。本研究旨在根据国际公认的诊断标准,检查老年住院患者中新发的医院肌少症、相关危险因素和健康结局。通过五个数据库运行了预先定义的搜索词。纳入了 6 项分别在住院期间的两个不同时间点评估肌少症的研究。肌少症的患病率因诊断标准和使用的截止值而异,从 14.1%到 55%不等。新发生的肌少症发生在住院后的 12%至 38.7%的患者中。危险因素包括年龄较大、卧床时间较长、较低的基线身体质量指数、认知障碍和日常生活活动障碍。没有一项研究报告与医院新发生的肌少症相关的健康结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f40/10395895/287c20823284/pone.0289379.g001.jpg

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