The Impact of Low Muscle Mass in Patients Undergoing Emergency Surgery for Colonic Perforation - A Single-center Experience

被引：6

作者：

Imamura, Hajime ^{[1
]}

Haraguchi, Masashi ^{[1
]}

Minami, Shigeki ^{[1
]}

Isagawa, Yuriko ^{[1
]}

Morita, Michi ^{[1
]}

Hirabaru, Masataka ^{[1
]}

Kawahara, Daisuke ^{[1
]}

Tokai, Hirotaka ^{[1
]}

Noda, Kazumasa ^{[1
]}

Inoue, Keiji ^{[1
]}

Eguchi, Susumu ^{[2
]}

机构：

[1] Nagasaki Harbor Med Ctr, Dept Surg, Nagasaki, Japan

[2] Nagasaki Univ, Dept Surg, Grad Sch Biomed Sci, 1-7-1 Sakamoto, Nagasaki 8528501, Japan

来源：

IN VIVO | 2019年 / 33卷 / 02期

关键词：

Low muscle mass; sarcopenia; emergency surgery; colonic perforation; elderly; abdominal surgery; POSTOPERATIVE COMPLICATIONS; OLDER-ADULTS; SARCOPENIA; RESECTION; PREDICTOR; MORTALITY; OUTCOMES;

D O I：

10.21873/invivo.11505

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Aim: The aim was to analyze the correlation between psoas muscle mass and mortality, as well as postoperative complications in patients treated for colonic perforation. Patients and Methods: A total of 46 patients met the study criteria. Patients were classified into an elderly (age, >= 75 years, n=24) and a younger group (age, <75 years, n=22). Background factors, postoperative data (including duration of hospital stay and discharge) were collected. The cross-sectional area of the psoas muscle area (PMA) was measured on the same day of operation. Results: The age/length of stay and PMA were significantly correlated in the younger group (p=0 .0015 , 0.023, respectively). Fifteen and six patients were discharged to return home, and 8 and 16 patients were transferred to another hospital, in the younger and elderly groups, respectively (p=0.02). Discharge was not correlated with the PMA in either group. Conclusion: The total psoas muscle mass would be useful as a quick and convenient measure of sarcopenia in younger patients, but not elderly patients.

引用

页码：523 / 528

页数：6

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