دورية أكاديمية
Visualizing Frailty: Exploring Radiographical Measures of Frailty in Trauma Patients
| العنوان: | Visualizing Frailty: Exploring Radiographical Measures of Frailty in Trauma Patients |
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| المؤلفون: | Omolola Fakunle, Meet Patel, Victoria G. Kravets, Adam Singer, Robert Hernandez-Irizarry, Mara L. Schenker |
| المصدر: | Journal of Acute Care Surgery, Vol 11, Iss 3, Pp 121-128 (2021) |
| بيانات النشر: | Korean Society of Acute Care Surgery, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Surgery |
| مصطلحات موضوعية: | abdomen, frailty, injury, radiology, sarcopenia, trauma, Surgery, RD1-811 |
| الوصف: | Purpose This study assessed the relationship of core muscle sarcopenia, myosteatosis, and L1 attenuation to the 5-factor modified frailty index (mFI-5), discharge disposition, and post-admission complications in orthopedic and general trauma patients. It was hypothesized that reduced sarcopenia, L1 attenuation, and increased myosteatosis is associated with higher mFI-5 scores (≥ 0.3), discharge into care, and increased post-admission complications. Methods This prospective cohort study was performed at a Level 1 trauma center. Patients were surveyed and metrics of the mFI-5 were used. Frail was categorized as a mFI-5 score ≥ 0.3. Recent abdominal computed tomography (CT) scans were used to extract radiographical information of total psoas cross-sectional area, psoas myosteatosis, and L1 vertebrae attenuation. Results There were 140 patients who consented to the study, of which 83 had available abdomen and pelvis CT scans. The mean age was 43.19 (± 17.36), and 65% were male (n = 52). When comparing the frail (16%, n = 13) and not frail (84%, n = 70) patients, there was a significant difference in mean psoas myosteatosis (p < 0.0001) and the attenuation of the L1 vertebrae (p < 0.001). On multivariate analysis when accounting for age, myosteatosis of the psoas muscles was predictive of an mFI-5 score ≥ 0.3. Conclusion The findings suggest that myosteatosis and L1 attenuation are associated with frailty indices (mFI-5) after traumatic injury. Future studies are needed to prospectively assess the validity of both radiographical and index-based markers of frailty in predicting post-traumatic complications, mortality, and hospital utilization. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2288-5862 2288-9582 |
| Relation: | http://www.jacs.or.kr/upload/pdf/jacs-2021-11-3-121.pdf; https://doaj.org/toc/2288-5862; https://doaj.org/toc/2288-9582 |
| DOI: | 10.17479/jacs.2021.11.3.121 |
| URL الوصول: | https://doaj.org/article/c6dd80abd975457da05757e47171d383 |
| رقم الأكسشن: | edsdoj.6dd80abd975457da05757e47171d383 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 22885862 22889582 |
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| DOI: | 10.17479/jacs.2021.11.3.121 |