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Evaluation of the Impact of Sarcopenia in Patients with Acute Mesenteric Ischemia.
- Source :
-
Annals of vascular surgery [Ann Vasc Surg] 2020 Feb; Vol. 63, pp. 170-178.e1. Date of Electronic Publication: 2019 Oct 17. - Publication Year :
- 2020
-
Abstract
- Background: Sarcopenia has been identified as a prognostic factor in several diseases. The aim of this study was to investigate the impact of sarcopenia in patients with acute mesenteric ischemia.<br />Methods: Consecutive patients admitted for acute mesenteric ischemia were retrospectively included at the University Hospital of Nice. Sarcopenia was assessed by the measurement of total psoas area normalized for height (TPA/H) on CT-scan and was defined as a TPA/H inferior to the lowest sex-specific quartile. The management of the patients and the 30-day outcomes were compared between sarcopenic and nonsarcopenic patients. Correlations between the TPA/H and biological characteristics were investigated.<br />Results: Among the 80 patients included, the lowest quartile of TPA/H that defined sarcopenia was 406.1 mm <superscript>2</superscript> /m <superscript>2</superscript> for men and 307 mm <superscript>2</superscript> /m <superscript>2</superscript> for women. The rate of revascularization or the need of intestinal resection did not significantly differ between sarcopenic and nonsarcopenic patients (10.5% vs. 26.2%, P = 0.214 and 26.3% vs. 47.5%, P = 0.118 respectively). The 30-day mortality did not significantly differ between the two groups (63.2% vs. 47.5%, P = 0.297). The TPA/H was significantly negatively correlated with the neutrophil, thrombocyte, and monocyte counts (r = -0.283; -0.288, -0.225, P < 0.05) and positively correlated with the hemoglobin concentration and the glomerular filtration rate (r = 0.368; 0.261, P < 0.05).<br />Conclusions: Further studies on longer follow-up period would be of interest to fully understand the prognostic value of sarcopenia in patients with acute mesenteric ischemia.<br /> (Copyright © 2019 Elsevier Inc. All rights reserved.)
- Subjects :
- Acute Disease
Aged
Aged, 80 and over
Female
Humans
Male
Mesenteric Ischemia complications
Mesenteric Ischemia diagnostic imaging
Mesenteric Ischemia mortality
Mesenteric Vascular Occlusion complications
Mesenteric Vascular Occlusion diagnostic imaging
Mesenteric Vascular Occlusion mortality
Middle Aged
Retrospective Studies
Risk Factors
Sarcopenia diagnostic imaging
Sarcopenia mortality
Time Factors
Treatment Outcome
Mesenteric Ischemia surgery
Mesenteric Vascular Occlusion surgery
Psoas Muscles diagnostic imaging
Sarcopenia complications
Subjects
Details
- Language :
- English
- ISSN :
- 1615-5947
- Volume :
- 63
- Database :
- MEDLINE
- Journal :
- Annals of vascular surgery
- Publication Type :
- Academic Journal
- Accession number :
- 31629853
- Full Text :
- https://doi.org/10.1016/j.avsg.2019.07.025