Low Skeletal Muscle Index Adjusted for Body Mass Index Is an Independent Risk Factor for Inflammatory Bowel Disease Surgical Complications.

Authors :: Berger M
Yamada A
Komaki Y
Komaki F
Cohen RD
Dalal S
Hurst RD
Hyman N
Pekow J
Shogan BD
Umanskiy K
Rubin DT
Sakuraba A
Micic D
Source :: Crohn's & colitis 360 [Crohns Colitis 360] 2020 Aug 01; Vol. 2 (3), pp. otaa064. Date of Electronic Publication: 2020 Aug 01 (Print Publication: 2020).
Publication Year :: 2020
Abstract: Background: This study aims to evaluate sarcopenia defined by skeletal muscle index (SMI) with cutoffs adjusted for sex and body mass index as a predictive marker for postoperative outcomes among individuals with inflammatory bowel disease.<br />Methods: The SMI was measured using the cross-sectional computed tomography images at the lumbar spine. Multivariate logistic regression was performed to identify independent risk factors of postoperative complications.<br />Results: Ninety-one patients were included in the study. In multivariate analysis, sarcopenia (odds ratio = 5.37; confidence interval: 1.04-27.6) was predictive of infectious postoperative complications.<br />Conclusions: Sarcopenia as defined by the SMI is a predictor for 30-day postoperative infection complications in inflammatory bowel disease surgeries.<br /> (© The Author(s) 2020. Published by Oxford University Press on behalf of Crohn's & Colitis Foundation.)

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