Image-based assessment of sarcopenic obesity predicts mortality in major trauma.
Am J Surg
; 223(4): 792-797, 2022 04.
Article
en En
| MEDLINE
| ID: mdl-34172258
ABSTRACT
BACKGROUND:
Patients with obesity are also at risk for sarcopenia, which is difficult to recognize in this population. Our study examines whether sarcopenic-obesity (SO) is independently associated with mortality in trauma.METHODS:
Using a retrospective database, we performed logistic regression analysis. . Admission CT scans were used to identify SO by calculating the visceral fat to skeletal muscle ratio >3.2.RESULTS:
Of 883 patients, the prevalence of SO was 38% (333). Patients with SO were more likely to be male (79% versus 43%, p < 0.001), older (mean 66.5 years versus 46.3 years, p < 0.001), and less likely to have an injury severity score (ISS) ≥ 24 (43% versus 55%, p = 0.0003). Using multivariable logistic regression analysis, SO was independently associated with mortality (OR 2.8; 95% CI 1.6-4.8, p < 0.001). Causal mediation analysis found admission hyperglycemia as a mediator for mortality.CONCLUSIONS:
Sarcopenic obesity is an independent predictor of mortality in major trauma.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Sarcopenia
Tipo de estudio:
Observational_studies
/
Prognostic_studies
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Risk_factors_studies
Límite:
Female
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Humans
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Male
Idioma:
En
Año:
2022
Tipo del documento:
Article