Evaluation of Probable Sarcopenia’s Prevalence in Hospitalized Geriatric Patients Using Ishii’s Score

Cavalheiro, Ana; Afonso, Sara; Silva, Marta; Ramalhão, Nuno; Machado, João; Magalhães, Sandra

Publication

Evaluation of Probable Sarcopenia’s Prevalence in Hospitalized Geriatric Patients Using Ishii’s Score

2023-11Journal article

dc.contributor.author	Cavalheiro, Ana
dc.contributor.author	Afonso, Sara
dc.contributor.author	Silva, Marta
dc.contributor.author	Ramalhão, Nuno
dc.contributor.author	Machado, João
dc.contributor.author	Magalhães, Sandra
dc.date.accessioned	2024-06-17T15:58:43Z
dc.date.available	2024-06-17T15:58:43Z
dc.date.issued	2023-11
dc.description.abstract	Background: Sarcopenia is defined as a progressive loss of skeletal muscle mass and strength related to age and comorbidities. Worldwide sarcopenia's prevalence varies between 10-40%, being associated with functional impairment, lower quality of life, and higher mortality. Sarcopenia can be estimated based on age, calf circumference, and handgrip strength (Ishii's formula). Early diagnosis is essential because treatment with nutritional support and rehabilitation programs can prevent complications. The aim of the study was to assess the prevalence of probable sarcopenia in hospitalized patients using Ishii's score and possible associated risk factors. Methods: We developed an observational prospective study in a medicine inpatient ward of a Central Hospital. We applied Ishii's formula to the patients admitted to the medical ward in December 2021 and January 2022. Patients should be aged 60 or above and able to collaborate with the tests. One year later, we analyzed re-hospitalization and mortality rates. Patients with edema of the lower limbs, who were not able to follow instructions, and who were admitted exclusively for symptomatic treatment were excluded. Results: Our final sample was 49 patients (55% males, mean age 78 ± 8.88 years). Only one patient had a previous diagnosis of sarcopenia. Estimated sarcopenia´s prevalence was 73.5% N=36), higher in men and people with three or more comorbidities. In the sarcopenic group, 77% had some degree of functional dependency and positive markers for malnutrition. After one year of follow-up, we found a higher mortality rate in the sarcopenic group (44.4% against 7.6%) and a higher number of re-hospitalizations (1.03 hospitalizations per patient, against 0.31). Conclusions: Our data showed that the prevalence of probable sarcopenia is high, but this pathology is still underdiagnosed. Traditional diagnosis is complex in some hospital settings and a simple tool such as Ishii's score can help to improve diagnostic rates. We suggest screening all patients at admission to provide early rehabilitation and nutritional support.	pt_PT
dc.description.version	info:eu-repo/semantics/publishedVersion	pt_PT
dc.identifier.citation	Cavalheiro A, Afonso S, Silva M, Ramalhão N, Machado J, Magalhães S. Evaluation of Probable Sarcopenia's Prevalence in Hospitalized Geriatric Patients Using Ishii's Score. Cureus. 2023;15(11):e49158. doi:10.7759/cureus.49158	pt_PT
dc.identifier.doi	10.7759/cureus.49158	pt_PT
dc.identifier.issn	2168-8184
dc.identifier.uri	http://hdl.handle.net/10400.16/2934
dc.language.iso	eng	pt_PT
dc.peerreviewed	yes	pt_PT
dc.publisher	Cureus, Inc.	pt_PT
dc.relation.publisherversion	https://www.cureus.com/articles/206751-evaluation-of-probable-sarcopenias-prevalence-in-hospitalized-geriatric-patients-using-ishiis-score#!/	pt_PT
dc.rights.uri	http://creativecommons.org/licenses/by/4.0/	pt_PT
dc.subject	functional dependency	pt_PT
dc.subject	geriatrics	pt_PT
dc.subject	hospitalized patients	pt_PT
dc.subject	mortality	pt_PT
dc.subject	sarcopenia	pt_PT
dc.title	Evaluation of Probable Sarcopenia’s Prevalence in Hospitalized Geriatric Patients Using Ishii’s Score	pt_PT
dc.type	journal article
dspace.entity.type	Publication
oaire.citation.conferencePlace	United States of America	pt_PT
oaire.citation.issue	11	pt_PT
oaire.citation.startPage	e49158	pt_PT
oaire.citation.title	Cureus	pt_PT
oaire.citation.volume	15	pt_PT
person.familyName	Cavalheiro
person.familyName	Magalhães
person.givenName	Ana
person.givenName	Sandra
person.identifier.ciencia-id	4B1C-EE10-3237
person.identifier.ciencia-id	4A1C-0028-A42E
person.identifier.orcid	0000-0002-3116-955X
person.identifier.orcid	0000-0002-0631-9202
person.identifier.scopus-author-id	55603998100
rcaap.rights	openAccess	pt_PT
rcaap.type	article	pt_PT
relation.isAuthorOfPublication	73ceaf58-05c7-4d91-a77d-502f6dd14bce
relation.isAuthorOfPublication	8507a3a9-681b-47d2-9b04-d4d8cca3554c
relation.isAuthorOfPublication.latestForDiscovery	73ceaf58-05c7-4d91-a77d-502f6dd14bce