Acute sarcopenia changes following hospitalization: influence of pre-admission care dependency level

Mostra el registre complet Registre parcial de l'ítem

• dc.contributor.author De Spiegeleer, Anton
• dc.contributor.author Sánchez-Rodríguez, María Dolores
• dc.contributor.author van Den Noortgate, Nele
• dc.date.accessioned 2022-04-29T06:41:52Z
• dc.date.issued 2021
• dc.description.abstract Introduction: Hospitalization is associated with acute changes in sarcopenia status in older people, but the influencing factors are not fully understood. Pre-admission care dependency level as a risk factor has not yet been investigated. Objective: Evaluate if pre-admission care dependency level is an independent predictor of sarcopenia changes following hospitalization. Setting and subjects: Data came from the Sarcopenia 9+ EAMA Project, a European prospective multi-centre study. For this study, 227 hospitalised older people were included from four different hospitals in Belgium, Spain and Poland, between 18 February 2019 and 5 September 2020. Methods: Sarcopenia status at admission and discharge were calculated using a combined score (desirability value) based on muscle mass (calf circumference), strength (grip) and function (walking speed). Ratio of admission to discharge status was the outcome (desirability ratio; 1.00 meaning no difference). Predictor variable was the pre-admission care dependency level, classified into three groups: independent older people living at home, dependent older people living at home and older people living in a care home. Linear regression models were applied, considering potential confounders. Results: Mean desirability ratio for dependent older people living at home ('middle dependent group') was lower (0.89) compared to independent older people (0.98; regression coefficient -0.09 [95% CI -0.16, -0.02]) and care home patients (1.05; -0.16 [95% CI -0.01, -0.31]). Adjusting for potential confounders or using another statistical approach did not affect the main results. Conclusion: Dependent older people living at home were at higher risk of deterioration in sarcopenia status following hospitalization. In-depth studies investigating causes and potential interventions of these findings are needed.
• dc.format.mimetype application/pdf
• dc.identifier.citation De Spiegeleer A, Kahya H, Sanchez-Rodriguez D, Piotrowicz K, Surquin M, Marco E, Detremerie C, et al. Acute sarcopenia changes following hospitalization: influence of pre-admission care dependency level. Age Ageing. 2021 Nov 10; 50(6): 2140-46. DOI: 10.1093/ageing/afab163
• dc.identifier.doi http://dx.doi.org/10.1093/ageing/afab163
• dc.identifier.issn 0002-0729
• dc.identifier.uri http://hdl.handle.net/10230/52934
• dc.language.iso eng
• dc.publisher Oxford University Press
• dc.rights © Oxford University Press. This is a pre-copyedited, author-produced version of an article accepted for publication in Age Ageing following peer review. The version of record De Spiegeleer A, Kahya H, Sanchez-Rodriguez D, Piotrowicz K, Surquin M, Marco E, Detremerie C, et al. Acute sarcopenia changes following hospitalization: influence of pre-admission care dependency level. Age Ageing. 2021 Nov 10; 50(6): 2140-46 is available online at: https://academic.oup.com/ageing/article/50/6/2140/6346807?login=false.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.subject.keyword Acute sarcopenia
• dc.subject.keyword Care dependency
• dc.subject.keyword Care home
• dc.subject.keyword Hospitalization
• dc.subject.keyword Older people
• dc.title Acute sarcopenia changes following hospitalization: influence of pre-admission care dependency level
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/acceptedVersion