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Quantitative assessment of erector spinae muscles and prognosis in elderly patients with pneumonia

Erector spinae muscle (ESM) size has been reported as a predictor of prognosis in patients with some respiratory diseases. This study aimed to assess the association of ESM size on all-cause in-hospital mortality among elderly patients with pneumonia. We retrospectively included patients (age: ≥ 65 ...

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Autores principales: Yoshikawa, Hiroki, Komiya, Kosaku, Yamamoto, Takashi, Fujita, Naoko, Oka, Hiroaki, Okabe, Eiji, Yamasue, Mari, Umeki, Kenji, Rubin, Bruce K., Hiramatsu, Kazufumi, Kadota, Jun-ichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7900176/
https://www.ncbi.nlm.nih.gov/pubmed/33619334
http://dx.doi.org/10.1038/s41598-021-83995-3
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author Yoshikawa, Hiroki
Komiya, Kosaku
Yamamoto, Takashi
Fujita, Naoko
Oka, Hiroaki
Okabe, Eiji
Yamasue, Mari
Umeki, Kenji
Rubin, Bruce K.
Hiramatsu, Kazufumi
Kadota, Jun-ichi
author_facet Yoshikawa, Hiroki
Komiya, Kosaku
Yamamoto, Takashi
Fujita, Naoko
Oka, Hiroaki
Okabe, Eiji
Yamasue, Mari
Umeki, Kenji
Rubin, Bruce K.
Hiramatsu, Kazufumi
Kadota, Jun-ichi
author_sort Yoshikawa, Hiroki
collection PubMed
description Erector spinae muscle (ESM) size has been reported as a predictor of prognosis in patients with some respiratory diseases. This study aimed to assess the association of ESM size on all-cause in-hospital mortality among elderly patients with pneumonia. We retrospectively included patients (age: ≥ 65 years) admitted to hospital from January 2015 to December 2017 for community-acquired pneumonia who underwent chest computed tomography (CT) on admission. The cross-sectional area of the ESM (ESMcsa) was measured on a single-slice CT image at the end of the 12th thoracic vertebra and adjusted by body surface area (BSA). Cox proportional hazards regression models were used to assess the influence of ESMcsa/BSA on in-hospital mortality. Among 736 patients who were admitted for pneumonia, 702 patients (95%) underwent chest CT. Of those, 689 patients (98%) for whom height and weight were measured to calculate BSA were included in this study. Patients in the non-survivor group were significantly older, had a greater frequency of respiratory failure, loss of consciousness, lower body mass index, hemoglobin, albumin, and ESMcsa/BSA. Multivariate analysis showed that a lower ESMcsa/BSA independently predicted in-hospital mortality after adjusting for these variables. In elderly patients with pneumonia, quantification of ESMcsa/BSA may be associated with in-hospital mortality.
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spelling pubmed-79001762021-02-24 Quantitative assessment of erector spinae muscles and prognosis in elderly patients with pneumonia Yoshikawa, Hiroki Komiya, Kosaku Yamamoto, Takashi Fujita, Naoko Oka, Hiroaki Okabe, Eiji Yamasue, Mari Umeki, Kenji Rubin, Bruce K. Hiramatsu, Kazufumi Kadota, Jun-ichi Sci Rep Article Erector spinae muscle (ESM) size has been reported as a predictor of prognosis in patients with some respiratory diseases. This study aimed to assess the association of ESM size on all-cause in-hospital mortality among elderly patients with pneumonia. We retrospectively included patients (age: ≥ 65 years) admitted to hospital from January 2015 to December 2017 for community-acquired pneumonia who underwent chest computed tomography (CT) on admission. The cross-sectional area of the ESM (ESMcsa) was measured on a single-slice CT image at the end of the 12th thoracic vertebra and adjusted by body surface area (BSA). Cox proportional hazards regression models were used to assess the influence of ESMcsa/BSA on in-hospital mortality. Among 736 patients who were admitted for pneumonia, 702 patients (95%) underwent chest CT. Of those, 689 patients (98%) for whom height and weight were measured to calculate BSA were included in this study. Patients in the non-survivor group were significantly older, had a greater frequency of respiratory failure, loss of consciousness, lower body mass index, hemoglobin, albumin, and ESMcsa/BSA. Multivariate analysis showed that a lower ESMcsa/BSA independently predicted in-hospital mortality after adjusting for these variables. In elderly patients with pneumonia, quantification of ESMcsa/BSA may be associated with in-hospital mortality. Nature Publishing Group UK 2021-02-22 /pmc/articles/PMC7900176/ /pubmed/33619334 http://dx.doi.org/10.1038/s41598-021-83995-3 Text en © The Author(s) 2021, corrected publication 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Yoshikawa, Hiroki
Komiya, Kosaku
Yamamoto, Takashi
Fujita, Naoko
Oka, Hiroaki
Okabe, Eiji
Yamasue, Mari
Umeki, Kenji
Rubin, Bruce K.
Hiramatsu, Kazufumi
Kadota, Jun-ichi
Quantitative assessment of erector spinae muscles and prognosis in elderly patients with pneumonia
title Quantitative assessment of erector spinae muscles and prognosis in elderly patients with pneumonia
title_full Quantitative assessment of erector spinae muscles and prognosis in elderly patients with pneumonia
title_fullStr Quantitative assessment of erector spinae muscles and prognosis in elderly patients with pneumonia
title_full_unstemmed Quantitative assessment of erector spinae muscles and prognosis in elderly patients with pneumonia
title_short Quantitative assessment of erector spinae muscles and prognosis in elderly patients with pneumonia
title_sort quantitative assessment of erector spinae muscles and prognosis in elderly patients with pneumonia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7900176/
https://www.ncbi.nlm.nih.gov/pubmed/33619334
http://dx.doi.org/10.1038/s41598-021-83995-3
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