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Impact of sarcopenia on intertrochanteric femoral fracture in the elderly
OBJECTIVE: The aim of this study was to investigate the effect of skeletal sarcopenia on the prognosis of intertrochanteric fracture in the elderly. METHODS: We collected information on 144 patients with femoral intertrochanteric fracture (FIF). The influence of sarcopenia on the chance of death was...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
PeerJ Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9206433/ https://www.ncbi.nlm.nih.gov/pubmed/35726258 http://dx.doi.org/10.7717/peerj.13445 |
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author | Jiang, Shunli Ding, Yu Kang, Lixing |
author_facet | Jiang, Shunli Ding, Yu Kang, Lixing |
author_sort | Jiang, Shunli |
collection | PubMed |
description | OBJECTIVE: The aim of this study was to investigate the effect of skeletal sarcopenia on the prognosis of intertrochanteric fracture in the elderly. METHODS: We collected information on 144 patients with femoral intertrochanteric fracture (FIF). The influence of sarcopenia on the chance of death was determined using binary Probit regression analysis. For additional analysis, the Chow test was utilized to select the best distinguishing node in the instrumental activities of daily living (IADL) score. We looked for characteristics that were linked to a higher probability of death and a poor IADL outcome within 1 year. The data collected above were analyzed using logistic regression analysis. The internal calibration degree and model validity were assessed by GiViTI calibration. RESULTS: Sarcopenia, EuroQol-5D 1 month score, age, gender, and hypertension were identified as risk factors for death in older patients with FIF within a year by logistic regression analysis. Sarcopenia, psychotropics, BMI, and length of hospital stay were all found to be risk factors for poor IADL outcomes (P < 0.1). The calibration curves indicated that the anticipated and actual probabilities of these two models were very close. The study’s reliability coefficient was 0.671, showing a satisfactory level of reliability. CONCLUSION: In elderly patients with FIF, sarcopenia, EuroQol-5D score, age, gender, and hypertension were risk factors for death; sarcopenia, hospital stay length, BMI were risk factors for poor quality of life. |
format | Online Article Text |
id | pubmed-9206433 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | PeerJ Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-92064332022-06-19 Impact of sarcopenia on intertrochanteric femoral fracture in the elderly Jiang, Shunli Ding, Yu Kang, Lixing PeerJ Orthopedics OBJECTIVE: The aim of this study was to investigate the effect of skeletal sarcopenia on the prognosis of intertrochanteric fracture in the elderly. METHODS: We collected information on 144 patients with femoral intertrochanteric fracture (FIF). The influence of sarcopenia on the chance of death was determined using binary Probit regression analysis. For additional analysis, the Chow test was utilized to select the best distinguishing node in the instrumental activities of daily living (IADL) score. We looked for characteristics that were linked to a higher probability of death and a poor IADL outcome within 1 year. The data collected above were analyzed using logistic regression analysis. The internal calibration degree and model validity were assessed by GiViTI calibration. RESULTS: Sarcopenia, EuroQol-5D 1 month score, age, gender, and hypertension were identified as risk factors for death in older patients with FIF within a year by logistic regression analysis. Sarcopenia, psychotropics, BMI, and length of hospital stay were all found to be risk factors for poor IADL outcomes (P < 0.1). The calibration curves indicated that the anticipated and actual probabilities of these two models were very close. The study’s reliability coefficient was 0.671, showing a satisfactory level of reliability. CONCLUSION: In elderly patients with FIF, sarcopenia, EuroQol-5D score, age, gender, and hypertension were risk factors for death; sarcopenia, hospital stay length, BMI were risk factors for poor quality of life. PeerJ Inc. 2022-06-15 /pmc/articles/PMC9206433/ /pubmed/35726258 http://dx.doi.org/10.7717/peerj.13445 Text en © 2022 Jiang et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, reproduction and adaptation in any medium and for any purpose provided that it is properly attributed. For attribution, the original author(s), title, publication source (PeerJ) and either DOI or URL of the article must be cited. |
spellingShingle | Orthopedics Jiang, Shunli Ding, Yu Kang, Lixing Impact of sarcopenia on intertrochanteric femoral fracture in the elderly |
title | Impact of sarcopenia on intertrochanteric femoral fracture in the elderly |
title_full | Impact of sarcopenia on intertrochanteric femoral fracture in the elderly |
title_fullStr | Impact of sarcopenia on intertrochanteric femoral fracture in the elderly |
title_full_unstemmed | Impact of sarcopenia on intertrochanteric femoral fracture in the elderly |
title_short | Impact of sarcopenia on intertrochanteric femoral fracture in the elderly |
title_sort | impact of sarcopenia on intertrochanteric femoral fracture in the elderly |
topic | Orthopedics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9206433/ https://www.ncbi.nlm.nih.gov/pubmed/35726258 http://dx.doi.org/10.7717/peerj.13445 |
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