Low Skeletal Muscle Index Adjusted for Body Mass Index Is an Independent Risk Factor for Inflammatory Bowel Disease Surgical Complications

BACKGROUND: This study aims to evaluate sarcopenia defined by skeletal muscle index (SMI) with cutoffs adjusted for sex and body mass index as a predictive marker for postoperative outcomes among individuals with inflammatory bowel disease. METHODS: The SMI was measured using the cross-sectional com...

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Detalles Bibliográficos
Autores principales: Berger, Matthew, Yamada, Akihiro, Komaki, Yuga, Komaki, Fukiko, Cohen, Russell D, Dalal, Sushila, Hurst, Roger D, Hyman, Neil, Pekow, Joel, Shogan, Benjamin D, Umanskiy, Konstantin, Rubin, David T, Sakuraba, Atsushi, Micic, Dejan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Observations and Research
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9802466/
https://www.ncbi.nlm.nih.gov/pubmed/36776498
http://dx.doi.org/10.1093/crocol/otaa064
Descripción
Sumario:BACKGROUND: This study aims to evaluate sarcopenia defined by skeletal muscle index (SMI) with cutoffs adjusted for sex and body mass index as a predictive marker for postoperative outcomes among individuals with inflammatory bowel disease. METHODS: The SMI was measured using the cross-sectional computed tomography images at the lumbar spine. Multivariate logistic regression was performed to identify independent risk factors of postoperative complications. RESULTS: Ninety-one patients were included in the study. In multivariate analysis, sarcopenia (odds ratio = 5.37; confidence interval: 1.04–27.6) was predictive of infectious postoperative complications. CONCLUSIONS: Sarcopenia as defined by the SMI is a predictor for 30-day postoperative infection complications in inflammatory bowel disease surgeries.

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