Psoas Muscle Area Measured with Computed Tomography at Admission to Intensive Care Unit: Prediction of In-Hospital Mortality in Patients with Pulmonary Embolism.
Adult
Aged
Aged, 80 and over
Body Surface Area
Female
Hospital Mortality
Hospitalization
Humans
Intensive Care Units
Male
Middle Aged
Mortality
Predictive Value of Tests
Psoas Muscles
/ diagnostic imaging
Pulmonary Embolism
/ complications
Retrospective Studies
Risk Factors
Sarcopenia
/ diagnostic imaging
Tomography, X-Ray Computed
/ methods
Journal
BioMed research international
ISSN: 2314-6141
Titre abrégé: Biomed Res Int
Pays: United States
ID NLM: 101600173
Informations de publication
Date de publication:
2020
2020
Historique:
received:
21
07
2019
revised:
11
02
2020
accepted:
21
02
2020
entrez:
29
3
2020
pubmed:
29
3
2020
medline:
15
12
2020
Statut:
epublish
Résumé
Sarcopenia, a core component of physical frailty, is an independent risk factor for suboptimal health outcomes in hospitalized patients, especially in the intensive care patients. Psoas muscle areas can be assessed to identify sarcopenia. The aim of this study was to determine the prognostic value of psoas muscle area measured with CT for the prediction of in-hospital mortality in patients with pulmonary embolism at admission to the intensive care unit. Patients with an admission abdominal computed tomography scan and requiring intensive care unit (ICU) stay were reviewed. Selected clinical data of patients admitted to intensive care unit for the management of pulmonary embolism were collected. Using CT scan images at the level of L3 vertebra, the psoas muscle area value was obtained by dividing the sum of the right and left psoas muscle areas into the body surface area. In-hospital mortality rate was 22.5% in 89 patients. The pulmonary embolism patients with in-hospital mortality had higher PESI and lower value of psoas muscle area, in addition to the lower systolic blood pressure and arterial oxygen saturation at admission. The increase in the value of psoas muscle area is associated with a decrease in the rate of in-hospital mortality. In patients with in-hospital mortality related to pulmonary embolism, the higher PESI and the lower value of psoas muscle area were considered in accordance with the outcome of patients. For the prediction of in-hospital mortality risk in patients with pulmonary embolism managed in intensive care unit, the psoas muscle area value has a merit to be used among the routine diagnostic procedures after further studies conducted with different severity of pulmonary embolism.
Identifiants
pubmed: 32219127
doi: 10.1155/2020/1586707
pmc: PMC7081019
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1586707Informations de copyright
Copyright © 2020 Ibrahim Akkoc et al.
Déclaration de conflit d'intérêts
The authors declared that there were no conflict of interest and funding.
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