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Skeletal muscle predicts ventilator-free days, ICU-free days, and mortality in elderly ICU patients

Critical Care · 2013 · Vol. 17(5) · pp. R206–R206

Lesley L. Moisey✉(University of Waterloo)Marina Mourtzakis(University of Waterloo)Bryan A. Cotton(The University of Texas Health Science Center at Houston)Tahira Premji(University of Waterloo)Daren K. Heyland(Queen's University)Charles E. Wade(The University of Texas Health Science Center at Houston)Eileen M. Bulger(University of Washington)Rosemary A. Kozar(The University of Texas Health Science Center at Houston)

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Abstract

Sarcopenia is highly prevalent in the elderly population with traumatic injuries. Traditional measures of nutritional assessment, such as BMI and serum albumin, do not accurately predict outcome in the injured elderly. Sarcopenia, however, represents a potential new predictor for mortality, discharge disposition, and ICU utilization. Measurement of muscularity allows for the early identification of at-risk patients who may benefit from aggressive and multidisciplinary nutritional and rehabilitative strategies.

Nutrition and Health in Aging Hip and Femur Fractures Frailty in Older AdultsMedicineSarcopeniaUnderweightSarcopenic obesityIntensive care unitBody mass indexUnivariate analysisLogistic regressionPopulationInternal medicine

MeSH terms

Age FactorsAgedAged, 80 and overFemaleHumansIntensive Care UnitsMalePredictive Value of TestsRespiration, ArtificialTomography, X-Ray ComputedHospital MortalityMuscle, SkeletalMuscle StrengthSarcopenia

Citations

487

FWCI

12.16

field-weighted impact

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99%

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Cited by

Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient