Keywords
POCUS
elderly patients
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Abstract
Objective: To describe the prevalence of sarcopenia in elderly people at high risk for muscle loss, using Point-of-care ultrasound (POCUS) and calf circumference (CC). Methods: This was a descriptive, cross-sectional, prevalence study, carried out after approval by the local ethics committee. The information for this research was obtained by completing performance and functional capacity scales, collecting anthropometric data, analyzing ultrasound and medical records of elderly patients hospitalized. Results: 32 elderly people were evaluated, all patients over 65 years of age, which 72% had sarcopenia through CC. The average CC of the evaluated patients is 28.5cm. When using the Ultrasound device, all patients had sarcopenia. Comparing the average length of stay for patients admitted with sarcopenia versus those admitted without sarcopenia, it can be noted that the period was longer in the group with sarcopenia evaluated with CC. Conclusion: The majority of elderly people evaluated are sarcopenic since entering the hospital, a fact that can contribute significantly to the prolongation of the average length of hospital stay, as well as negatively impacting outcomes.
References
BRASIL. Manual do Ministério da Saúde. Diretrizes para o cuidado das pessoas com doenças crônicas nas redes de atenção à saúde e nas linhas de cuidado prioritárias / Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Atenção Básica. – Brasília: Ministério da Saúde, 2013. Acessado em 20 de dezembro de 2023
CASTILLO, E. M., et al. Sarcopenia in Elderly Men and Women: The Rancho Bernardo Study. American Journal of Preventive Medicine, 25(3), 226-231, 2003
CÂNDIDA AFCA. FREQUÊNCIA DE SARCOPENIA EM IDOSOS ACOMETIDOS POR INFARTO AGUDO DO MIOCÁRDIO [Trabalho de Conclusão de Curso]. [Natal]: Universidade Federal do Rio Grande do Norte; 2022.
CESARI, M. et al. Skeletal muscle and mortality resutls from the In CHIANTI study. Gerontol A Biol Sci Med Sci, Oxford, v. 64A, n. 3, p. 377–384, 2009.
CRUZ-JENTOFT AJ. et al. Sarcopenia: Revised European consensus on definition and diagnosis. Age and Ageing, 2019; 48: 16–31.
DA SILVA, Juliana Andrade et al. Associação de sarcopenia com desfecho clínico e tempo de internação em idosos hospitalizados. Brazilian Journal of Health Review, v. 4, n. 2, p. 7647-7659, 2021.
DIZ, D.B.M. et al, Prevalência de sarcopenia em idosos: resultados de estudos transversais amplos em diferentes países. Rev. bras. geriatr. Gerontol, 2015; 18 (3).
FAYH APT, DE SOUZA IM Comparison of revised EWGSOP2 criteria of sarcopenia in patients with cancer using different parameters of muscle mass. PLoS ONE, 2021; 16.
FIGUEIREDO N.M.P. Análise dos fatores determinantes do tempo de internação dos pacientes no hospital das clínicas da UFMG. Dissertação (Mestrado). Belo Horizonte 2019.
FU H, et al. Diagnostic test accuracy of ultrasound for sarcopenia diagnosis:A systematic review and meta-analysisis. Journal of Cachexia, Sarcopenia and Muscle, 2023; 14: 57–70.
IBRAHIM K, et al.. The feasibility of assessing frailty and sarcopenia in hospitalised older people: A comparison of commonly used tools. BMC Geriatr, 2019; 19(1).
LEE ZY, et al. Association between ultrasound quadriceps muscle status with premorbid functional status and 60-day mortality in mechanically ventilated critically ill patient: A single-center prospective observational study. Clinical Nutrition, 2021; 30: 1338–1347.
LEITE, Leni Everson de Araújo et al. Envelhecimento, estresse oxidativo e sarcopenia: uma abordagem sistêmica. Revista Brasileira de Geriatria e Gerontologia, v. 15, p. 365-380, 2012.
LIMA, Catharina Vitória Barros de. Risco de sarcopenia em pacientes idosos internados em um hospital público de Recife-PE. 2020. Trabalho de Conclusão de Curso.
PARIS M.T, et al. Development of a bedside viable ultrasound protocol to quantify appendicular lean tissue mass. J Cachexia Sarcopenia Muscle, 2017; 8 (5): 713–726.
PERKISAS S, et al. Application of ultrasound for muscle assessment in sarcopenia: 2020 SARCUS update. European geriatric medicine, 2021; 12: 45–59.
SENIOR HE, et al. Prevalence and risk factors of sarcopenia among adults living in nursing homes. Maturitas, 2015; 82(4): 418–423.
TAVARES DMS, et al. Prevalência de morbidades autorreferidas e fatores associados entre idosos comunitários de Uberaba, Minas Gerais, Brasil. Ciência & Saúde Coletiva, 2019; 24(9): 3305-3313.
TÓRAN, F. M. Qué es La sarcopenia? Se min.Fund. Esp. Reumatol. Madrid, v.11,n. 1, p.14-23, 2010.
XAVIER C.C.R, AQUINO R. de C. Fatores associados à sarcopenia em idosos institucionalizados. Revista Kairós-Gerontologia, 2020; 23(2): 477-498.
WEI W, et al. Ultrasound Assessment of the Gastrocnemius Muscle as a Potential Tool for Identifying Sarcopenia in Patients with Type 2 Diabetes. Diabetes Metab Syndr Obes, 2023; 16: 3435-3444