The psoas muscle index as a predictor of long-term survival after cardiac surgery for hemodialysis-dependent patients
Sarcopenia represented by skeletal muscle depletion is closely related to frailty and predicts prognoses in the general population. However, its predictive value for hemodialysis (HD)-dependent patients undergoing cardiac surgery has not been fully investigated. We aimed to clarify the impact of sar...
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| Veröffentlicht in: | Journal of artificial organs 2019-09, Vol.22 (3), p.214-221 |
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| description | Sarcopenia represented by skeletal muscle depletion is closely related to frailty and predicts prognoses in the general population. However, its predictive value for hemodialysis (HD)-dependent patients undergoing cardiac surgery has not been fully investigated. We aimed to clarify the impact of sarcopenia on the outcomes of HD-dependent patients after cardiac surgery. We retrospectively reviewed 138 HD-dependent patients who underwent cardiac surgery between January 2006 and December 2017. Sarcopenia was assessed using the psoas muscle index (PMI), which was calculated using values measured on preoperative computed tomography images and the following formula: cross-sectional area of bilateral psoas muscle/height
2
. Patients were divided into two groups according to the PMI: the sarcopenia group (≤ 443 mm
2
/m
2
for men and ≤ 326 mm
2
/m
2
for women;
n
= 35) and the non-sarcopenia group (> 443 mm
2
/m
2
for men and > 326 mm
2
/m
2
for women;
n
= 103). Preoperative characteristics and surgical outcomes were compared. Overall in-hospital mortality did not differ between the sarcopenia and non-sarcopenia groups. However, the patients with sarcopenia had significantly decreased long-term survival. Multivariate analysis revealed that low PMI was a significant independent predictor of long-term mortality (hazard ratio, 1.92; 95% confidential interval, 1.19–3.17;
p |
| doi_str_mv | 10.1007/s10047-019-01108-4 |
| format | Article |
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2
. Patients were divided into two groups according to the PMI: the sarcopenia group (≤ 443 mm
2
/m
2
for men and ≤ 326 mm
2
/m
2
for women;
n
= 35) and the non-sarcopenia group (> 443 mm
2
/m
2
for men and > 326 mm
2
/m
2
for women;
n
= 103). Preoperative characteristics and surgical outcomes were compared. Overall in-hospital mortality did not differ between the sarcopenia and non-sarcopenia groups. However, the patients with sarcopenia had significantly decreased long-term survival. Multivariate analysis revealed that low PMI was a significant independent predictor of long-term mortality (hazard ratio, 1.92; 95% confidential interval, 1.19–3.17;
p
< 0.01). Long-term survival rates in HD-dependent patients undergoing cardiac surgery are severely affected by the presence of preoperative sarcopenia defined by PMI. Preoperative risk analysis using the PMI might contribute to risk stratification of and decision-making for HD-dependent patients undergoing cardiac surgery.</description><identifier>ISSN: 1434-7229</identifier><identifier>EISSN: 1619-0904</identifier><identifier>DOI: 10.1007/s10047-019-01108-4</identifier><identifier>PMID: 31134455</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Aged ; Biomedical Engineering and Bioengineering ; Cardiac Surgery ; Cardiac Surgical Procedures - mortality ; Computed tomography ; Cross-Sectional Studies ; Decision making ; Depletion ; Dialysis ; Female ; Heart surgery ; Hemodialysis ; Hospital Mortality ; Humans ; Male ; Medicine ; Medicine & Public Health ; Methadone ; Middle Aged ; Mortality ; Multivariate analysis ; Muscles ; Nephrology ; Original Article ; Patients ; Postoperative Complications - mortality ; Prognosis ; Psoas muscle ; Psoas Muscles - diagnostic imaging ; Renal Dialysis - mortality ; Retrospective Studies ; Risk analysis ; Sarcopenia ; Sarcopenia - diagnostic imaging ; Skeletal muscle ; Surgery ; Surgical outcomes ; Survival ; Tomography, X-Ray Computed</subject><ispartof>Journal of artificial organs, 2019-09, Vol.22 (3), p.214-221</ispartof><rights>The Japanese Society for Artificial Organs 2019</rights><rights>Journal of Artificial Organs is a copyright of Springer, (2019). All Rights Reserved.</rights><rights>Copyright Springer Nature B.V. 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c530t-a0d9f43be4c16f2b64ed573f130c6f4d1fe9989d360dd9449e08dac6f03131c13</citedby><cites>FETCH-LOGICAL-c530t-a0d9f43be4c16f2b64ed573f130c6f4d1fe9989d360dd9449e08dac6f03131c13</cites><orcidid>0000-0002-6603-1403</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10047-019-01108-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10047-019-01108-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31134455$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kurumisawa, Soki</creatorcontrib><creatorcontrib>Kawahito, Koji</creatorcontrib><title>The psoas muscle index as a predictor of long-term survival after cardiac surgery for hemodialysis-dependent patients</title><title>Journal of artificial organs</title><addtitle>J Artif Organs</addtitle><addtitle>J Artif Organs</addtitle><description>Sarcopenia represented by skeletal muscle depletion is closely related to frailty and predicts prognoses in the general population. However, its predictive value for hemodialysis (HD)-dependent patients undergoing cardiac surgery has not been fully investigated. We aimed to clarify the impact of sarcopenia on the outcomes of HD-dependent patients after cardiac surgery. We retrospectively reviewed 138 HD-dependent patients who underwent cardiac surgery between January 2006 and December 2017. Sarcopenia was assessed using the psoas muscle index (PMI), which was calculated using values measured on preoperative computed tomography images and the following formula: cross-sectional area of bilateral psoas muscle/height
2
. Patients were divided into two groups according to the PMI: the sarcopenia group (≤ 443 mm
2
/m
2
for men and ≤ 326 mm
2
/m
2
for women;
n
= 35) and the non-sarcopenia group (> 443 mm
2
/m
2
for men and > 326 mm
2
/m
2
for women;
n
= 103). Preoperative characteristics and surgical outcomes were compared. Overall in-hospital mortality did not differ between the sarcopenia and non-sarcopenia groups. However, the patients with sarcopenia had significantly decreased long-term survival. Multivariate analysis revealed that low PMI was a significant independent predictor of long-term mortality (hazard ratio, 1.92; 95% confidential interval, 1.19–3.17;
p
< 0.01). Long-term survival rates in HD-dependent patients undergoing cardiac surgery are severely affected by the presence of preoperative sarcopenia defined by PMI. Preoperative risk analysis using the PMI might contribute to risk stratification of and decision-making for HD-dependent patients undergoing cardiac surgery.</description><subject>Aged</subject><subject>Biomedical Engineering and Bioengineering</subject><subject>Cardiac Surgery</subject><subject>Cardiac Surgical Procedures - mortality</subject><subject>Computed tomography</subject><subject>Cross-Sectional Studies</subject><subject>Decision making</subject><subject>Depletion</subject><subject>Dialysis</subject><subject>Female</subject><subject>Heart surgery</subject><subject>Hemodialysis</subject><subject>Hospital Mortality</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Methadone</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Multivariate analysis</subject><subject>Muscles</subject><subject>Nephrology</subject><subject>Original Article</subject><subject>Patients</subject><subject>Postoperative Complications - mortality</subject><subject>Prognosis</subject><subject>Psoas muscle</subject><subject>Psoas Muscles - diagnostic imaging</subject><subject>Renal Dialysis - mortality</subject><subject>Retrospective Studies</subject><subject>Risk analysis</subject><subject>Sarcopenia</subject><subject>Sarcopenia - diagnostic imaging</subject><subject>Skeletal muscle</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Survival</subject><subject>Tomography, X-Ray Computed</subject><issn>1434-7229</issn><issn>1619-0904</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctu1TAQhi0Eohd4ARbIEhs2KeNLLl6iqqVIlbopa8vHHrepkjjYScV5-845pwWJRRf2eGa--W35Z-yTgDMB0H4rtOu2AmFoCegq_YYdi2aXGtBv6ayVrlopzRE7KeUBQLR1C-_ZkRJCaV3Xx2y9vUc-l-QKH9fiB-T9FPAPp9zxOWPo_ZIyT5EPabqrFswjL2t-7B_dwF2knHuXQ-_8rnyHecsj8fc4JioO29KXKuCMJDotfHZLT7F8YO-iGwp-fI6n7Nflxe35VXV98-Pn-ffrytcKlspBMFGrDWovmig3jcZQtyoKBb6JOoiIxnQmqAZCMFobhC44aoESSnihTtnXg-6c0-8Vy2LHvngcBjdhWouVUkkhO1CG0C__oQ9pzRO9jqjGaKnbTr1OKdCdaPZa8kD5nErJGO2c-9HlrRVgd9bZg3WWrLN766ymoc_P0utmxPB35MUrAtQBKNSa6Kv_3f2K7BN_h6Q3</recordid><startdate>20190901</startdate><enddate>20190901</enddate><creator>Kurumisawa, Soki</creator><creator>Kawahito, Koji</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6603-1403</orcidid></search><sort><creationdate>20190901</creationdate><title>The psoas muscle index as a predictor of long-term survival after cardiac surgery for hemodialysis-dependent patients</title><author>Kurumisawa, Soki ; Kawahito, Koji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c530t-a0d9f43be4c16f2b64ed573f130c6f4d1fe9989d360dd9449e08dac6f03131c13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Biomedical Engineering and Bioengineering</topic><topic>Cardiac Surgery</topic><topic>Cardiac Surgical Procedures - mortality</topic><topic>Computed tomography</topic><topic>Cross-Sectional Studies</topic><topic>Decision making</topic><topic>Depletion</topic><topic>Dialysis</topic><topic>Female</topic><topic>Heart surgery</topic><topic>Hemodialysis</topic><topic>Hospital Mortality</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Methadone</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Multivariate analysis</topic><topic>Muscles</topic><topic>Nephrology</topic><topic>Original Article</topic><topic>Patients</topic><topic>Postoperative Complications - mortality</topic><topic>Prognosis</topic><topic>Psoas muscle</topic><topic>Psoas Muscles - diagnostic imaging</topic><topic>Renal Dialysis - mortality</topic><topic>Retrospective Studies</topic><topic>Risk analysis</topic><topic>Sarcopenia</topic><topic>Sarcopenia - diagnostic imaging</topic><topic>Skeletal muscle</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Survival</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kurumisawa, Soki</creatorcontrib><creatorcontrib>Kawahito, Koji</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of artificial organs</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kurumisawa, Soki</au><au>Kawahito, Koji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The psoas muscle index as a predictor of long-term survival after cardiac surgery for hemodialysis-dependent patients</atitle><jtitle>Journal of artificial organs</jtitle><stitle>J Artif Organs</stitle><addtitle>J Artif Organs</addtitle><date>2019-09-01</date><risdate>2019</risdate><volume>22</volume><issue>3</issue><spage>214</spage><epage>221</epage><pages>214-221</pages><issn>1434-7229</issn><eissn>1619-0904</eissn><abstract>Sarcopenia represented by skeletal muscle depletion is closely related to frailty and predicts prognoses in the general population. However, its predictive value for hemodialysis (HD)-dependent patients undergoing cardiac surgery has not been fully investigated. We aimed to clarify the impact of sarcopenia on the outcomes of HD-dependent patients after cardiac surgery. We retrospectively reviewed 138 HD-dependent patients who underwent cardiac surgery between January 2006 and December 2017. Sarcopenia was assessed using the psoas muscle index (PMI), which was calculated using values measured on preoperative computed tomography images and the following formula: cross-sectional area of bilateral psoas muscle/height
2
. Patients were divided into two groups according to the PMI: the sarcopenia group (≤ 443 mm
2
/m
2
for men and ≤ 326 mm
2
/m
2
for women;
n
= 35) and the non-sarcopenia group (> 443 mm
2
/m
2
for men and > 326 mm
2
/m
2
for women;
n
= 103). Preoperative characteristics and surgical outcomes were compared. Overall in-hospital mortality did not differ between the sarcopenia and non-sarcopenia groups. However, the patients with sarcopenia had significantly decreased long-term survival. Multivariate analysis revealed that low PMI was a significant independent predictor of long-term mortality (hazard ratio, 1.92; 95% confidential interval, 1.19–3.17;
p
< 0.01). Long-term survival rates in HD-dependent patients undergoing cardiac surgery are severely affected by the presence of preoperative sarcopenia defined by PMI. Preoperative risk analysis using the PMI might contribute to risk stratification of and decision-making for HD-dependent patients undergoing cardiac surgery.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>31134455</pmid><doi>10.1007/s10047-019-01108-4</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-6603-1403</orcidid></addata></record> |
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| ispartof | Journal of artificial organs, 2019-09, Vol.22 (3), p.214-221 |
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| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Aged Biomedical Engineering and Bioengineering Cardiac Surgery Cardiac Surgical Procedures - mortality Computed tomography Cross-Sectional Studies Decision making Depletion Dialysis Female Heart surgery Hemodialysis Hospital Mortality Humans Male Medicine Medicine & Public Health Methadone Middle Aged Mortality Multivariate analysis Muscles Nephrology Original Article Patients Postoperative Complications - mortality Prognosis Psoas muscle Psoas Muscles - diagnostic imaging Renal Dialysis - mortality Retrospective Studies Risk analysis Sarcopenia Sarcopenia - diagnostic imaging Skeletal muscle Surgery Surgical outcomes Survival Tomography, X-Ray Computed |
| title | The psoas muscle index as a predictor of long-term survival after cardiac surgery for hemodialysis-dependent patients |
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