Cross-sectional area of erector spinae muscles is associated with activities of daily living at discharge in middle- to older-aged patients with coronavirus disease 2019
Measurement of skeletal muscle wasting using computed tomography (CT) is widely known to be useful in predicting prognosis. Although some reports have been found in patients with coronavirus disease 2019 (COVID-19), few reports have focused on the ability to perform activities of daily living (ADLs)...
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| Veröffentlicht in: | Experimental gerontology 2022-06, Vol.163, p.111774-111774, Article 111774 |
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| creator | Yamashita, Masashi Koike, Tomotaka Hamazaki, Nobuaki Ueno, Kensuke Uchida, Shota Noda, Takumi Ogura, Ken Nagumo, Daina Miki, Takashi Shakuta, Saki Wada, Tatsuhiko Kamiya, Kentaro |
| description | Measurement of skeletal muscle wasting using computed tomography (CT) is widely known to be useful in predicting prognosis. Although some reports have been found in patients with coronavirus disease 2019 (COVID-19), few reports have focused on the ability to perform activities of daily living (ADLs). This study retrospectively investigated the relationship between the erector spinae muscle area measured from CT images and ADL at the time of hospital discharge in patients with COVID-19.
Among patients aged 40 years or older, 271 patients (median age, 65 years; 180/271 male patients) who had CT cross-sectional images of the 12th thoracic vertebral level on admission were included. The Katz index was used to assess ADLs, and patients who were not completely independent were defined as dependent. Multivariable logistic and Poisson regression analyses were applied to examine the relationship between the cross-sectional area of the erector spinae muscles and the onset of ADL dependence at discharge.
A total of 75 (27.7%) patients became dependent on ADL at the time of hospital discharge. Decreased erector spinae muscle area was significantly related to dependent ADL at discharge (adjusted odds ratio: 0.886, 95% confidence interval: 0.805–0.975). In addition, the erector spinae muscle area was significantly related to the number of ADL items for which independence was not achieved (adjusted incidence rate ratio: 0.959, P |
| doi_str_mv | 10.1016/j.exger.2022.111774 |
| format | Article |
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Among patients aged 40 years or older, 271 patients (median age, 65 years; 180/271 male patients) who had CT cross-sectional images of the 12th thoracic vertebral level on admission were included. The Katz index was used to assess ADLs, and patients who were not completely independent were defined as dependent. Multivariable logistic and Poisson regression analyses were applied to examine the relationship between the cross-sectional area of the erector spinae muscles and the onset of ADL dependence at discharge.
A total of 75 (27.7%) patients became dependent on ADL at the time of hospital discharge. Decreased erector spinae muscle area was significantly related to dependent ADL at discharge (adjusted odds ratio: 0.886, 95% confidence interval: 0.805–0.975). In addition, the erector spinae muscle area was significantly related to the number of ADL items for which independence was not achieved (adjusted incidence rate ratio: 0.959, P < 0.001).
The cross-sectional area of the erector spinae muscles from the thoracic CT image was associated with the ability to perform basic ADL at hospital discharge.
•The area of the erector spinae muscle was measured in 271 patients with COVID-19.•Muscle area decline is associated with dependent ADL at discharge.•It tended to be highly related to ADL, including standing movements.•It may help in the early identification of a future ADL decline.</description><identifier>ISSN: 0531-5565</identifier><identifier>EISSN: 1873-6815</identifier><identifier>DOI: 10.1016/j.exger.2022.111774</identifier><identifier>PMID: 35341940</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Activities of Daily Living ; Aged ; Computed tomography ; COVID-19 ; Female ; Humans ; Male ; Middle Aged ; Muscles ; Patient Discharge ; Retrospective Studies ; Skeletal muscle</subject><ispartof>Experimental gerontology, 2022-06, Vol.163, p.111774-111774, Article 111774</ispartof><rights>2022 Elsevier Inc.</rights><rights>Copyright © 2022 Elsevier Inc. All rights reserved.</rights><rights>2022 Elsevier Inc. All rights reserved. 2022 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-d22c004d0e6fdf6bb28c2cbfef83c899ee190810e96ab8007bc4e05f48dde1283</citedby><cites>FETCH-LOGICAL-c459t-d22c004d0e6fdf6bb28c2cbfef83c899ee190810e96ab8007bc4e05f48dde1283</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.exger.2022.111774$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,778,782,883,3539,27911,27912,45982</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35341940$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamashita, Masashi</creatorcontrib><creatorcontrib>Koike, Tomotaka</creatorcontrib><creatorcontrib>Hamazaki, Nobuaki</creatorcontrib><creatorcontrib>Ueno, Kensuke</creatorcontrib><creatorcontrib>Uchida, Shota</creatorcontrib><creatorcontrib>Noda, Takumi</creatorcontrib><creatorcontrib>Ogura, Ken</creatorcontrib><creatorcontrib>Nagumo, Daina</creatorcontrib><creatorcontrib>Miki, Takashi</creatorcontrib><creatorcontrib>Shakuta, Saki</creatorcontrib><creatorcontrib>Wada, Tatsuhiko</creatorcontrib><creatorcontrib>Kamiya, Kentaro</creatorcontrib><title>Cross-sectional area of erector spinae muscles is associated with activities of daily living at discharge in middle- to older-aged patients with coronavirus disease 2019</title><title>Experimental gerontology</title><addtitle>Exp Gerontol</addtitle><description>Measurement of skeletal muscle wasting using computed tomography (CT) is widely known to be useful in predicting prognosis. Although some reports have been found in patients with coronavirus disease 2019 (COVID-19), few reports have focused on the ability to perform activities of daily living (ADLs). This study retrospectively investigated the relationship between the erector spinae muscle area measured from CT images and ADL at the time of hospital discharge in patients with COVID-19.
Among patients aged 40 years or older, 271 patients (median age, 65 years; 180/271 male patients) who had CT cross-sectional images of the 12th thoracic vertebral level on admission were included. The Katz index was used to assess ADLs, and patients who were not completely independent were defined as dependent. Multivariable logistic and Poisson regression analyses were applied to examine the relationship between the cross-sectional area of the erector spinae muscles and the onset of ADL dependence at discharge.
A total of 75 (27.7%) patients became dependent on ADL at the time of hospital discharge. Decreased erector spinae muscle area was significantly related to dependent ADL at discharge (adjusted odds ratio: 0.886, 95% confidence interval: 0.805–0.975). In addition, the erector spinae muscle area was significantly related to the number of ADL items for which independence was not achieved (adjusted incidence rate ratio: 0.959, P < 0.001).
The cross-sectional area of the erector spinae muscles from the thoracic CT image was associated with the ability to perform basic ADL at hospital discharge.
•The area of the erector spinae muscle was measured in 271 patients with COVID-19.•Muscle area decline is associated with dependent ADL at discharge.•It tended to be highly related to ADL, including standing movements.•It may help in the early identification of a future ADL decline.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Computed tomography</subject><subject>COVID-19</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Muscles</subject><subject>Patient Discharge</subject><subject>Retrospective Studies</subject><subject>Skeletal muscle</subject><issn>0531-5565</issn><issn>1873-6815</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1v1DAQhi1ERZfCL0BCPnLJ4q94nQNIaMWXVKmX9mw59iTrlRMvdrLQn8S_xCGlggunkWbe953RPAi9omRLCZVvj1v40UPaMsLYllK624knaEPVjldS0fop2pCa06quZX2Jnud8JIRIxukzdMlrLmgjyAb93KeYc5XBTj6OJmCTwODYYUilFRPOJz8awMOcbYCMfcYm52i9mcDh7346YFOsZz_5Mi0-Z3y4x6F0xh6bCTuf7cGkHrAf8eCdC1DhKeIYHKTK9CXlZIp5nPIaZ2Mqh5x9mvNiBpMBM0KbF-iiMyHDy4d6he4-fbzdf6mubz5_3X-4rqyom6lyjFlChCMgO9fJtmXKMtt20CluVdMA0IYoSqCRplWE7ForgNSdUM4BZYpfofdr7mluB3C2XJZM0KfkB5PudTRe_zsZ_UH38axVIxolaAl48xCQ4rcZ8qSH8gMIwYwQ56yZFIJLwpUsUr5K7UIhQfe4hhK9QNZH_RuyXiDrFXJxvf77wkfPH6pF8G4VQPnT2Rd7tuXDFpxfqGoX_X8X_AKCdL57</recordid><startdate>20220615</startdate><enddate>20220615</enddate><creator>Yamashita, Masashi</creator><creator>Koike, Tomotaka</creator><creator>Hamazaki, Nobuaki</creator><creator>Ueno, Kensuke</creator><creator>Uchida, Shota</creator><creator>Noda, Takumi</creator><creator>Ogura, Ken</creator><creator>Nagumo, Daina</creator><creator>Miki, Takashi</creator><creator>Shakuta, Saki</creator><creator>Wada, Tatsuhiko</creator><creator>Kamiya, Kentaro</creator><general>Elsevier Inc</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>7X8</scope><scope>5PM</scope></search><sort><creationdate>20220615</creationdate><title>Cross-sectional area of erector spinae muscles is associated with activities of daily living at discharge in middle- to older-aged patients with coronavirus disease 2019</title><author>Yamashita, Masashi ; Koike, Tomotaka ; Hamazaki, Nobuaki ; Ueno, Kensuke ; Uchida, Shota ; Noda, Takumi ; Ogura, Ken ; Nagumo, Daina ; Miki, Takashi ; Shakuta, Saki ; Wada, Tatsuhiko ; Kamiya, Kentaro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-d22c004d0e6fdf6bb28c2cbfef83c899ee190810e96ab8007bc4e05f48dde1283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Activities of Daily Living</topic><topic>Aged</topic><topic>Computed tomography</topic><topic>COVID-19</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Muscles</topic><topic>Patient Discharge</topic><topic>Retrospective Studies</topic><topic>Skeletal muscle</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamashita, Masashi</creatorcontrib><creatorcontrib>Koike, Tomotaka</creatorcontrib><creatorcontrib>Hamazaki, Nobuaki</creatorcontrib><creatorcontrib>Ueno, Kensuke</creatorcontrib><creatorcontrib>Uchida, Shota</creatorcontrib><creatorcontrib>Noda, Takumi</creatorcontrib><creatorcontrib>Ogura, Ken</creatorcontrib><creatorcontrib>Nagumo, Daina</creatorcontrib><creatorcontrib>Miki, Takashi</creatorcontrib><creatorcontrib>Shakuta, Saki</creatorcontrib><creatorcontrib>Wada, Tatsuhiko</creatorcontrib><creatorcontrib>Kamiya, Kentaro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Experimental gerontology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamashita, Masashi</au><au>Koike, Tomotaka</au><au>Hamazaki, Nobuaki</au><au>Ueno, Kensuke</au><au>Uchida, Shota</au><au>Noda, Takumi</au><au>Ogura, Ken</au><au>Nagumo, Daina</au><au>Miki, Takashi</au><au>Shakuta, Saki</au><au>Wada, Tatsuhiko</au><au>Kamiya, Kentaro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cross-sectional area of erector spinae muscles is associated with activities of daily living at discharge in middle- to older-aged patients with coronavirus disease 2019</atitle><jtitle>Experimental gerontology</jtitle><addtitle>Exp Gerontol</addtitle><date>2022-06-15</date><risdate>2022</risdate><volume>163</volume><spage>111774</spage><epage>111774</epage><pages>111774-111774</pages><artnum>111774</artnum><issn>0531-5565</issn><eissn>1873-6815</eissn><abstract>Measurement of skeletal muscle wasting using computed tomography (CT) is widely known to be useful in predicting prognosis. Although some reports have been found in patients with coronavirus disease 2019 (COVID-19), few reports have focused on the ability to perform activities of daily living (ADLs). This study retrospectively investigated the relationship between the erector spinae muscle area measured from CT images and ADL at the time of hospital discharge in patients with COVID-19.
Among patients aged 40 years or older, 271 patients (median age, 65 years; 180/271 male patients) who had CT cross-sectional images of the 12th thoracic vertebral level on admission were included. The Katz index was used to assess ADLs, and patients who were not completely independent were defined as dependent. Multivariable logistic and Poisson regression analyses were applied to examine the relationship between the cross-sectional area of the erector spinae muscles and the onset of ADL dependence at discharge.
A total of 75 (27.7%) patients became dependent on ADL at the time of hospital discharge. Decreased erector spinae muscle area was significantly related to dependent ADL at discharge (adjusted odds ratio: 0.886, 95% confidence interval: 0.805–0.975). In addition, the erector spinae muscle area was significantly related to the number of ADL items for which independence was not achieved (adjusted incidence rate ratio: 0.959, P < 0.001).
The cross-sectional area of the erector spinae muscles from the thoracic CT image was associated with the ability to perform basic ADL at hospital discharge.
•The area of the erector spinae muscle was measured in 271 patients with COVID-19.•Muscle area decline is associated with dependent ADL at discharge.•It tended to be highly related to ADL, including standing movements.•It may help in the early identification of a future ADL decline.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>35341940</pmid><doi>10.1016/j.exger.2022.111774</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Experimental gerontology, 2022-06, Vol.163, p.111774-111774, Article 111774 |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present); Alma/SFX Local Collection |
| subjects | Activities of Daily Living Aged Computed tomography COVID-19 Female Humans Male Middle Aged Muscles Patient Discharge Retrospective Studies Skeletal muscle |
| title | Cross-sectional area of erector spinae muscles is associated with activities of daily living at discharge in middle- to older-aged patients with coronavirus disease 2019 |
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