Impact of sarcopenia on intertrochanteric femoral fracture in the elderly
Objective The aim of this study was to investigate the effect of skeletal sarcopenia on the prognosis of intertrochanteric fracture in the elderly. Methods We collected information on 144 patients with femoral intertrochanteric fracture (FIF). The influence of sarcopenia on the chance of death was d...
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| Format: | Article |
| Language: | English |
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PeerJ Inc.
2022-06-01
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| Online Access: | https://peerj.com/articles/13445.pdf |
| _version_ | 1827606617660588032 |
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| author | Shunli Jiang Yu Ding Lixing Kang |
| author_facet | Shunli Jiang Yu Ding Lixing Kang |
| author_sort | Shunli Jiang |
| collection | DOAJ |
| description | Objective The aim of this study was to investigate the effect of skeletal sarcopenia on the prognosis of intertrochanteric fracture in the elderly. Methods We collected information on 144 patients with femoral intertrochanteric fracture (FIF). The influence of sarcopenia on the chance of death was determined using binary Probit regression analysis. For additional analysis, the Chow test was utilized to select the best distinguishing node in the instrumental activities of daily living (IADL) score. We looked for characteristics that were linked to a higher probability of death and a poor IADL outcome within 1 year. The data collected above were analyzed using logistic regression analysis. The internal calibration degree and model validity were assessed by GiViTI calibration. Results Sarcopenia, EuroQol-5D 1 month score, age, gender, and hypertension were identified as risk factors for death in older patients with FIF within a year by logistic regression analysis. Sarcopenia, psychotropics, BMI, and length of hospital stay were all found to be risk factors for poor IADL outcomes (P < 0.1). The calibration curves indicated that the anticipated and actual probabilities of these two models were very close. The study’s reliability coefficient was 0.671, showing a satisfactory level of reliability. Conclusion In elderly patients with FIF, sarcopenia, EuroQol-5D score, age, gender, and hypertension were risk factors for death; sarcopenia, hospital stay length, BMI were risk factors for poor quality of life. |
| first_indexed | 2024-03-09T06:40:51Z |
| format | Article |
| id | doaj.art-01356e4e9b5549d1b6147101295a34f8 |
| institution | Directory Open Access Journal |
| issn | 2167-8359 |
| language | English |
| last_indexed | 2024-03-09T06:40:51Z |
| publishDate | 2022-06-01 |
| publisher | PeerJ Inc. |
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| spelling | doaj.art-01356e4e9b5549d1b6147101295a34f82023-12-03T10:49:46ZengPeerJ Inc.PeerJ2167-83592022-06-0110e1344510.7717/peerj.13445Impact of sarcopenia on intertrochanteric femoral fracture in the elderlyShunli Jiang0Yu Ding1Lixing Kang2The Affiliated Lianyungang Oriental Hospital, Kangda College of Nanjng Medical University, Lianyungang, Jiangsu Province, ChinaWafangdian Central Hospital, Dalian, Liaoning province, ChinaDepartment of Orthopedics, Langfang People’s Hospital, Langfang, Hebei Province, ChinaObjective The aim of this study was to investigate the effect of skeletal sarcopenia on the prognosis of intertrochanteric fracture in the elderly. Methods We collected information on 144 patients with femoral intertrochanteric fracture (FIF). The influence of sarcopenia on the chance of death was determined using binary Probit regression analysis. For additional analysis, the Chow test was utilized to select the best distinguishing node in the instrumental activities of daily living (IADL) score. We looked for characteristics that were linked to a higher probability of death and a poor IADL outcome within 1 year. The data collected above were analyzed using logistic regression analysis. The internal calibration degree and model validity were assessed by GiViTI calibration. Results Sarcopenia, EuroQol-5D 1 month score, age, gender, and hypertension were identified as risk factors for death in older patients with FIF within a year by logistic regression analysis. Sarcopenia, psychotropics, BMI, and length of hospital stay were all found to be risk factors for poor IADL outcomes (P < 0.1). The calibration curves indicated that the anticipated and actual probabilities of these two models were very close. The study’s reliability coefficient was 0.671, showing a satisfactory level of reliability. Conclusion In elderly patients with FIF, sarcopenia, EuroQol-5D score, age, gender, and hypertension were risk factors for death; sarcopenia, hospital stay length, BMI were risk factors for poor quality of life.https://peerj.com/articles/13445.pdfFemoral intertrochanteric fractureSarcopeniaInstrumental activities of daily living |
| spellingShingle | Shunli Jiang Yu Ding Lixing Kang Impact of sarcopenia on intertrochanteric femoral fracture in the elderly PeerJ Femoral intertrochanteric fracture Sarcopenia Instrumental activities of daily living |
| title | Impact of sarcopenia on intertrochanteric femoral fracture in the elderly |
| title_full | Impact of sarcopenia on intertrochanteric femoral fracture in the elderly |
| title_fullStr | Impact of sarcopenia on intertrochanteric femoral fracture in the elderly |
| title_full_unstemmed | Impact of sarcopenia on intertrochanteric femoral fracture in the elderly |
| title_short | Impact of sarcopenia on intertrochanteric femoral fracture in the elderly |
| title_sort | impact of sarcopenia on intertrochanteric femoral fracture in the elderly |
| topic | Femoral intertrochanteric fracture Sarcopenia Instrumental activities of daily living |
| url | https://peerj.com/articles/13445.pdf |
| work_keys_str_mv | AT shunlijiang impactofsarcopeniaonintertrochantericfemoralfractureintheelderly AT yuding impactofsarcopeniaonintertrochantericfemoralfractureintheelderly AT lixingkang impactofsarcopeniaonintertrochantericfemoralfractureintheelderly |