TY  - JOUR
PY  - 2023//
TI  - Association of sonographic sarcopenia and falls in older adults presenting to the emergency department
JO  - Journal of clinical medicine
A1  - Wongtangman, Thiti
A1  - Thatphet, Phraewa
A1  - Shokoohi, Hamid
A1  - McFadden, Kathleen
A1  - Ma, Irene
A1  - Al Saud, Ahad
A1  - Vivian, Rachel
A1  - Hines, Ryan
A1  - Gullikson, Jamie
A1  - Morone, Christina
A1  - Parente, Jason
A1  - Perkisas, Stany
A1  - Liu, Shan W.
SP  - e1251
EP  - e1251
VL  - 12
IS  - 4
N2  - BACKGROUND AND OBJECTIVE: To determine the association between point-of-care-ultrasonography (POCUS)-measured sarcopenia and grip strength, as well as the history of prior-year falls among older adults admitted to the emergency department observation unit (EDOU). <br><br>MATERIALS AND METHODS: This cross-sectional observational study was conducted over 8 months at a large urban teaching hospital. A consecutive sample of patients who were 65 years or older and admitted to the EDOU were enrolled in the study. Using standardized techniques, trained research assistants and co-investigators measured patients' biceps brachii and thigh quadriceps muscles via a linear transducer. Grip strength was measured using a Jamar Hydraulic Hand Dynamometer. Participants were surveyed regarding their history of falls in the prior year. Logistic regression analyses assessed the relationship of sarcopenia and grip strength to a history of falls (the primary outcome). <br><br>RESULTS: Among 199 participants (55% female), 46% reported falling in the prior year. The median biceps thickness was 2.22 cm with an Interquartile range [IQR] of 1.87-2.74, and the median thigh muscle thickness was 2.91 cm with an IQR of 2.40-3.49. A univariate logistic regression analysis demonstrated a correlation between higher thigh muscle thickness, normal grip strength, and history of prior-year falling, with an odds ratio [OR] of 0.67 (95% conference interval [95%CI] 0.47-0.95) and an OR of 0.51 (95%CI 0.29-0.91), respectively. In multivariate logistic regression, only higher thigh muscle thickness was correlated with a history of prior-year falls, with an OR of 0.59 (95% CI 0.38-0.91). <br><br>CONCLUSIONS: POCUS-measured thigh muscle thickness has the potential to identify patients who have fallen and thus are at high risk for future falls.<p />  <p>Language: en</p>
LA  - en
SN  - 2077-0383
UR  - http://dx.doi.org/10.3390/jcm12041251
ID  - ref1
ER  -