Frailty and Loss of Rectus Femoris Muscle Thickness in Hospitalized Elderly Patients with Community-Acquired Pneumonia – A Case-Control Study
Clinical Medicine Research
Volume 6, Issue 3, May 2017, Pages: 86-91
Received: Feb. 27, 2017; Accepted: Mar. 20, 2017; Published: Apr. 11, 2017
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Authors
Hirokazu Touge, Department of Respiratory Medicine, Yonago Medical Centre, Tottori, Japan
Katsuyuki Tomita, Department of Respiratory Medicine, Yonago Medical Centre, Tottori, Japan
Shizuka Nishii, Department of Respiratory Medicine, Yonago Medical Centre, Tottori, Japan
Tsuyoshi Kitaura, Department of Respiratory Medicine, Yonago Medical Centre, Tottori, Japan; Division of Medical Oncology and Molecular Respirology, Tottori University Faculty of Medicine, Tottori, Japan
Yasuto Ueda, Department of Respiratory Medicine, Yonago Medical Centre, Tottori, Japan; Division of Medical Oncology and Molecular Respirology, Tottori University Faculty of Medicine, Tottori, Japan
Keiji Matsunami, Department of Palliative Care Medicine, Yonago Medical Centre, Tottori, Japan
Hiromitsu Sakai, Department of Respiratory Medicine, Yonago Medical Centre, Tottori, Japan
Akira Yamasaki, Division of Medical Oncology and Molecular Respirology, Tottori University Faculty of Medicine, Tottori, Japan
Yuji Kawasaki, Division of Medical Oncology and Molecular Respirology, Tottori University Faculty of Medicine, Tottori, Japan
Eiji Shimizu, Division of Medical Oncology and Molecular Respirology, Tottori University Faculty of Medicine, Tottori, Japan
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Abstract
Frailty is at the core of geriatric syndromes that are characterized by multiple morbidities and mobility limitations. The purpose of this case-control study was to assess the frailty scale and muscle mass on the acute phase in hospitalized elderly patients with community-acquired pneumonia (CAP). Thirty-two elderly patients, aged 75 years or older, who were hospitalized with CAP, and 32 control patients hospitalized without CAP were recruited. Frailty scale and muscle mass were assessed using the Reported Edmonton Frail Scale (REFS) and rectus femoris (RF) thickness by ultrasound, respectively. There was a significant increase in the frequency of frailty among CAP patients (50%), compared with control patients (22%). Frailty scale correlated inversely with RF thickness and activity status. Based upon the piece-wise linear regression analysis between REFS and RF thickness decreased rapidly with the pre-frailty status among CAP patients. Elderly patients with CAP exhibit a significant impairment of activity status with frailty due to decreased thickness of RF prior to admission.
Keywords
Elder, Frailty, Pneumonia, Rectus Femoris
To cite this article
Hirokazu Touge, Katsuyuki Tomita, Shizuka Nishii, Tsuyoshi Kitaura, Yasuto Ueda, Keiji Matsunami, Hiromitsu Sakai, Akira Yamasaki, Yuji Kawasaki, Eiji Shimizu, Frailty and Loss of Rectus Femoris Muscle Thickness in Hospitalized Elderly Patients with Community-Acquired Pneumonia – A Case-Control Study, Clinical Medicine Research. Vol. 6, No. 3, 2017, pp. 86-91. doi: 10.11648/j.cmr.20170603.15
Copyright
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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