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Effect of sarcopenia on hospital stay from post cardiac surgery to discharge

Ikuko Shibasaki1, Motoshi Ouchi2, Taira Fukuda3

  • 1Department of Cardiac and Vascular Surgery, Dokkyo Medical University School of Medicine, Shimotsuga, Japan.

International Journal of Cardiology. Heart & Vasculature
|March 22, 2022
PubMed

Insights

Sarcopenia significantly prolongs hospital stays for patients undergoing cardiovascular surgery. Addressing sarcopenia and improving nutritional status can help reduce hospital stay duration.

Area of Science:

  • Geriatric Medicine
  • Cardiovascular Surgery
  • Nutritional Science

Background:

  • Cardiovascular surgery in older adults with sarcopenia is linked to increased complications and extended hospital stays.
  • Predictors of prolonged hospital stay in this patient group remain unclear.
  • Sarcopenia, a condition of muscle mass loss, poses significant risks in surgical patients.

Purpose of the Study:

  • To identify predictors of prolonged hospital stay in patients with sarcopenia undergoing cardiovascular surgery.
  • To analyze factors influencing length of stay post-cardiac surgery in sarcopenic individuals.

Main Methods:

  • Retrospective observational study of 192 patients undergoing cardiac surgery.
  • Preoperative diagnosis of sarcopenia.
  • Evaluation of preoperative, intraoperative, and perioperative clinical data.

Main Results:

  • Sarcopenia was the primary predictor of prolonged postoperative hospital stay and intubation time.
  • Significant differences observed between sarcopenic and non-sarcopenic groups in age, BMI, renal function, and blood parameters.
  • In sarcopenic patients, lower albumin levels and longer cardiopulmonary bypass times correlated with extended hospital stay.

Conclusions:

  • Sarcopenia is a key factor associated with longer hospital stays after cardiac surgery.
  • Interventions targeting sarcopenia, nutritional status, and cardiopulmonary bypass duration may shorten hospital stays for these patients.
Abstract

Keywords:
ADL, activities of daily livingBMI, body mass indexBNP, brain natriuretic peptideCI, confidence intervalCPB, cardiopulmonary bypassCT, computed tomographyCardiac surgeryHospital stayICU, intensive care unitOR, odds ratioSMI, skeletal muscle mass indexSarcopeniaeGFR, estimated glomerular filtration rate

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