勃起脊柱肌肉的厚度预测了肺部疾病患者的死亡率
Masafumi Shimoda1, Haruka Hamada1, Takashi Yoshiyama1
1Respiratory Disease Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association (JATA), 3-1-24 Mastuyama, Kiyose city, Tokyo, 204-8522, Japan.
Respiratory investigation
|December 6, 2025
概括
通过胸部CT测量勃起脊柱肌肉厚度 (ESMT),预测肺部疾病患者的一年死亡率. 较低的ESMT表明死亡风险较高,有助于临床评估.
科学领域:
- 肺部医学 肺部医学
- 放射学 放射学是指放射学
- 老年病的医生 老年病的医生
背景情况:
- 骨肌肉质量损失使呼吸系统疾病的结果恶化.
- 起器脊柱肌肉厚度 (ESMT) 是一种新的体力活动标志物.
- 胸部计算机断层扫描 (CT) 是经常用于肺病患者.
研究的目的:
- 评估ESMT与住院肺病患者1年死亡率之间的关联.
- 评估ESMT作为死亡率和功能状态的预测指标.
主要方法:
- 预计将招收636名住院肺病患者.
- 使用胸部CT扫描测量ESMT.
- 在1年死亡率和生存率组之间比较ESMT.
主要成果:
- 较低的ESMT与1年死亡风险增加显著相关 (HR:0.96,p=0.035).
- 在ESMT ≤20.55 mm预测死亡率更高.
- 在ESMT中,与年龄,BMI,ADL和SARC-F得分有显著的相关性.
结论:
- ESMT是一种有价值,易于获得的标志物,用于预测肺部疾病患者的1年死亡率.
- ESMT也表示日常生活活动受损 (ADL) 状态.
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