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Akahoshi T, Yasuda M, Momii K, et al. Sarcopenia is a predictive factor for prolonged intensive care unit stays in high-energy blunt trauma patients. Acute Med Surg. 2016;3(4):326-331doi: 10.1002/ams2.195.
Akahoshi, T., Yasuda, M., Momii, K., Kubota, K., Shono, Y., Kaku, N., Tokuda, K., Nagata, T., Yoshizumi, T., Shirabe, K., Hashizume, M., & Maehara, Y. (2016). Sarcopenia is a predictive factor for prolonged intensive care unit stays in high-energy blunt trauma patients. Acute medicine & surgery, 3(4), 326-331. https://doi.org/10.1002/ams2.195
Akahoshi, Tomohiko, et al. "Sarcopenia is a predictive factor for prolonged intensive care unit stays in high-energy blunt trauma patients." Acute medicine & surgery vol. 3,4 (2016): 326-331. doi: https://doi.org/10.1002/ams2.195
Akahoshi T, Yasuda M, Momii K, Kubota K, Shono Y, Kaku N, Tokuda K, Nagata T, Yoshizumi T, Shirabe K, Hashizume M, Maehara Y. Sarcopenia is a predictive factor for prolonged intensive care unit stays in high-energy blunt trauma patients. Acute Med Surg. 2016 May 02;3(4):326-331. doi: 10.1002/ams2.195. eCollection 2016 Oct. PMID: 29123807; PMCID: PMC5667315.
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Acute Med Surg. 2016 May 02;3(4):326-331. doi: 10.1002/ams2.195. eCollection 2016 Oct.

Sarcopenia is a predictive factor for prolonged intensive care unit stays in high-energy blunt trauma patients.

Acute medicine & surgery

Tomohiko Akahoshi, Mitsuhiro Yasuda, Kenta Momii, Kensuke Kubota, Yuji Shono, Noriyuki Kaku, Kentaro Tokuda, Takashi Nagata, Tomoharu Yoshizumi, Ken Shirabe, Makoto Hashizume, Yoshihiko Maehara

Affiliations

  1. Emergency and Critical Care Center Graduate School of Medical Sciences, Kyushu University Fukuoka Japan.
  2. Disaster and Emergency Medicine Graduate School of Medical Sciences, Kyushu University Fukuoka Japan.
  3. Surgery and Science Graduate School of Medical Sciences, Kyushu University Fukuoka Japan.

PMID: 29123807 PMCID: PMC5667315 DOI: 10.1002/ams2.195

Abstract

AIM: Sarcopenia has been increasingly reported as a prognostic factor for outcome in settings such as cirrhosis, liver transplantation, and emergent surgery. We aimed to elucidate the significance of sarcopenia in severe blunt trauma patients.

METHODS: We retrospectively analyzed 84 patients emergently admitted to the intensive care unit at Kyushu University Hospital (Fukuoka, Japan) from May 2012 to April 2015. We assessed the amount of skeletal muscle present according to computed tomography and its relevance to ventilation-free days, patients' length of stay in the intensive care unit, and 28-day mortality.

RESULTS: Twenty-five (29.7%) patients were defined as sarcopenic. Sixteen (19.7%) patients required 15 days or more in the intensive care unit. The major reason was a prolonged ventilation requirement due to flail chest (

CONCLUSION: Sarcopenia is a risk factor that predicts prolonged intensive care unit stay in high-energy blunt trauma patients.

Keywords: High‐energy blunt trauma; intensive care unit; muscle atrophy; sarcopenia

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