ABSTRACT
Objectiv e: The aim of
this study was to evaluate the diagnosis of sarcopenia by abdominal
tomography, prevelance and prognosis in critical patient admitted to
intensive care unit(ICU).
Methods: It was planned as a retrospective observational study.
Patients older than 40 years of age with abdominal tomography who needed
to be in the ICU were included. Muscle mass was measured by abdominal
tomography. All patients were divided into two groups as sarcopenic and
non-sarcopenic according to the measurement results. We compared the
prognosis and clinical features of patients with and without sarcopenia.
Results: Fifty five(59%) of all patients were found as
sarcopenic and 70.8% over 70 years of age. The length of stay in ICU
and in hospital were 27.8 ± 29.7 and 33.0 ± 31.2 days in sarcopenic
patients, 15.1±17 and 23.8±21.3 days in nonsarcopenic patients
respectively(p <0.05). Thirty day mortality was found 49.1%
in patients sarcopenic(<0.05). SMI was found lower over aged
70 years(p <0.05).
Conclusions: Sarcopenia was associated with the increasing of
30 day mortality, a prolongation in the lenght of stay in ICU and
hospital. Therefore, we believe that awareness about sarcopenia will be
important in order to shorten the mortality and lenght of stay in ICU.
Key Words: Sarcopenia, skeletal mass index, abdominal
computerized tomography, intensive care unit, prevelance, mortality