P074 - SARCOPENIA IN ELDERLY PATIENTS HOSPITALIZED AFTER INTENSIVE CARE UNIT ADMISSION

P074

SARCOPENIA IN ELDERLY PATIENTS HOSPITALIZED AFTER INTENSIVE CARE UNIT ADMISSION

C. Valverde Pereira^1,*, B. Horst¹, J. B. Carvalho¹, E. Suiter¹, A. N. Severine¹

¹Hospital Sírio-Libanês, São Paulo, Brazil

Rationale: Numerous factors can worsen sarcopenia in elderly patients who have been in intensive care units(ICU).Analyzing this condition may help minimize the progression of sarcopenia during hospitalization^1,2.

Methods: Observational cross-sectional retrospective study.Reduced handgrip strength was considered,added to the reduction of the appendicular skeletal muscle index¹.Statistics analyses was performed by software Minitab, version 19.1.Significance was p​​≤0.050.

Results: 68 patients,60.2% were men and the mean age was 76 years±8.3.The sarcopenia prevalence was 35.29%.Sarcopenic obesity identified 1.47% and pre-sarcopenia 38.24%.The mean length of ICU stay was slightly higher in individuals with sarcopenia(WS) of 16.6 days when compared to without sarcopenia(WOS) of 13.5 days(p=0.336).Hospital discharge was observed in a higher proportion of patients in the WOS group(93.1%) when compared to the WS (80%)(p=0.133).The death rate was higher in the WS(20%) compared to the WOS(6.7%)(p=0.133).

Conclusion: The study identified a high prevalence of sarcopenia and a low prevalence of sarcopenic obesity.We observed a tendency for patients WS to have a longer hospital stay,which can lead to worse outcomes.

References: 1. Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing [Internet]. 2019 Jan 1;48(1):16- 31. Available from: https://doi.org/10.1093/ageing/afy169 doi: 10.1093/ageing/afy169. Erratum in: Age Ageing. 2019 Jul 1;48(4):601. doi: 10.1093/ageing/afz046. PMID: 30312372; PMCID: PMC6322506.

2. Petermann-Rocha F, Balntzi V, Gray SR, Lara J, Ho FK, Pell JP, et al. Global prevalence of sarcopenia and severe sarcopenia: a systematic review and meta-analysis. J Cachexia Sarcopenia Muscle [Internet]. 2022 Feb;13(1):86-99. Available from: https://doi.org/10.1002/jcsm.12783 doi: 10.1002/jcsm.12783. Epub 2021 Nov 23. PMID: 34816624; PMCID: PMC8818604.

Disclosure of Interest: None declared