Research Reports (Original Article)
Effect of Skeletal Muscle Mass on Functional Prognosis in Patients with Proximal Femur Fractures
2021 Volume 48 Issue 6 Pages 572-578
Details
2021 Volume 48 Issue 6 Pages 572-578
Objective: This study investigated the relationship between skeletal muscle mass, estimated by the psoas muscle area on abdominal computed tomography, and functional prognosis, in proximal femur fracture patients.
Methods: One hundred and thirteen recovery ward patients were divided into the skeletal muscle mass loss group and a control group. We compared their clinical history and functional prognoses. Multiple regression analysis, with Functional Independence Measure (FIM) gain as the objective variable, was performed to examine the relationship between skeletal muscle mass and the results.
Results: The mean age of the patients was 83.5 ± 8.3 years. Thirty-five patients were males, and 78 were females. There were a total of 56 patients in the skeletal muscle mass loss group. Compared to the control group, the skeletal muscle mass loss group members were older, more, had significantly lower cognitive FIM at admission, lower total FIM at discharge, and FIM gain. Multivariate analysis showed a significant association between skeletal muscle mass loss and FIM gain.
Conclusion: Skeletal muscle mass loss, estimated by the area of the psoas muscle in patients with proximal femur fractures, may be associated with a poor functional prognosis.
