2020 Volume 35 Issue 2 Pages 257-261
[Purpose] Patients in the acute phase of cerebral infarction were examined to clarify the influence of the psoas major muscle area at the onset on discharge destinations. [Participants and Methods] Forty-six patients admitted to a hospital within 3 days after the onset of cerebral infarction were classified into 2 groups based on their discharge destinations: home (14) and another hospital (32). On admission, the psoas major muscle was evaluated using abdominal computed tomography (CT) to calculate the psoas muscle mass index (PMI), while retrospectively examining medical records to compare related factors between the 2 groups. Furthermore, multivariate analysis was performed to identify factors influencing discharge destinations. [Results] The PMI, admission National Institutes of Health Stroke Scale (NIHSS) score, pre-admission modified Rankin Scale (mRS) score, and presence/absence of higher brain dysfunction were correlated with the feasibility of discharge to home. Through multivariate analysis, the PMI, admission NIHSS score, and pre-admission mRS score were selected. [Conclusion] The PMI at the onset of cerebral infarction, which was correlated with the feasibility of discharge to home, may be a useful index for the prediction of discharge destinations in the early stage after the onset.
