Association of brain atrophy and masseter sarcopenia with 1-year mortality in older trauma patients
JAMA May 15, 2019
Tanabe C, et al. - By using computed tomography imaging in patients sustaining trauma, aged >65 years, investigators established an association of 1-year mortality with masseter sarcopenia and brain atrophy. From January 1, 2011, to December 31, 2014, a retrospective cohort was done in level 1 trauma center and followed up for a year for mortality. Patients having head trauma (Abbreviated Injury Scale score of less than 3 and age more than 65) admitting to the intensive care unit were included in the study. Those dying within 1 day of admission and with incomplete data were excluded. The assessment of data was done from June 2017 to October 2018. A sum of 327 patients was included in the study, of which 72 were suffering from sarcopenia only, 71 from brain atrophy and 92 with both, and 92 had neither. Investigators concluded that masseter muscle sarcopenia and brain atrophy were independently and cumulatively associated with 1-year mortality in patients over 65 years. With the aid of standard imaging software, these radiologic indicators are easily measured. Prognosis and interventions can be discussed with patients and their families.
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