"Psoas Muscle Volume as an Indicator of Sarcopenia and Disposition in T" by Sahak E. Hovsepian, Catherine H. Zwemer et al.
 

Psoas Muscle Volume as an Indicator of Sarcopenia and Disposition in Traumatic Hip Fracture Patients

Authors

Sahak E. Hovsepian, Department of Surgery, The George Washington University School of Medicine Health Sciences, Washington, District of Columbia.
Catherine H. Zwemer, Department of Surgery, The George Washington University School of Medicine Health Sciences, Washington, District of Columbia.
Alex I. Halpern, Department of Surgery, The George Washington University School of Medicine Health Sciences, Washington, District of Columbia.
Sophia H. Wu, Department of Surgery, The George Washington University School of Medicine Health Sciences, Washington, District of Columbia.
Christian M. Farag, Department of Surgery, The George Washington University School of Medicine Health Sciences, Washington, District of Columbia.
Aalap Herur-Raman, Department of Surgery, The George Washington University School of Medicine Health Sciences, Washington, District of Columbia.
Ahmed Ismail, Department of Surgery, The George Washington University School of Medicine Health Sciences, Washington, District of Columbia.
Aneil P. Srivastava, Department of Surgery, The George Washington University School of Medicine Health Sciences, Washington, District of Columbia.
Oleksiy Melnyk, Department of Surgery, The George Washington University School of Medicine Health Sciences, Washington, District of Columbia.
Mary Baginsky, George Washington University Hospital, Washington, District of Columbia.
Susan Kartiko, Department of Surgery, The George Washington University School of Medicine Health Sciences, Washington, District of Columbia. Electronic address: skartiko@mfa.gwu.edu.

Document Type

Journal Article

Publication Date

11-9-2024

Journal

The Journal of surgical research

Volume

304

DOI

10.1016/j.jss.2024.10.005

Keywords

Disposition based on total psoas volume; Sarcopenia in hip fracture; Total psoas volume

Abstract

INTRODUCTION: Sarcopenia, or the loss of lean muscle mass, is associated with increased morbidity and mortality as well as poor surgical outcomes. The aim of our study was to utilize computed tomography imaging to obtain the total psoas volume (TPV) as a potential marker of sarcopenia. We then investigated the relationship between TPV and outcomes in surgically managed hip fracture patients, particularly their discharge disposition. METHODS: A retrospective review of surgically managed hip fracture patients at a single institution level one American College of Surgeons verified trauma center between 2017 and 2022 was performed. The primary endpoint was patient disposition after hospitalization. TPV was collected via three dimension reconstruction of computed tomography images. Student's t-test was used to assess for association between TPV and demographic variables. Binary logistic regressions were performed to examine variables that could predict patient disposition among the patients. RESULTS: We identified 64 surgically managed hip fracture patients, 57.8% of whom were males, with a median age of 74 (IQR: 62, 88). Black race (244.4 vs. 190.3, P = 0.032) and younger age (252.2 vs. 181.8, P = 0.004) were associated with higher TPV. Male patients with higher TPV had a higher likelihood of being discharged home as opposed to a skilled nursing or rehabilitation facility (251.3 vs. 191.1, P = 0.02). In multivariable analysis adjusting for sex, race, body mass index, and age, males with a higher TPV were more likely to be discharged home (odds ratio: 1.012; 95% confidence interval: 1.004 1.020; P = 0.028). CONCLUSIONS: Psoas muscle volume can be used to predict which male patients are likely to be discharged home postoperatively after surgically managed traumatic hip fracture.

Department

Surgery

Share

COinS