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https://doi.org/10.1159/000517461
Title: | The Association between Sarcopenia as a Comorbid Disease and Incidence of Institutionalisation and Mortality in Geriatric Rehabilitation Inpatients: REStORing health of acutely unwell adulTs (RESORT) | Authors: | Pacifico, Jacob Reijnierse, Esmee M. Lim, Wen Kwang Maier, Andrea B. |
Keywords: | Sarcopenia Comorbidity Institutionalisation Mortality |
Issue Date: | 2-Aug-2021 | Publisher: | S. Karger AG | Citation: | Pacifico, Jacob, Reijnierse, Esmee M., Lim, Wen Kwang, Maier, Andrea B. (2021-08-02). The Association between Sarcopenia as a Comorbid Disease and Incidence of Institutionalisation and Mortality in Geriatric Rehabilitation Inpatients: REStORing health of acutely unwell adulTs (RESORT). Gerontology. ScholarBank@NUS Repository. https://doi.org/10.1159/000517461 | Rights: | Attribution-NonCommercial 4.0 International | Abstract: | Introduction: Sarcopenia is associated with poor health outcomes and highly prevalent in individuals with age-related diseases. This study aimed to determine whether sarcopenia as a comorbid disease is associated with the incidence of institutionalisation and mortality in geriatric rehabilitation inpatients. Methods: REStORing health of acutely unwell adulTs (RESORT) includes geriatric rehabilitation patients assessed for sarcopenia (the European Working Group on Sarcopenia in Older People [EWGSOP, 2010], EWGSOP2 [2018], and the Asian Working Group for Sarcopenia [AWGS 2019]), multimorbidity, disease severity, and specific diseases (Charlson Comorbidity Index and Cumulative Illness Rating Scale) at admission. The incidence of institutionalisation and mortality was recorded 3 months after discharge. Logistic regressions were adjusted for age and sex with “low morbidity and no sarcopenia” as the reference group. Results: In 549 included patients (median age was 82.2 [77.4–87.7] years, 58.3% female), sarcopenia prevalence was 37.9, 18.6, and 26.1% according to EWGSOP, EWGSOP2, and AWGS 2019, respectively. Sarcopenia as a comorbid disease with high multimorbidity, dementia, diabetes mellitus, and renal impairment had higher odds of institutionalisation incidence. Sarcopenia as a comorbid disease with high multimorbidity, high disease severity, chronic obstructive pulmonary disease, osteoporosis, and renal impairment had higher odds of mortality. Conclusion: Sarcopenia as a comorbid disease is associated with a higher incidence of institutionalisation and mortality in geriatric rehabilitation inpatients. This highlights the need for in-hospital sarcopenia diagnostics and interventions. | Source Title: | Gerontology | URI: | https://scholarbank.nus.edu.sg/handle/10635/212999 | ISSN: | 0304-324X 1423-0003 |
DOI: | 10.1159/000517461 | Rights: | Attribution-NonCommercial 4.0 International |
Appears in Collections: | Staff Publications Elements |
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