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Frailty and Loss of Rectus Femoris Muscle Thickness in Hospitalized Elderly Patients with Community-Acquired Pneumonia – A Case-Control Study

Received: 27 February 2017     Accepted: 20 March 2017     Published: 11 April 2017
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Abstract

Frailty is at the core of geriatric syndromes that are characterized by multiple morbidities and mobility limitations. The purpose of this case-control study was to assess the frailty scale and muscle mass on the acute phase in hospitalized elderly patients with community-acquired pneumonia (CAP). Thirty-two elderly patients, aged 75 years or older, who were hospitalized with CAP, and 32 control patients hospitalized without CAP were recruited. Frailty scale and muscle mass were assessed using the Reported Edmonton Frail Scale (REFS) and rectus femoris (RF) thickness by ultrasound, respectively. There was a significant increase in the frequency of frailty among CAP patients (50%), compared with control patients (22%). Frailty scale correlated inversely with RF thickness and activity status. Based upon the piece-wise linear regression analysis between REFS and RF thickness decreased rapidly with the pre-frailty status among CAP patients. Elderly patients with CAP exhibit a significant impairment of activity status with frailty due to decreased thickness of RF prior to admission.

Published in Clinical Medicine Research (Volume 6, Issue 3)
DOI 10.11648/j.cmr.20170603.15
Page(s) 86-91
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Elder, Frailty, Pneumonia, Rectus Femoris

References
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Cite This Article
  • APA Style

    Hirokazu Touge, Katsuyuki Tomita, Shizuka Nishii, Tsuyoshi Kitaura, Yasuto Ueda, et al. (2017). Frailty and Loss of Rectus Femoris Muscle Thickness in Hospitalized Elderly Patients with Community-Acquired Pneumonia – A Case-Control Study. Clinical Medicine Research, 6(3), 86-91. https://doi.org/10.11648/j.cmr.20170603.15

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    ACS Style

    Hirokazu Touge; Katsuyuki Tomita; Shizuka Nishii; Tsuyoshi Kitaura; Yasuto Ueda, et al. Frailty and Loss of Rectus Femoris Muscle Thickness in Hospitalized Elderly Patients with Community-Acquired Pneumonia – A Case-Control Study. Clin. Med. Res. 2017, 6(3), 86-91. doi: 10.11648/j.cmr.20170603.15

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    AMA Style

    Hirokazu Touge, Katsuyuki Tomita, Shizuka Nishii, Tsuyoshi Kitaura, Yasuto Ueda, et al. Frailty and Loss of Rectus Femoris Muscle Thickness in Hospitalized Elderly Patients with Community-Acquired Pneumonia – A Case-Control Study. Clin Med Res. 2017;6(3):86-91. doi: 10.11648/j.cmr.20170603.15

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  • @article{10.11648/j.cmr.20170603.15,
      author = {Hirokazu Touge and Katsuyuki Tomita and Shizuka Nishii and Tsuyoshi Kitaura and Yasuto Ueda and Keiji Matsunami and Hiromitsu Sakai and Akira Yamasaki and Yuji Kawasaki and Eiji Shimizu},
      title = {Frailty and Loss of Rectus Femoris Muscle Thickness in Hospitalized Elderly Patients with Community-Acquired Pneumonia – A Case-Control Study},
      journal = {Clinical Medicine Research},
      volume = {6},
      number = {3},
      pages = {86-91},
      doi = {10.11648/j.cmr.20170603.15},
      url = {https://doi.org/10.11648/j.cmr.20170603.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20170603.15},
      abstract = {Frailty is at the core of geriatric syndromes that are characterized by multiple morbidities and mobility limitations. The purpose of this case-control study was to assess the frailty scale and muscle mass on the acute phase in hospitalized elderly patients with community-acquired pneumonia (CAP). Thirty-two elderly patients, aged 75 years or older, who were hospitalized with CAP, and 32 control patients hospitalized without CAP were recruited. Frailty scale and muscle mass were assessed using the Reported Edmonton Frail Scale (REFS) and rectus femoris (RF) thickness by ultrasound, respectively. There was a significant increase in the frequency of frailty among CAP patients (50%), compared with control patients (22%). Frailty scale correlated inversely with RF thickness and activity status. Based upon the piece-wise linear regression analysis between REFS and RF thickness decreased rapidly with the pre-frailty status among CAP patients. Elderly patients with CAP exhibit a significant impairment of activity status with frailty due to decreased thickness of RF prior to admission.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Frailty and Loss of Rectus Femoris Muscle Thickness in Hospitalized Elderly Patients with Community-Acquired Pneumonia – A Case-Control Study
    AU  - Hirokazu Touge
    AU  - Katsuyuki Tomita
    AU  - Shizuka Nishii
    AU  - Tsuyoshi Kitaura
    AU  - Yasuto Ueda
    AU  - Keiji Matsunami
    AU  - Hiromitsu Sakai
    AU  - Akira Yamasaki
    AU  - Yuji Kawasaki
    AU  - Eiji Shimizu
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    T2  - Clinical Medicine Research
    JF  - Clinical Medicine Research
    JO  - Clinical Medicine Research
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    EP  - 91
    PB  - Science Publishing Group
    SN  - 2326-9057
    UR  - https://doi.org/10.11648/j.cmr.20170603.15
    AB  - Frailty is at the core of geriatric syndromes that are characterized by multiple morbidities and mobility limitations. The purpose of this case-control study was to assess the frailty scale and muscle mass on the acute phase in hospitalized elderly patients with community-acquired pneumonia (CAP). Thirty-two elderly patients, aged 75 years or older, who were hospitalized with CAP, and 32 control patients hospitalized without CAP were recruited. Frailty scale and muscle mass were assessed using the Reported Edmonton Frail Scale (REFS) and rectus femoris (RF) thickness by ultrasound, respectively. There was a significant increase in the frequency of frailty among CAP patients (50%), compared with control patients (22%). Frailty scale correlated inversely with RF thickness and activity status. Based upon the piece-wise linear regression analysis between REFS and RF thickness decreased rapidly with the pre-frailty status among CAP patients. Elderly patients with CAP exhibit a significant impairment of activity status with frailty due to decreased thickness of RF prior to admission.
    VL  - 6
    IS  - 3
    ER  - 

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Author Information
  • Department of Respiratory Medicine, Yonago Medical Centre, Tottori, Japan

  • Department of Respiratory Medicine, Yonago Medical Centre, Tottori, Japan

  • Department of Respiratory Medicine, Yonago Medical Centre, Tottori, Japan

  • Department of Respiratory Medicine, Yonago Medical Centre, Tottori, Japan

  • Department of Respiratory Medicine, Yonago Medical Centre, Tottori, Japan

  • Department of Palliative Care Medicine, Yonago Medical Centre, Tottori, Japan

  • Department of Respiratory Medicine, Yonago Medical Centre, Tottori, Japan

  • Division of Medical Oncology and Molecular Respirology, Tottori University Faculty of Medicine, Tottori, Japan

  • Division of Medical Oncology and Molecular Respirology, Tottori University Faculty of Medicine, Tottori, Japan

  • Division of Medical Oncology and Molecular Respirology, Tottori University Faculty of Medicine, Tottori, Japan

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