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

Hirokazu Touge; Katsuyuki Tomita; Shizuka Nishii; Tsuyoshi Kitaura; Yasuto Ueda; Keiji Matsunami; Hiromitsu Sakai; Akira Yamasaki; Yuji Kawasaki; Eiji Shimizu

doi:doi:10.11648/j.cmr.20170603.15

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

Hirokazu Touge, Katsuyuki Tomita, Shizuka Nishii, Tsuyoshi Kitaura, Yasuto Ueda, Keiji Matsunami, Hiromitsu Sakai, Akira Yamasaki, Yuji Kawasaki, Eiji Shimizu

Published in Clinical Medicine Research (Volume 6, Issue 3)

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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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
Y1  - 2017/04/11
PY  - 2017
N1  - https://doi.org/10.11648/j.cmr.20170603.15
DO  - 10.11648/j.cmr.20170603.15
T2  - Clinical Medicine Research
JF  - Clinical Medicine Research
JO  - Clinical Medicine Research
SP  - 86
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

Hirokazu Touge

Department of Respiratory Medicine, Yonago Medical Centre, Tottori, Japan
Katsuyuki Tomita

Department of Respiratory Medicine, Yonago Medical Centre, Tottori, Japan
Shizuka Nishii

Department of Respiratory Medicine, Yonago Medical Centre, Tottori, Japan
Tsuyoshi Kitaura

Department of Respiratory Medicine, Yonago Medical Centre, Tottori, Japan
Yasuto Ueda

Department of Respiratory Medicine, Yonago Medical Centre, Tottori, Japan
Keiji Matsunami

Department of Palliative Care Medicine, Yonago Medical Centre, Tottori, Japan
Hiromitsu Sakai

Department of Respiratory Medicine, Yonago Medical Centre, Tottori, Japan
Akira Yamasaki

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

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

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

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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

Copy | Download

@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}
}

Copy | Download

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
Y1  - 2017/04/11
PY  - 2017
N1  - https://doi.org/10.11648/j.cmr.20170603.15
DO  - 10.11648/j.cmr.20170603.15
T2  - Clinical Medicine Research
JF  - Clinical Medicine Research
JO  - Clinical Medicine Research
SP  - 86
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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