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. 2022 Mar 18:39:101003.
doi: 10.1016/j.ijcha.2022.101003. eCollection 2022 Apr.

Effect of sarcopenia on hospital stay from post cardiac surgery to discharge

Ikuko Shibasaki  1 , Motoshi Ouchi  2 , Taira Fukuda  3 , Go Tsuchiya  1 , Hironaga Ogawa  1 , Yusuke Takei  1 , Masahiro Tezuka  1 , Yuta Kanazawa  1 , Satoshi Katayanagi  4 , Naohiro Nozawa  4 , Takashi Mizushima  4 , Shigeru Toyoda  5 , Hirotsugu Fukuda  1 , Toshiaki Nakajima  5   4
Affiliations

Effect of sarcopenia on hospital stay from post cardiac surgery to discharge

Ikuko Shibasaki et al. Int J Cardiol Heart Vasc. .

Abstract

Background: Cardiovascular surgery in older patients with sarcopenia has high rates of major complications, long hospital stays, readmissions, and discharge transfers. However, the factors that influence the length of hospital stay are unknown. This study aimed was to identify the predictors of the prolonged hospital stay in patients with sarcopenia after cardiovascular surgery.

Methods: A total of 192 patients scheduled for cardiac surgery were enrolled in this retrospective observational study. Sarcopenia was diagnosed preoperatively. Clinical data from the preoperative, intraoperative, and perioperative periods were evaluated to determine the factors influencing the length of hospital stay.

Results: The sarcopenia and non-sarcopenia groups differed significantly in age; body mass index; renal function; intubation time; transfusion of red blood cells; hospital transfer; and hemoglobin, brain natriuretic peptide, and albumin levels. Sarcopenia was the most significant factor influencing prolonged postoperative hospital stay, as well as prolonged intubation time. In the sarcopenia group, albumin levels and cardiopulmonary bypass time were the significant factors affecting hospital stay.

Conclusions: Sarcopenia was the most significant factor associated with prolonged postoperative hospital stay in patients who underwent cardiac surgery. In addition, improving sarcopenia, nutritional status, and shortening cardiopulmonary bypass time appear to shorten the hospital stay in patients with sarcopenia who underwent cardiovascular surgery.

Keywords: ADL, activities of daily living; BMI, body mass index; BNP, brain natriuretic peptide; CI, confidence interval; CPB, cardiopulmonary bypass; CT, computed tomography; Cardiac surgery; Hospital stay; ICU, intensive care unit; OR, odds ratio; SMI, skeletal muscle mass index; Sarcopenia; eGFR, estimated glomerular filtration rate.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
Histograms of the length of hospital stay (days) after cardiac surgery. The red line indicates the median length of hospital stay (days) after cardiac surgery in each group: the left end is ≤ 10 days; the right of end is > 60 days. The median length of hospital stay was 20 days in total, 18.5 days in the non-sarcopenia group, and 25 days in the sarcopenia group. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)
See this image and copyright information in PMC

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