Calf Circumference: A Marker of Muscle Mass as a Predictor of Hospital Readmission

JPEN. Journal of Parenteral and Enteral Nutrition
Gustavo Gonzales RealMaria Cristina Gonzalez

Abstract

Hospital readmissions (HRs) are common, potentially preventable, and a marker of poor quality in health services. This study aimed to identify risk factors for HR in clinical patients, with an emphasis on nutrition aspects, especially calf circumference (CC), as a marker of muscle mass. A prospective cohort study of patients admitted to the internal medicine ward was conducted. The short form of the Patient-Generated Subjective Global Assessment was performed in the first 24 hours of hospitalization. In addition, single-frequency bioelectrical impedance analysis was used to estimate the phase angle, CC as a surrogate of muscle mass, and handgrip strength as a marker of strength. The Charlson Comorbidity Index (CCI) was used to assess the severity of the comorbidities. Reassessments were performed every 7 days during hospitalization. HR was evaluated 30 days after discharge by phone contact. A sample of 161 patients was assessed; 54.6% were male, with a mean age of 59.2 ± 17.8 years. The median CCI was 2.76 (interquartile range: 1-4), and nutrition risk and low CC were present in 77.6% and 46% of the patients, respectively. The readmission rate was 16.8% after 30 days. After controlling for sex and age, a CCI > 2 (odds ratio [OR...Continue Reading

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Citations

Feb 23, 2020·Journal of the American College of Nutrition·Micheli TarnowskiFlávia Moraes Silva
May 14, 2019·JPEN. Journal of Parenteral and Enteral Nutrition·Leonardo Pozza SantosUNKNOWN COCONUT Study Group
Mar 21, 2021·The American Journal of Clinical Nutrition·Maria Cristina GonzalezSteven B Heymsfield
Apr 17, 2021·The Brazilian Journal of Infectious Diseases : an Official Publication of the Brazilian Society of Infectious Diseases·Thaise Sanches de AlmeidaVívian Pinto de Almeida
May 28, 2021·European Journal of Clinical Nutrition·Paula Luiza Menezes CruzRenata Reis de Lima E Silva
Oct 15, 2021·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Dalila Pinto de Souza FernandesAndréia Queiroz Ribeiro
Oct 3, 2021·JPEN. Journal of Parenteral and Enteral Nutrition·Carolina Oliveira Dos Santos RdFlávia Moraes Silva PhD

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