Aboytes-Menchaca C, Ledesma-González M, Casas-Villa J

Language: Spanish
References: 13
Page: 348-353
PDF size: 175.40 Kb.

ABSTRACT

Comprehensive geriatric assessment impacts on the preservation of functionality , affecting the quality of life of the patient. Low muscle mass, expressed as low grip strength, is a common condition that has shown great utility in predicting mortality, days of hospital stay, and early mobilization. Objective: To describe the usefulness of grip strength as a predictor of functional loss in patients older than 60 years with hip fracture. Material and methods: A prospective, observational, analytical, longitudinal cohort study in 60-year-old hospitalized patients with hip fracture, the grip strength was evaluated with a hydraulic dynamometer at admission and after surgery, with a follow-up at 30 days. Results: The patients presented a significant decrease in grip strength at admission compared to grip strength at discharge (20.79 ± 4.75 vs. 15.45 ± 4.17 respectively). When evaluating muscle strength, it was found that those patients with functional loss had a higher score of grip strength at admission (21.42 ± 5.26, p = 0.04), and grip strength at discharge (16.14 ± 4.52 p = 0.013). For each day of hospital stay, 0.493 kg of muscle strength decreases. Conclusion: There is a positive correlation between the days of hospital stay with the decrease in muscle strength in addition to a positive correlation between the Barthel score and grip strength, which proposes that this parameter is an important factor to evaluate in the adult functionality approach.

REFERENCES

1. D'hyver C, Gutiérrez RLM. Geriatría. 3ª. ed. México: Manual Moderno, 2019.

2. Segovia DLM, Torres HEA. Funcionalidad del adulto mayor. Gerokomos. 2011; 22(4): 162-6.

3. Pignolo RJ, Keenan MA, Hebela NM. Fractures in the elderly. Springer Science + Business, 2018.

4. Martín LI, Mendibil CLI, Castaño MS, Otter AD, Garaizar BI, Pisón RJ, et al. Functional decline and associated factors in patients with multimorbidity at 8 months of follow-up in primary care: the functionality in pluripathological patients (FUNCIPLUR) longitudinal descriptive study. BMJ Open. 2018; 8(7): e022377.

5. Thompson LV. Age related muscle dysfunction. Exp Gerontol. 2009; 44: 106-11.

6. Manini TM, Clark BC. Dynapenia and aging: an update. J Gerontol A Biol Sci Med Sci. 2012; 67(1): 28-40.

7. Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019; 48(1): 16-31.

8. Leal VO, Mafra D, Fouque D, Anjos LA. Use of handgrip strength in the assessment of the muscle function of chronic kidney disease patients on dialysis: a systematic review. Nephrol Dial Transplant. 2011; 26(4): 1354-60.

9. Syddall HE, Westbury LD, Dodds R, Dennison E, Cooper C, Sayer AA. Mortality in the Hertfordshire Ageing Study: association with level and loss of hand grip strength in later life. Age Ageing. 2017; 46(3): 407-12.

10. Leong DP, Teo KK, Rangarajan S, Lopez-Jaramillo P, Avezum A Jr, Orlandini A, et al. Prognostic value of grip strength: findings from the Prospective Urban Rural Epidemiology (PURE) study. Lancet. 2015; 386(9990): 266-73.

11. Selakovic I, Dubljanin-Raspopovic E, Markovic-Denic L, Marusic V, Cirkovic A, Kadija M, et al. Can early assessment of hand grip strength in older hip fracture patients predict functional outcome? PLoS One. 2019; 14(8): e0213223.

12. Di Monaco M, Castiglioni C, De Toma E, Gardin L, Giordano S, Tappero R. Handgrip strength is an independent predictor of functional outcome in hip-fracture women: a prospective study with 6-month follow-up. Medicine (Baltimore). 2015; 94(6): e542.

13. Vergara I, Vrotsou K, Orive M, Gonzalez N, Garcia S, Quintana JM. Factors related to functional prognosis in elderly patients after accidental hip fractures: a prospective cohort study. BMC Geriatr. 2014; 14: 124.

EVIDENCE LEVEL

IV