Effect of sarcopenia on mortality in acute stroke patients receiving endovascular treatment
Interventional Neuroradiology, cilt.30, sa.5, ss.728-737, 2024 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 30 Sayı: 5
- Basım Tarihi: 2024
- Doi Numarası: 10.1177/15910199241227465
- Dergi Adı: Interventional Neuroradiology
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, MEDLINE
- Sayfa Sayıları: ss.728-737
- Anahtar Kelimeler: computed tomography, mechanical thrombectomy, Sarcopenia, stroke
- Ankara Yıldırım Beyazıt Üniversitesi Adresli: Evet
Özet
Background: To investigate the effect of sarcopenia on mortality in patients with acute ischemic stroke caused by anterior circulation large artery occlusion who underwent endovascular treatment. Methods: Acute ischemic stroke patients (n = 194) treated with mechanical thrombectomy who underwent chest computed tomography between 2019 and 2022 (median age, 69 [interquartile range: 61–77], 95 females, 99 males) were evaluated retrospectively. The cross-sectional area and density of the pectoralis muscle [pectoralis muscle area (PMA) and pectoralis muscle density (PMD)] at the level of the aortic arch and the erector spinae muscle at the T12 level [erector spinae muscle area (ESMA) and erector spinae muscle density (ESMD)] were measured. The association between skeletal muscle parameters and mortality outcomes was investigated using the receiver operating characteristic (ROC) curve and multivariable logistic regression analyses. Results: The 90-day mortality rate was 32% in the study population (n = 62). The ROC analysis revealed that ESMD [area under the curve (AUC): 0.765] and PMD (AUC: 0.759) performed best in the prediction of 90-day mortality. In the multivariable logistic regression analysis, PMD [odds ratio (OR): 0.896; 95% confidence interval (CI): 0.846–0.948; p < 0.001], ESMA (OR: 0.929; 95% CI: 0.878–0.983; p = 0.011), and ESMD (OR: 0.947; 95% CI: 0.913–0.983; p = 0.004), but not PMA, were independent risk factors for 90-day mortality. Conclusion: PMD, ESMA, and ESMD may be risk factors for 90-day mortality after mechanical thrombectomy for acute ischemic stroke.