Psoas Muscle Area Predicts Mortality after Left Ventricular Assist Device Implantation
Several risk scores and classifications are available to predict peri- and post-operative mortality of patients with end stage heart failure receiving Left Ventricular Assist Device (LVAD) therapy. Sarcopenia has been suggested as a sensitive predictor for post-operative mortality. We evaluated whet...
Main Authors: | , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2021-09-01
|
Series: | Life |
Subjects: | |
Online Access: | https://www.mdpi.com/2075-1729/11/9/922 |
id |
doaj-f414914be13c46d385819a48c412f3e5 |
---|---|
record_format |
Article |
spelling |
doaj-f414914be13c46d385819a48c412f3e52021-09-26T00:34:16ZengMDPI AGLife2075-17292021-09-011192292210.3390/life11090922Psoas Muscle Area Predicts Mortality after Left Ventricular Assist Device ImplantationFranziska Wittmann0Thomas Schlöglhofer1Julia Riebandt2Anne-Kristin Schaefer3Dominik Wiedemann4Edda Tschernko5Dietrich Beitzke6Christian Loewe7Günther Laufer8Daniel Zimpfer9Division of Cardiac Surgery, Medical University of Vienna, 1090 Vienna, AustriaDivision of Cardiac Surgery, Medical University of Vienna, 1090 Vienna, AustriaDivision of Cardiac Surgery, Medical University of Vienna, 1090 Vienna, AustriaDivision of Cardiac Surgery, Medical University of Vienna, 1090 Vienna, AustriaDivision of Cardiac Surgery, Medical University of Vienna, 1090 Vienna, AustriaDivision of Cardiac Thoracic Vascular Anesthesia and Intensive Care Medicine, Medical University of Vienna, 1090 Vienna, AustriaDivision of Cardiovascular and Interventional Radiology, Medical University of Vienna, 1090 Vienna, AustriaDivision of Cardiovascular and Interventional Radiology, Medical University of Vienna, 1090 Vienna, AustriaDivision of Cardiac Surgery, Medical University of Vienna, 1090 Vienna, AustriaDivision of Cardiac Surgery, Medical University of Vienna, 1090 Vienna, AustriaSeveral risk scores and classifications are available to predict peri- and post-operative mortality of patients with end stage heart failure receiving Left Ventricular Assist Device (LVAD) therapy. Sarcopenia has been suggested as a sensitive predictor for post-operative mortality. We evaluated whether the psoas muscle area can predict mortality in patients undergoing LVAD implantation. The indexed psoas mean area (PMAi) was obtained by measuring the psoas muscle area at the superior endplate of the third lumbar vertebra correlated to body surface area of 106 adult patients undergoing LVAD implantation (Medtronic HVAD <i>n</i> = 41, Abbott HeartMate II <i>n</i> = 4, Abbott HeartMate 3 <i>n</i> = 61; mean age 65, IQR 12, 90.6% male; INTERMACS Level 1 24.5%; ischemic CMP 64.2%). Patients were divided in two groups: high/moderate and low muscle mass. The primary endpoint was 30-day mortality, assessed using a multivariate Cox proportional hazards model. Baseline characteristics did not differ between patients with high or moderate and low PMAi. Estimated survival calculated a significant higher 30-day mortality in patients with low PMAi (<i>p</i> = 0.04). Multivariable Cox proportional hazards regression analysis indicated low PMAi, history of previous cardiac surgery and levels of bilirubin as independent predictors of mortality in the first 30 days. In conclusion, indexed psoas muscle area predicts mortality after LVAD implantation and can be used as an additional tool for risk stratification.https://www.mdpi.com/2075-1729/11/9/922mechanical circulatory supportrisk stratificationsarcopeniafrailty |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Franziska Wittmann Thomas Schlöglhofer Julia Riebandt Anne-Kristin Schaefer Dominik Wiedemann Edda Tschernko Dietrich Beitzke Christian Loewe Günther Laufer Daniel Zimpfer |
spellingShingle |
Franziska Wittmann Thomas Schlöglhofer Julia Riebandt Anne-Kristin Schaefer Dominik Wiedemann Edda Tschernko Dietrich Beitzke Christian Loewe Günther Laufer Daniel Zimpfer Psoas Muscle Area Predicts Mortality after Left Ventricular Assist Device Implantation Life mechanical circulatory support risk stratification sarcopenia frailty |
author_facet |
Franziska Wittmann Thomas Schlöglhofer Julia Riebandt Anne-Kristin Schaefer Dominik Wiedemann Edda Tschernko Dietrich Beitzke Christian Loewe Günther Laufer Daniel Zimpfer |
author_sort |
Franziska Wittmann |
title |
Psoas Muscle Area Predicts Mortality after Left Ventricular Assist Device Implantation |
title_short |
Psoas Muscle Area Predicts Mortality after Left Ventricular Assist Device Implantation |
title_full |
Psoas Muscle Area Predicts Mortality after Left Ventricular Assist Device Implantation |
title_fullStr |
Psoas Muscle Area Predicts Mortality after Left Ventricular Assist Device Implantation |
title_full_unstemmed |
Psoas Muscle Area Predicts Mortality after Left Ventricular Assist Device Implantation |
title_sort |
psoas muscle area predicts mortality after left ventricular assist device implantation |
publisher |
MDPI AG |
series |
Life |
issn |
2075-1729 |
publishDate |
2021-09-01 |
description |
Several risk scores and classifications are available to predict peri- and post-operative mortality of patients with end stage heart failure receiving Left Ventricular Assist Device (LVAD) therapy. Sarcopenia has been suggested as a sensitive predictor for post-operative mortality. We evaluated whether the psoas muscle area can predict mortality in patients undergoing LVAD implantation. The indexed psoas mean area (PMAi) was obtained by measuring the psoas muscle area at the superior endplate of the third lumbar vertebra correlated to body surface area of 106 adult patients undergoing LVAD implantation (Medtronic HVAD <i>n</i> = 41, Abbott HeartMate II <i>n</i> = 4, Abbott HeartMate 3 <i>n</i> = 61; mean age 65, IQR 12, 90.6% male; INTERMACS Level 1 24.5%; ischemic CMP 64.2%). Patients were divided in two groups: high/moderate and low muscle mass. The primary endpoint was 30-day mortality, assessed using a multivariate Cox proportional hazards model. Baseline characteristics did not differ between patients with high or moderate and low PMAi. Estimated survival calculated a significant higher 30-day mortality in patients with low PMAi (<i>p</i> = 0.04). Multivariable Cox proportional hazards regression analysis indicated low PMAi, history of previous cardiac surgery and levels of bilirubin as independent predictors of mortality in the first 30 days. In conclusion, indexed psoas muscle area predicts mortality after LVAD implantation and can be used as an additional tool for risk stratification. |
topic |
mechanical circulatory support risk stratification sarcopenia frailty |
url |
https://www.mdpi.com/2075-1729/11/9/922 |
work_keys_str_mv |
AT franziskawittmann psoasmuscleareapredictsmortalityafterleftventricularassistdeviceimplantation AT thomasschloglhofer psoasmuscleareapredictsmortalityafterleftventricularassistdeviceimplantation AT juliariebandt psoasmuscleareapredictsmortalityafterleftventricularassistdeviceimplantation AT annekristinschaefer psoasmuscleareapredictsmortalityafterleftventricularassistdeviceimplantation AT dominikwiedemann psoasmuscleareapredictsmortalityafterleftventricularassistdeviceimplantation AT eddatschernko psoasmuscleareapredictsmortalityafterleftventricularassistdeviceimplantation AT dietrichbeitzke psoasmuscleareapredictsmortalityafterleftventricularassistdeviceimplantation AT christianloewe psoasmuscleareapredictsmortalityafterleftventricularassistdeviceimplantation AT guntherlaufer psoasmuscleareapredictsmortalityafterleftventricularassistdeviceimplantation AT danielzimpfer psoasmuscleareapredictsmortalityafterleftventricularassistdeviceimplantation |
_version_ |
1716870390263840768 |