Triagem da sarcopenia e fragilidade em pacientes com úlceras venosas crônicas: um estudo transversal
Screening for sarcopenia and frailty in patients with chronic ulcers: a cross-sectional study
Tamiris Gomes; Kelly Cristina Blaszkowski Trombini; Marcos Vinicíus Soares Martins; Hilana Rickli Fiuza Martins
Resumo
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Abstract
Background: Patients with venous ulcers report multiple comorbidities and are more likely to be physically inactive. Sarcopenia and frailty increase vulnerability to dependence and/or death. Objectives: To investigate the occurrence of sarcopenia and frailty in patients with chronic venous ulcers. Methods: Observational study with cross-sectional design. Nine patients (67.4 ± 8.42 years) with lower limb venous ulcers classified as CEAP 6 according to International Consensus on Chronic Venous Diseases criteria (open and active ulcer) were evaluated. Sarcopenia was assessed and classified by assessment of strength (manual dynamometry), gait speed (10-meter walk test), and muscle mass (calf circumference). Frailty screening was based on the Fried criteria, consisting of five components: unintentional weight loss; exhaustion; weakness; slow gait speed; and low physical activity. Results: Frailty was more frequent (n=9; 100%) than sarcopenia (n=1; 11,1%). The most common Fried criterion was exhaustion (n=9; 100%), followed by low physical activity (n=8; 88,8%), muscle weakness (n=5; 55%), and unintentional weight loss. Finally, the least frequent criterion was slow walking speed (n=2; 22.2%). In the subject diagnosed with sarcopenia, both weakness and reduced muscle mass were observed (n=1; 11,1%). Conclusions: Patients with chronic venous ulcers exhibit frailty or pre-frailty and the components that comprise the condition of frailty in this population are exhaustion, low physical activity, and muscle weakness. Sarcopenia was identified in a small proportion of the patients.
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References
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Submitted date:
04/16/2019
Accepted date:
10/28/2019
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