The Loss of Temporal Muscle Volume is Associated with Poor Outcome in Patients with Subarachnoid Hemorrhage: An Observational Cohort Study Article Swipe
Mario Kofler
,
Philipp Reitmeir
,
Bernhard Glodny
,
Verena Rass
,
Anna Lindner
,
Bogdan‐Andrei Ianosi
,
Max Gaasch
,
Alois Josef Schiefecker
,
Lauma Putnina
,
Ronny Beer
,
Paul R. Rhomberg
,
Erich Schmutzhard
,
Bettina Pfausler
,
Raimund Helbok
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1007/s12028-023-01751-z
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1007/s12028-023-01751-z
Background Intensive care unit (ICU) acquired weakness is a major contributor to poor functional outcome of ICU patients. Quantification of temporal muscle volume assessed on routine computed tomography (CT) scans may serve as a biomarker for muscle wasting in patients suffering from acute brain injury. Methods This is a retrospective analysis of prospectively collected data. Temporal muscle volume was assessed on head CT scans of consecutive patients with spontaneous subarachnoid hemorrhage within prespecified time frames (on admission, then weekly ± 2 days). Whenever possible, temporal muscle volume was assessed bilaterally and averaged for the analysis. Poor functional outcome was defined as a 3-month modified Rankin Scale Score ≥ 3. Statistical analysis was performed using generalized estimating equations to handle repeated measurements within individuals. Results The analysis comprised 110 patients with a median Hunt & Hess score of 4 (interquartile range 3–5). Median age was 61 (50–70) years, 73 patients (66%) were women. Baseline temporal muscle volume was 18.5 ± 0.78 cm 3 and significantly decreased over time ( p < 0.001) by a mean of 7.9% per week. Higher disease severity ( p = 0.002), hydrocephalus ( p = 0.020), pneumonia ( p = 0.032), and bloodstream infection ( p = 0.015) were associated with more pronounced muscle volume loss. Patients with poor functional outcome had smaller muscle volumes 2 and 3 weeks after subarachnoid hemorrhage compared with those with good outcome ( p = 0.025). The maximum muscle volume loss during ICU stay was greater in patients with poor functional outcome (− 32.2% ± 2.5% vs. − 22.7% ± 2.5%, p = 0.008). The hazard ratio for poor functional outcome was 1.027 (95% confidence interval 1.003–1.051) per percent of maximum muscle volume loss. Conclusions Temporal muscle volume, which is easily assessable on routine head CT scans, progressively decreases during the ICU stay after spontaneous subarachnoid hemorrhage. Because of its association with disease severity and functional outcome, it may serve as a biomarker for muscle wasting and outcome prognostication.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1007/s12028-023-01751-z
- https://link.springer.com/content/pdf/10.1007/s12028-023-01751-z.pdf
- OA Status
- hybrid
- Cited By
- 10
- References
- 41
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4380355994
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4380355994Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1007/s12028-023-01751-zDigital Object Identifier
- Title
-
The Loss of Temporal Muscle Volume is Associated with Poor Outcome in Patients with Subarachnoid Hemorrhage: An Observational Cohort StudyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-06-12Full publication date if available
- Authors
-
Mario Kofler, Philipp Reitmeir, Bernhard Glodny, Verena Rass, Anna Lindner, Bogdan‐Andrei Ianosi, Max Gaasch, Alois Josef Schiefecker, Lauma Putnina, Ronny Beer, Paul R. Rhomberg, Erich Schmutzhard, Bettina Pfausler, Raimund HelbokList of authors in order
- Landing page
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https://doi.org/10.1007/s12028-023-01751-zPublisher landing page
- PDF URL
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https://link.springer.com/content/pdf/10.1007/s12028-023-01751-z.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
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https://link.springer.com/content/pdf/10.1007/s12028-023-01751-z.pdfDirect OA link when available
- Concepts
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Medicine, Subarachnoid hemorrhage, Neurology, Observational study, Cohort, Cohort study, Intensive care medicine, Emergency medicine, Internal medicine, PsychiatryTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
10Total citation count in OpenAlex
- Citations by year (recent)
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2025: 6, 2024: 1, 2023: 3Per-year citation counts (last 5 years)
- References (count)
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41Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| referenced_works | https://openalex.org/W2116291080, https://openalex.org/W2319022551, https://openalex.org/W6699619803, https://openalex.org/W2139066515, https://openalex.org/W2146346947, https://openalex.org/W2127927152, https://openalex.org/W2571548403, https://openalex.org/W2099864555, https://openalex.org/W2118240638, https://openalex.org/W2144982043, https://openalex.org/W2053419193, https://openalex.org/W2030414274, https://openalex.org/W2092151225, https://openalex.org/W2902154678, https://openalex.org/W2157006832, https://openalex.org/W4293240757, https://openalex.org/W2111062482, https://openalex.org/W2168925567, https://openalex.org/W2156562835, https://openalex.org/W1997956489, https://openalex.org/W2996776413, https://openalex.org/W2060176865, https://openalex.org/W2510337174, https://openalex.org/W1976550535, https://openalex.org/W2033393397, https://openalex.org/W2208931577, https://openalex.org/W2053109028, https://openalex.org/W2168697236, https://openalex.org/W2075083558, https://openalex.org/W2891569146, https://openalex.org/W3010263513, https://openalex.org/W2564924104, https://openalex.org/W2145827333, https://openalex.org/W2167838186, https://openalex.org/W2069856038, https://openalex.org/W1840057839, https://openalex.org/W2189331756, https://openalex.org/W2129756861, https://openalex.org/W2094943913, https://openalex.org/W4297831960, https://openalex.org/W2571918371 |
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