Evidence map›Paper›PMID 31619001›Full record

ArticleJournal of clinical medicine2019

Prognosis and Interplay of Cognitive Impairment and Sarcopenia in Older Adults Discharged from Acute Care Hospitals.

Elisa Zengarini, Robertina Giacconi, Lucia Mancinelli, Giovanni Renato Riccardi, Daniele Castellani, Davide Liborio Vetrano, Graziano Onder, Stefano Volpato, Carmelinda Ruggiero, Paolo Fabbietti and 4 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Elisa ZengariniGeriatric Medicine and Geriatric Emergency Care, Italian National Research Center on Aging (IRCCS INRCA), 60127 Ancona, Italy. e.zengarini@inrca.it.
Robertina GiacconiTranslational Research Center of Nutrition and Ageing, IRCCS INRCA, 60127 Ancona, Italy. r.giacconi@inrca.it.
Lucia MancinelliDepartment of Cardiology, IRCCS INRCA, 60127 Ancona, Italy. l.mancinelli@inrca.it.
Giovanni Renato RiccardiPosture and Movement Analysis Laboratory, IRCCS INRCA, 60127 Ancona, Italy. g.riccardi@inrca.it.
Daniele CastellaniDepartment of Urology, IRCCS INRCA, 60127 Ancona, Italy. d.castellani@inrca.it.
Davide Liborio VetranoAging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, 11330 Stockholm, Sweden. davide.vetrano@ki.se.
Graziano OnderDepartment of Cardiovascular, Metabolic and Aging Diseases, Istituto Superiore di Sanità, 00161 Rome, Italy. graziano.onder@unicatt.it.
Stefano VolpatoDepartment of Medical Sciences, Section of Internal and Cardiorespiratory Medicine, University of Ferrara, 44121 Ferrara, Italy. tefano.volpato@unife.it.
Carmelinda RuggieroSection of Gerontology and Geriatrics, Department of Medicine, University of Perugia, 06156 Perugia, Italy. carmelinda.ruggiero@unipg.it.
Paolo FabbiettiUnit of Geriatric Pharmacoepidemiology, IRCCS INRCA, 60127 Ancona, Italy. p.fabbietti@inrca.it.
Antonio CherubiniGeriatric Medicine and Geriatric Emergency Care, Italian National Research Center on Aging (IRCCS INRCA), 60127 Ancona, Italy. a.cherubini@inrca.it.
Francesco GuarasciUnit of Geriatric Pharmacoepidemiology, IRCCS INRCA, 60127 Ancona, Italy. f.guarasci@inrca.it.
Andrea CorsonelloUnit of Geriatric Pharmacoepidemiology, IRCCS INRCA, 60127 Ancona, Italy. a.corsonello@inrca.it.
Fabrizia LattanzioItalian National Research Center on Aging, Scientific Direction, IRCCS INRCA, 60127 Ancona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sarcopenia and cognitive impairment are associated with an increased risk of negative outcomes, but their prognostic interplay has not been investigated so far. We aimed to investigate the prognostic interaction of sarcopenia and cognitive impairment concerning 12-month mortality among older patients discharged from acute care wards in Italy. Our series consisted of 624 patients (age = 80.1 ± 7.0 years, 56.1% women) enrolled in a prospective observational study. Sarcopenia was defined following the European Working Group on Sarcopenia in Older People (EWGSOP) criteria. Cognitive impairment was defined as age- and education-adjusted Mini-Mental State Examination (MMSE) score < 24 or recorded diagnosis of dementia. The study outcome was all-cause mortality during 12-month follow-up. The combination of sarcopenia and cognitive ability was tested against participants with intact cognitive ability and without sarcopenia. Overall, 159 patients (25.5%) were identified as having sarcopenia, and 323 (51.8%) were cognitively impaired. During the follow-up, 79 patients (12.7%) died. After adjusting for potential confounders, the combination of sarcopenia and cognitive impairment has been found associated with increased mortality (HR = 2.12, 95% CI = 1.05-4.13). Such association was also confirmed after excluding patients with dementia (HR = 2.13, 95% CI = 1.06-4.17), underweight (HR = 2.18, 95% CI = 1.03-3.91), high comorbidity burden (HR = 2.63, 95% CI = 1.09-6.32), and severe disability (HR = 2.88, 95% CI = 1.10-5.73). The co-occurrence of sarcopenia and cognitive impairment may predict 1-year mortality in older patients discharged from acute care hospitals.

Indexed as

cognitive impairmenthospitalmortalityolder patientssarcopenia

Identifiers

PMID31619001
PMCPMC6832971

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.