Evidence map›Paper›PMID 41071323›Full record

ArticleSurgery today2026

The impact of oral frailty on chronic limb-threatening ischemia: the masseter muscle area as a predictive marker for pneumonia and survival.

Hikaru Nakagawa, Eisaku Ito, Takehiro Suzuki, Yuri Murakami, Naoki Toya, Takao Ohki

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Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Hikaru NakagawaDivision of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, 3-19-18, Nishi-Shimbashi, Minato-City, Tokyo, 105-8471, Japan.
Eisaku ItoDivision of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, 3-19-18, Nishi-Shimbashi, Minato-City, Tokyo, 105-8471, Japan. i_eisaku_ukasie@yahoo.co.jp.
Takehiro SuzukiDivision of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, 3-19-18, Nishi-Shimbashi, Minato-City, Tokyo, 105-8471, Japan.
Yuri MurakamiDivision of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, 3-19-18, Nishi-Shimbashi, Minato-City, Tokyo, 105-8471, Japan.
Naoki ToyaDivision of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, 3-19-18, Nishi-Shimbashi, Minato-City, Tokyo, 105-8471, Japan.
Takao OhkiDivision of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, 3-19-18, Nishi-Shimbashi, Minato-City, Tokyo, 105-8471, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatients with chronic limb-threatening ischemia (CLTI) often have multiple comorbidities and a poor prognosis. This study analyzes the association between the masseter muscle area (MMA), pneumonia, and the overall survival of CLTI patients older than 65 years.

methodsThe subjects of this retrospectively analysis were 54 consecutive patients with CLTI. The MMA was assessed by computed tomography (CT) as the largest cross-sectional area of the masseter muscle, located 2 cm below the zygomatic arch, at diagnosis. Pneumonia was defined as radiographic infiltrates with fever or leukocytosis, requiring hospitalization within 1 year after diagnosis. The endpoints were pneumonia incidence and survival.

resultsPneumonia developed within 1 year in 22 patients (41%). Multivariate analysis revealed significant associations with male gender (OR: 6.24, p = 0.048), history of pneumonia (OR: 5.21, p = 0.048), and low MMA (OR: 4.46, p = 0.045). Survival rates were 72% at 1 year, 35% at 5 years, and 24% at 10 years. Low MMA was the only significant predictor of overall survival (p < 0.001).

conclusionThe MMA was significantly associated with pneumonia and the poor prognosis of CLTI patients over the age of 65 years. As an indicator of oral frailty, the MMA may serve as a useful prognostic marker to guide treatment planning and interventions in this high-risk population.

Indexed as

Chronic Limb-Threatening IschemiaFrailtyMasseter MusclePneumoniaAgedAged, 80 and overChronic DiseaseFemaleHumansIncidenceMalePredictive Value of TestsPrognosisRetrospective StudiesSex FactorsSurvival RateChronic limb-threatening ischemiaMasseter muscle areaOral frailtyPneumonia

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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.