Cardiothoracic & vascular anesthesia

Association of Sarcopenia, as Defined Based on the Skeletal Muscle Index, With Mortality and Morbidity After Cardiac Surgery: A Retrospective Cohort Study

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Main finding · All-cause mortalityResult — go to the resultAdjusted hazard ratio 1.80 95% CI 1.04–3.11

Authors' conclusion

Sarcopenia, defined by the skeletal muscle index, is associated with all-cause mortality and major morbidity after cardiac surgery

Study context

Population
Adult Chinese patients undergoing cardiac surgery (CABG, valve, combined or aortic surgery), January 2019–August 2022968 followed
Participants
986 patients
Exposure
Sarcopenia vs nonsarcopenia
Outcome
All-cause mortality
Methodological detailsobservational
  • Observational

Main finding

As reported in the abstract

median follow-up 2.00 years (1.06 to 2.90)

Adjusted hazard ratio

1.80

95% CI 1.04–3.11

P = 0.034

Sarcopenia vs Nonsarcopenia
aHR 1.80 (95% CI 1.04–3.11); P = 0.034
Deaths during follow-up (overall)
76

Observational data: associations, not effects.

Secondary outcomes

OutcomeaOR (95% CI)P value
Major morbidityMultivariate analysis2.21 (1.52∼3.22)P < 0.001
Major morbidity — Patients with major morbidity (overall)
199 (20.6%)

Original publication

Association of Sarcopenia, as Defined Based on the Skeletal Muscle Index, With Mortality and Morbidity After Cardiac Surgery: A Retrospective Cohort Study. J Cardiothorac Vasc Anesth. Published 20 January 2024. doi:10.1053/j.jvca.2024.01.016

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