The association of radiologic body composition parameters with clinical outcomes in level-1 trauma patients

• DOI: 10.1007/s00068-023-02252-6
• Publication Date: 2023-03-02T15:02:52Z
• Authors: Arthur A. R. Sweet; Tim Kobes; Roderick M. Houwert; Rolf H. H. Groenwold; Pim Moeskops; Luke P. H. Leenen; Pim A. de Jong; Wouter B. Veldhuis; Mark C. P. M. van...
• Keywords: Interquartile range; Sports medicine; Hounsfield scale

The present study aims to assess whether CT-derived muscle mass, density, and visceral fat mass are associated with in-hospital complications clinical outcome in level-1 trauma patients.A retrospective cohort was conducted on adult patients admitted the University Medical Center Utrecht following a between January 1 December 31, 2017. Trauma aged 16 years or older without severe neurological injuries, who underwent CT that included abdomen within 7 days of admission, were included. An artificial intelligence (AI) algorithm used retrieve areas calculate psoas index radiation attenuation (VF) area from axial images. Multivariable logistic linear regression analyses performed associations body composition parameters outcomes.A total 404 for analysis. median age 49 (interquartile range [IQR] 30-64), 66.6% male. Severe comorbidities (ASA 3-4) seen 10.9%, ISS 9 (IQR 5-14). Psoas not independently complications, but it ICU admission (odds ratio [OR] 0.79, 95% confidence interval [CI] 0.65-0.95), an unfavorable Glasgow Outcome Scale (GOS) score at discharge (OR 0.62, CI 0.45-0.85). development any complication 0.60, 0.42-0.85), pneumonia 0.63, 0.41-0.96), delirium 0.49, 0.28-0.87). VF developing 1.95, 1.12-3.41).In automatically derived able predict increased risk specific other poor outcomes.