View in EDS

Comparative analysis of hand-held and stationary ultrasound for detection of sarcopenia in acutely hospitalised older adults—a validity and reliability study

Saved in:
Bibliographic Details
Title: Comparative analysis of hand-held and stationary ultrasound for detection of sarcopenia in acutely hospitalised older adults—a validity and reliability study
Authors: Jeppe Grabov Phillip, Lisbeth Rosenbek Minet, Siri Aas Smedemark, Jesper Ryg, Karen Andersen-Ranberg, Kristoffer Kittelmann Brockhattingen
Source: Eur Geriatr Med
Publisher Information: Springer Science and Business Media LLC, 2024.
Publication Year: 2024
Subject Terms: Male, Aged, 80 and over, Sarcopenia, Muscle assessment, Reproducibility of Results, Ultrasonography/methods, Hospitalization, 03 medical and health sciences, Cross-Sectional Studies, 0302 clinical medicine, Geriatric Assessment/methods, Older adults, Hand-held ultrasound, Sarcopenia/diagnostic imaging, 80 and over, Humans, Female, Geriatric Assessment, Geriatric, Research Paper, Ultrasonography, Aged
Description: Background and purpose Sarcopenia is a growing health concern among geriatric patients. Early diagnostics is importance to intervene and better muscle status and thus physical function. Ultrasound can be a valuable tool for patient-near diagnostics of sarcopenia. In recent time, ultrasound devices have evolved from larger stationary devices to minor hand-held devices that are more portable. However, the literature lacks research comparing quality of the different devices. The purpose of this study was to compare hand-held ultrasound (HH-US) to stationary ultrasound (S-US) in muscle assessment for detection of sarcopenia in acutely hospitalized older adults. Methods A cross-sectional study using a convenience sample of acutely admitted older patients examined with both HH-US and S-US within a single session by the same examiner. Image analysis was performed using ImageJ, and was conducted by two raters: Rater 2 an experienced US examiner and Rater 1 an US examiner who received training from Rater 2. The Ultrasound sarcopenia index (USI) was used for evaluating sarcopenia. Validity and reliability of HH-US were analyzed using Cohen’s Kappa and Student’s t-test. Results 21 participants (mean age 83.4 years, 52% female). Results showed “substantial” intra-rater reliability (κ = 0.77 for Rater 1) and ‘near-perfect’ validity (κ = 0.92 for Rater 2). Inter-rater comparisons revealed no significant differences (p Conclusion HH-US is a potential method for detection of sarcopenia in acutely hospitalized older adults.
Document Type: Article
Other literature type
Language: English
ISSN: 1878-7657
DOI: 10.1007/s41999-024-01021-x
Access URL: https://pubmed.ncbi.nlm.nih.gov/39031330
https://portal.findresearcher.sdu.dk/da/publications/4f6792a9-4f71-44e4-97f3-5e918861cbb9
https://doi.org/10.1007/s41999-024-01021-x
Rights: CC BY
Accession Number: edsair.doi.dedup.....e22e76946d1cee55bb0eebd22b7a105a
Database: OpenAIRE
Description
Abstract:Background and purpose Sarcopenia is a growing health concern among geriatric patients. Early diagnostics is importance to intervene and better muscle status and thus physical function. Ultrasound can be a valuable tool for patient-near diagnostics of sarcopenia. In recent time, ultrasound devices have evolved from larger stationary devices to minor hand-held devices that are more portable. However, the literature lacks research comparing quality of the different devices. The purpose of this study was to compare hand-held ultrasound (HH-US) to stationary ultrasound (S-US) in muscle assessment for detection of sarcopenia in acutely hospitalized older adults. Methods A cross-sectional study using a convenience sample of acutely admitted older patients examined with both HH-US and S-US within a single session by the same examiner. Image analysis was performed using ImageJ, and was conducted by two raters: Rater 2 an experienced US examiner and Rater 1 an US examiner who received training from Rater 2. The Ultrasound sarcopenia index (USI) was used for evaluating sarcopenia. Validity and reliability of HH-US were analyzed using Cohen’s Kappa and Student’s t-test. Results 21 participants (mean age 83.4 years, 52% female). Results showed “substantial” intra-rater reliability (κ = 0.77 for Rater 1) and ‘near-perfect’ validity (κ = 0.92 for Rater 2). Inter-rater comparisons revealed no significant differences (p Conclusion HH-US is a potential method for detection of sarcopenia in acutely hospitalized older adults.
ISSN:18787657
DOI:10.1007/s41999-024-01021-x