Evaluation of the SARC-F Score as a Screening Tool for Undernutrition in a Geriatric Population
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 260
- 试验地点
- 2
- 主要终点
- score SARC-F
研究概览
简要总结
To study the relationship between sarcopenia and undernutrition in adult patients over 70 years of age, and at the same time to define a threshold value for the predictive SARC-F score of undernutrition.
Hypothesis : the SARC-F score is correlated with malnutrition defined according to the following HAS criteria :
Moderate denutrition Severe denutrition
详细描述
The geriatric population is a population at risk, given the frequent and numerous comorbidities present. Undernutrition is one of these, which is frequently associated with sarcopenia, that is, a decrease in muscle strength. Its screening must be early to avoid complications (osteoporosis, fractures, infections ...) and given the cost it generates for society. However, the detection of undernutrition can sometimes be time-consuming and its criteria in default, such as in the presence of edema or obesity, for example. There is a score, the SARC-F, which allows to detect sarcopenia from a result greater than or equal to 4, but which does not allow direct detection of undernutrition.
The primary objective is to evaluate the SARC-F score as a screening tool for undernutrition in a geriatric population, secondary objectives being to find a threshold value at this score, and also to estimate a prevalence of undernutrition in this population.
It will be a cross-sectional exploratory study to evaluate a diagnostic tool, the SARC-F score, with comparison between cases and controls.
The study will be conducted in a single center, a geriatric short-stay service. Participation in the study will be offered to any patient admitted to the geriatric ward, those who meet the inclusion criteria and do not have exclusion criteria will have to complete the SARC-F questionnaire during their stay, and to do the handgrip test and impedancemetry performed by a third party. Biological data (albumin, pre-albumin and C-Reactive Protein) and anthropometric data will be collected and analyzed to determine if the patient is malnourished or not, and the results of SARC-F will be compared between these 2 groups.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Screening
- 盲法
- None
盲法说明
No masking
入排标准
- 年龄范围
- 70 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •70 years and over
- •living at home or in nursing homes in Puy-de-Dôme
- •sent in short geriatric stay at the Grand Pré clinic by their general practioner, an emergency department or an EHPAD
排除标准
- •refusal to participate in the study
- •severe dementia preventing answering SARC-F questions
- •no fluency in the French language
- •patient with a pacemaker (contraindication of the use of impedancemetry)
研究组 & 干预措施
Group/Cohort 1
all patient SARC-F score, handgrip test and impedancemetry
干预措施: SARC-F score, handgrip test and impedancemetry (Other)
结局指标
主要结局
score SARC-F
时间窗: at day 1
SARC-F score (dependent variable) defined by a questionnaire, completed by the patient during the stay at the clinic. This questionnaire includes 5 questions rated from 0 to 2 and is therefore 10 in total. It is admitted the presence of sarcopenia for a score greater than or equal to 4 according to the literature. However, there is currently no study defining a threshold for the diagnosis of undernutrition
次要结局
- denutrition prevalence(at day 1)
- SARC-F to predict undernutrition(at day 1)