Psoas muscle area is associated with prognosis in elderly patients with hip fracture

INTRODUCTION

Sarcopenia is a key predictor of prognosis in patients with hip fractures. This study utilized computed tomography (CT) scan (1) to determine the association between psoas muscle cross-sectional area (CSA) and mortality, along with other muscles, and (2) to confirm the correlation between muscle CSA and appendicular lean mass (ALM) measured using DXA in elderly patients with hip fracture.

MATERIALS AND METHODS

Patients who were aged ≥ 50 years and underwent surgical treatment for hip fracture were eligible for this study. After a series of exclusion criteria, 217 female patients were included. Patient data, including clinical characteristics, such as body mass index (BMI), CSA, and ALM, were retrospectively collected. The Kaplan-Meier survival method and Cox proportional hazards regression analysis were used for the statistical analyses. The correlation between CSA/BMI and ALM was also assessed.

RESULTS

Patients in the lowest quartile of psoas muscle CSA/BMI had shorter survival times than those in the other quartiles. When the Cox proportional hazards regression analysis was adjusted for multiple variables, the lowest quartile of the CSA/BMI of the psoas was a risk factor for mortality. The CSA/BMI of the psoas showed the highest correlation coefficient. The CSA/BMI ratio of the other muscles showed a moderately positive correlation with ALM.

CONCLUSION

The CSA of the psoas is associated with prognosis in elderly patients with hip fractures and shows a moderately positive correlation with ALM. Hence, the CSA of psoas is useful for predicting survival and muscle mass in elderly patients with hip fractures.

Sub-wavelength focusing of acoustic waves in bubbly media

The purpose of this paper is to investigate acoustic wave scattering by a large number of bubbles in a liquid at frequencies near the Minnaert resonance frequency. This bubbly media has been exploited in practice to obtain super-focusing of acoustic waves. Using layer potential techniques, we derive the scattering function for a single spherical bubble excited by an incident wave in the low frequency regime. We then propose a point scatterer approximation for N bubbles, and describe several numerical simulations based on this approximation, that demonstrate the possibility of achieving super-focusing using bubbly media.