中国骨质疏松杂志

肌少症筛查工具对住院老年肌少症筛查效能比较

Comparison of the screening efficacy of screening tools for sarcopenia in hospitalised elderly patients

DOI：10.3969/j.issn.1006-7108.2025.02.009

中文关键词: 肌少症 SARC-CalF C-MSRA-5问卷 Ishii评分受试者工作曲线老年住院患者

英文关键词:sarcopenia SARC-CalF C-MSRA-5 Ishii score ROC the hospitalized elderly patients

基金项目:四川省科技厅重点研发项目（2020YFS0422）；四川省干部保健科研课题（川干研 2019-210）

作者	单位
郭秦1 张学军2 张伊祎2 王玲3 王芳4 赵燕琴1 刘妍巧1 张磊2*	1.电子科技大学，四川成都 610054 2.四川省医学科学院·四川省人民医院，四川成都 610072 3.成都中医药大学，四川成都 610032 4.西南医科大学，四川泸州 646000

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中文摘要:

目的比较肌少症五条目量表联合小腿围筛查量表（SARC-CalF）、中文版迷你肌少症风险评估(C-MSRA-5)问卷及Ishii评分对住院老年患者肌少症的筛查效能。方法选取2020年6月至2023年2月在四川省人民医院内分泌科住院的60岁及以上老年患者，按2019年亚洲肌少症工作组标准，将受试者分为肌少症组及非肌少症组，两组患者均进行SARC-CalF量表、C-MSRA-5问卷及Ishii评分筛查，比较三种肌少症筛查工具的灵敏性、特异性、阳性预测值、阴性预测值以及ROC曲线下面积。结果共纳入301例患者，其中肌少症组105例，非肌少症组196例，SARC-CalF量表、C-MSRA-5问卷以及Ishii评分的敏感性分别为53.3 %、55.2 %、59.0 %，特异性分别为70.4 %、50.5 %、74.5 %，阳性预测值分别为49.1 %、37.4 %、55.4 %，阴性预测值分别为73.8 %、67.8 %、77.2 %，ROC曲线下面积分别为0.619、0.529、0.668。结论 Ishii评分对住院老年肌少症患者筛查效能优于SARC-CalF量表及C-MSRA-5问卷。

英文摘要:

Objective To compare the diagnostic values of three sarcopenia screening tools in hospitalized elderly patients: SARC-F combined with calf circumference (SARC-CalF) , China Mini Sarcopenia Risk Assessment short version (C-MSRA-5) and Ishii score. Methods Elderly patients aged 60 and above admitted to the Endocrinology Department of Sichuan Provincial People's Hospital from June 2020 to February 2023 were selected. According to the 2019 Asian Sarcopenia Working Group criteria, the subjects were divided into a sarcopenia group and a non sarcopenia group. The sensitivity, specificity, positive predictive value (PPV), negative predictive value(NPV)and area under the ROC curves (AUC) of SARC-CalF, C-MSRA-5 and Ishii score were calculated.We applied the receiver operating characteristic curve to compare the overall accuracy of the three screening tools. Results This study included a total of 301 patients, 105 in the sarcopenia group and 196 in the non sarcopenia group. The sensitivity of SARC-CalF, C-MSRA-5 and Ishii score was 53.3%, 55.2% and 59.0% respectively. The specificity was 70.4%, 50.5% and 74.5% respectively. The PPV was 49.1%, 37.4% and 55.4% respectively. The NPV was 73.8%, 67.8% and 77.2% respectively. The AUC was 0.619, 0.529 and 0.668 respectively. Conclusion The Ishii score is more effective in screening hospitalized elderly patients with sarcopenia than the SARC CalF scale and C-MSRA-5 questionnaire.

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