Review Article

Sarcopenia and Mortality Risk of Patients with Sepsis: A Meta-Analysis

Table 3

Results of subgroup analyses for the association between sarcopenia and acute mortality of patients with sepsis.

Study characteristicsDatasets numberRR (95% CI)I2 for the subgroup effect for subgroup difference

Design
 Prospective12.14 (1.60, 2.87)NA0.006
 Retrospective87.67 (1.80, 32.68)37%<0.0010.08
Country
 Asian71.85 (1.43, 2.40)25%<0.001
 Non-Asian23.83 (1.92, 7.67)16%<0.0010.07
Clinical settings
 ED22.92 (1.69, 5.03)0%<0.001
 ICU72.01 (1.44, 2.81)51%<0.0010.25
Diagnosis of sepsis
 Sepsis-1 or sepsis-222.94 (1.73, 5.01)0%<0.001
 Sepsis-372.01 (1.45, 2.79)49%<0.0010.23
Mean age
 <70 years52.54 (1.43, 4.53)66%0.002
 70 years or above41.95 (1.46, 2.60)0%<0.0010.42
Proportion of men
 <65%43.07 (1.94, 4.86)0%<0.001
 65% or above51.84 (1.32, 2.55)50%<0.0010.07
Diagnosis of sarcopenia
 SMI62.11 (1.41, 3.16)51%<0.001
 SMA21.96 (1.17, 3.28)36%0.01
 MAMC13.20 (1.73, 5.93)NA<0.0010.44
Duration
 In-hospital mortality62.01 (1.39, 2.90)58%<0.001
 1-month mortality32.77 (1.71, 4.50)0%<0.0010.30
Quality score
 NOS = 732.38 (1.42, 3.98)44% = 0.001
 NOS = 842.81 (1.88, 4.19)0%<0.001
 NOS = 921.42 (1.05, 1.91)0%0.020.08

RR, risk ratio; CI, confidence interval; NA, not applicable; ED, emergency department; ICU, intensive care unit; SMI, skeletal muscle index; SMA, skeletal muscle area; MAMC, midarm muscle circumference; NOS, Newcastle–Ottawa Scale.