Use of the SARC-F Score as an Aid in Fragility Fractures Prevention

Martini, Carlos Augusto Nunes; Weigert, Carolina Souza; Stiegemaier, Anderson Carlos Bigolin; Ferreira, Ana Paula Ribeiro Bonilauri; Gonçalves, Ellen Liceras; Valle, Sandro Fortes

doi:10.1055/s-0042-1756328

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Ortopedia

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original Article • Rev. bras. ortop. 58 (1) • Jan-Feb 2023 • https://doi.org/10.1055/s-0042-1756328 copy

Use of the SARC-F Score as an Aid in Fragility Fractures Prevention^* * Work developed at the Institute of Orthopedics and Traumatology of Hospital Municipal São José, Joinville, SC, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

The present study aimed to relate the strength, assistance with walking, rising from a chair, climbing stairs, and falls (SARC-F) score with the presence or absence of fragility fracture in the population over 60 years of age.

Methods

The risk of sarcopenia was determined through the application of the SARC-F questionnaire, and the patients were divided into 2 groups, according to the occurrence or not of fragility fracture (n = 100).

Results

Thirty-two cases of distal radius fractures and eighteen cases of proximal femur fractures were identified. A higher score on the SARC-F is determinant between having or not a fragility fracture, estimating that for each point in the score there is a 70% increase in the chance of a patient having a fracture, regardless of age, gender, and body mass index (BMI).

Conclusion

There was a direct correlation between a higher score on the SARC-F and an increase in the chance of fragility fracture.

Keywords
risk factors; osteoporotic fractures; osteogenesis imperfecta; osteoporosis; sarcopenia

COMPONENTS	QUESTIONS	RESULTS
Strength	What is your difficulty in lifting or carrying 4 kg?	None = 0 Some = 1 A lot or incapable = 2
Walking assistance	What is your difficulty in walking through a room?	None = 0 Some = 1 A lot, with help or incapable = 2
Chair lifting	How hard is it to get out of bed or chair?	None = 0 Some = 1 Too much or unable without help = 2
Climb stairs	What's your difficulty in climbing 10 steps?	None = 0 Some = 1 A lot or incapable = 2
Falls	How many times have you fallen in the last year?	None = 0 1 to 3 falls = 1 4 or more falls = 2

Features		N (%)
Gender	Male	42
Gender	Female	58
Age	≤ 65	33
Age	> 65	67
Fragility fracture	Yes	50
Fragility fracture	No	50
Fracture site	Distal radius	32
Fracture site	Proximal femur	18

Presence of fracture	N	SARC-F average score	P* value
No	50	0.66	< 0.001
Yes	50	2.86	< 0.001

Presence of fracture	N	Age (years)	p ^* * Teste t de Student para amostras independentes, considerando p< 0,05.
Presence of fracture	N	Mean (standard deviation)
No	50	66.4 (±4.3)	< 0.001
Yes	50	73.8 (±7.5)	< 0.001

Variables	Category	N	SARC-F score	p^ * Teste não-paramétrico de Mann-Whitney, considerando p< 0,05.*
Variables	Category	N	Average
Age (years)	≤ 65	33	1.03	0.020
Age (years)	> 65	6 7	2.12	0.020
Gender	Female	58	2.29	0.002
Gender	Male	42	1.02	0.002
BMI (kg/m²)	< 25	28	2.36	0.126
BMI (kg/m²)	≥ 25	72	1.53	0.126
Treatment for osteoporosis	No	71	1.20	0.001
Treatment for osteoporosis	Yes	29	3.14	0.001
Smoking	No	51	1.94	0.105
Smoking	Yes / Ex-smoker	49	1.57	0.105

Variable	Category	N	Presence of fracture		P* value	OR (95%CI)
Variable	Category	N	No	Yes	P* value	OR (95%CI)
Age (years)	< 73 (ref)	70	48 (68.6%)	22 (31.4%)	< 0.001	30.6 (6.68-140)
(ROC curve)	≥ 73	30	2 (6.7%)	28 (93.3%)	< 0.001	30.6 (6.68-140)
Age (years)	< 65 (ref)	33	24 (72.7%)	9 (27.3%)	0.002	4.21 (1.69-10.4)
Age (years)	≥ 65	67	26 (38.8%)	41 (61.2%)	0.002	4.21 (1.69-10.4)
Gender	Male (ref)	42	33 (78.6%)	9 (21.4%)	<0.001	8.84 (3.49-22.4)
Gender	Female	58	17 (29.3%)	41 (70.7%)	<0.001	8.84 (3.49-22.4)
BMI (kg/m²)	≥ 25 (ref)	72	41 (56.9%)	31 (43.1%)	0.029	2.79 (1.11-7.01)
BMI (kg/m²)	<25	28	9 (32.1%)	19 (67.9%)	0.029	2.79 (1.11-7.01)
Treatments for osteoporosis	No (ref)	71	43 (60.6%)	28 (39.4%)	0.002	4.83 (1.82-12.8)
Treatments for osteoporosis	Yes	29	7 (24.1%)	22 (75.9%)	0.002	4.83 (1.82-12.8)
Smoking	No	51	20 (39.2%)	31 (60.8%)	0.029	2.45 (1.09-5.47)
Smoking	Yes/Ex (ref)	49	30 (61.2%)	19 (38.8%)	0.029	2.45 (1.09-5.47)
Strength	0 (ref)	84	47 (56%)	37 (44.1%)	0.012	5.51 (1.46-20.8)
Strength	1 or 2	16	3 (18.8%)	13 (81.3%)	0.012	5.51 (1.46-20.8)
Walking assistance	0 (ref)	85	46 (54.1%)	39 (45.9%)	0.059	3.24 (0.96-11.0)
Walking assistance	1 or 2	15	4 (26.7%)	11 (73.3%)	0.059	3.24 (0.96-11.0)
Getting up from a chair	0 (ref)	78	46 (59%)	32 (41%)	0.002	6.47 (2.00-20.9)
Getting up from a chair	1 or 2	22	4 (18.2%)	18 (81.8%)	0.002	6.47 (2.00-20.9)
Climbing stairs	0 (ref)	74	48 (64.9%)	26 (35.1%)	< 0.001	22.1 (4.85-101)
Climbing stairs	1 or 2	26	2 (7.7%)	24 (92.3%)	< 0.001	22.1 (4.85-101)
Falls	0 (ref)	42	35 (83.3%)	7 (16.7%)	< 0.001	14.3 (5.26-39.0)
Falls	1 or 2	58	15 (25.9%)	43 (74.1%)	< 0.001	14.3 (5.26-39.0)
SARC-F	0 (ref)	37	32 (86.5%)	5 (13.5%)	< 0.001	16 (5.38-47.6)
SARC-F	> 0	63	18 (28.6%)	45 (71.4%)	< 0.001	16 (5.38-47.6)
SARC-F	0 (ref)	37	32 (86.5%)	5 (13.5%)
	1	29	13 (44.8%)	16 (55.2%)	0.001	7.88 (2.39-26.0)
	> 1	34	5 (14.7%)	29 (85.3%)	0.011	37.1 (9.74-141)

Variable	Category	p ^* * Logistic regression model and Wald test considering p< 0.05.	OR (95%CI)
Variable	Category		OR (95%CI)	SARC-F	0.008	1.70 (1.15-2.51)
Age (years)		0.007	1.17 (1.04-1.32)
Gender	Male (ref)	< 0.001	7.91 (2.48-25.2)
Gender	Female	< 0.001	7.91 (2.48-25.2)
BMI (kg/m²)	≥ 25 (ref)	0.183	2.42 (0.66-8.90)
BMI (kg/m²)	< 25	0.183	2.42 (0.66-8.90)

Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Address for correspondence Carlos Augusto Nunes Martini, Orthopedic Surgeon IOT/Hospital Municipal São José - Joinville, SC, Brazil (e-mail: carlosnunesmartini@gmail.com).

Brasil

Brasil

Use of the SARC-F Score as an Aid in Fragility Fractures Prevention* * Work developed at the Institute of Orthopedics and Traumatology of Hospital Municipal São José, Joinville, SC, Brazil.

Abstract

Objective

Methods

Results

Conclusion

Use of the SARC-F Score as an Aid in Fragility Fractures Prevention^* * Work developed at the Institute of Orthopedics and Traumatology of Hospital Municipal São José, Joinville, SC, Brazil.