Kaegi-Braun et al evaluated handgrip strength in malnourished medical inpatients. Handgrip strength can help to identify a patient who may require more aggressive management. The authors are from multiple institutions in Switzerland, Austria and the United States.
Patient selection: malnourished medical inpatient
Parameters:
(1) handgrip strength in kilograms
(2) sex
(3) nutritional support
Handgrip strength was classified as low if it is <= 10th percentile for sex.
Sex
Low Handgrip Strength
female
<= 8 kg
male
<= 16 kg
Each decrease of 10 kilograms in handgrip strength is associated with increased risk of 30-day mortality.
Low Handgrip Strength
Nutritional Support
30-Day All Cause Mortality
yes
no
17.2%
yes
yes
7.3%
no
no
6.9%
no
yes
6.4%
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