Alvarado-Echavarría A

Language: Spanish
References: 10
Page: 102-108
PDF size: 291.40 Kb.

ABSTRACT

Background. The critically ill patient acquired muscle atrophy is an underrecognized disease in the ICU, given that the tools used to diagnose this require the patient’s participation or out-of-ICU transfer, which increases both costs and risks; a bedside tool is required, cost effective, with no adverse effects, that can detect the changes seen with other diagnostic modalities.
Objective. To compare the cross-sectional area of rectus femoris muscle by ultrasound in ICU stay at days 1 and 7 to identify muscle atrophy in the critically ill patient.
Material and methods. Observational, analytic, prospective, longitudinal and unicentric study, that included 63 patients in who the measurement was performed using Seymour’s technique, at days 1 and 7 of ICU stay; both parametric and non-parametric statistics were performed, using paired sample tests, logistic regression, ROC curve analysis and correlation.
Results. Mean age was 52.5 years, with male sex predominance (57.1 %), the most common comorbidities were systemic arterial hypertension and diabetes mellitus together (20.6 %), a 10.06 % chance was found to identify muscle atrophy, with a ROC AUC of 0.83, with a weak correlation between muscle atrophy and severity scores such as SOFA (0.69) and APACHE II (0.63).
Conclusions. The cross-sectional area measurement of rectus femoris muscle by ultrasound identified muscle atrophy in the critically ill patient.

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