Incidence of muscle atrophy by ultrasound in the intensive care unit
DOI:
https://doi.org/10.35454/rncm.v6n3.531Keywords:
Muscle atrophy, Muscle ultrasound, Intensive care unitAbstract
Introduction: Muscle atrophy in critical care may lead to increased length of stay, as well as intra- and out-of-hospital mortality. Muscle ultrasonography of the lower extremities has been validated as a reproducible method in its evaluation.
Methodology: An observational, prospective, longitudinal, and descriptive study in the intensive care unit of the Hospital General León, Mexico. All patients admitted to the unit were included, follow-up was performed with two measurements of the thickness of the rectus femoris (admission and on fifth day), atrophy was defined as a decrease of 14% in thickness, and the incidence was identified as the percentages with 95% CI.
Results: A total of forty-three patients; the incidence of muscle atrophy by ultrasound was 42% (95% CI; 27% to 57%), the decrease in the thickness of the rectus femoris in the group with atrophy was 28%, and in the group without atrophy was 5.3%. Albumin correlated with rectus femoris thickness from day one (r = 0.55, p = 0.03); Likewise, underweight patients developed muscle atrophy (p <0.0001).
Conclusion: Incidence of muscular atrophy in intensive care was high in the studied population.
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Copyright (c) 2023 Edgar Santibañez, Diana Karina Ponce de la Cruz, José Luis Moreno Rivera , Gloria Valeria Martínez González , Salvador Domínguez Estrada
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