Incidência de atrofia muscular pelo ultrassom na unidade de terapia intensiva
DOI:
https://doi.org/10.35454/rncm.v6n3.531Palavras-chave:
Atrofia muscular, Ultrassonografia muscular, Unidade de terapia intensivaResumo
Introdução: atrofia muscular em cuidados críticos pode levar ao aumento do tempo de internação, mortalidade intra e extra-hospitalar. A ultrassonografia muscular de membros inferiores tem sido validada como método reprodutível em sua avaliação.
Metodologia: estudo observacional, prospectivo, longitudinal e descritivo na unidade de terapia intensiva do Hospital General León, México. Foram incluídos todos os pacientes internados na unidade, o acompanhamento foi feito com duas medições da espessura do reto femoral (admissão e quinto dia), a atrofia foi definida como uma diminuição de 14% na espessura e a incidência foi identificada com porcentagens com IC de 95%.
Resultados: 43 pacientes, a incidência de atrofia muscular por ultrassom foi de 42% (IC 95% 27 a 57%), a diminuição da espessura do reto femoral no grupo com atrofia foi de 28% e no grupo sem atrofia foi de 5,3%. A albumina correlacionou-se com a espessura do reto femoral desde o primeiro dia (r= 0,55, p= 0,03); da mesma forma, os pacientes com baixo peso desenvolveram atrofia muscular (p <0,0001).
Conclusão: a incidência de atrofia muscular nos cuidados intensivos foi elevada na população estudada.
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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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