Relationship between ultrasound measurement of quadriceps muscle and nutritional status in ICU patients in a high-complexity trauma care hospital
Palabras clave:
Imaging, Intensive Care Units, Malnutrition, Muscle, skeletal, Nutritional status, Quadriceps muscle, UltrasonicsResumen
Objective
The present study aimed to investigate the association of quadriceps muscle thickness, measured by ultrasound, with the nutritional status of critically ill patients in a referral high-complexity trauma care hospital.
Methods
A cross-sectional observational study was conducted in the intensive care units in a tertiary hospital in Brazil. The sample comprised 30 critically ill trauma patients admitted between February and March 2022. The methodology involved evaluating muscle mass and comparing nutritional status through mid-upper arm circumference measurements and ultrasound assessments. Specifically, the quadriceps muscle thickness was quantified using ultrasound at a predefined site between the iliac crest and the proximal border of the patella.
Results
The Kruskal-Wallis test indicated variability in quadriceps muscle thickness between the nutritional status groups, with statistical significance reached after excluding the overweight group (H(2) = 7.532, p=0.023). The moderate malnutrition group exhibited notably lower quadriceps muscle thickness. A positive correlation was found between quadriceps muscle thickness and mid-upper arm circumference adequacy (p<0.05), demonstrating fair to moderately strong correlation (rs=0.531).
Conclusion
Significant changes in quadriceps muscle thickness were detected by ultrasound assessment in moderate malnutrition patients compared to patients of other nutritional statuses. Ultrasound may be a valuable technique for monitoring muscle integrity in critically ill patients.
Citas
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Derechos de autor 2025 Milton Alves Danziato-Neto, Priscilla Sousa Santos Caldas, Juliana Magalhães da Cunha Rêgo, Antonio Augusto Ferreira Carioca, Cristiane Rodrigues Silva Câmara
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
