ROUNDS Studies: Relation of OUtcomes with Nutrition Despite Severity—Round One: Ultrasound Muscle Measurements in Critically Ill Adult Patients
Joint Authors
Galindo Martín, Carlos Alfredo
Monares Zepeda, Enrique
Lescas Méndez, Octavio Augusto
Ubeda Zelaya, Reyna del Carmen
Source
Journal of Nutrition and Metabolism
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-04-01
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Malnutrition (undernutrition) encompasses low intake or uptake, loss of fat mass, and muscle wasting and is associated with worse outcomes.
Ultrasound has been introduced in the intensive care unit as a tool to assess muscle mass.
The aim of the present study is to explore the relation between initial muscle mass and mortality in adult patients admitted to the intensive care unit.
Methods.
Rectus femoris and vastus intermedius thicknesses were measured by B-mode ultrasound in adult patients at admission, along with demographic characteristics, illness severity, comorbidities, biochemical variables, treatments, and in-hospital mortality as main outcomes.
Analysis was made comparing survivors versus nonsurvivors and finally using binary logistic regression with mortality as dependent variable.
Results.
59 patients were included in the analysis, severity measured by sequential organ failure assessment (SOFA) score was greater in nonsurvivors (17 (7) versus 24 (10) and 3 (1–5) versus 7 (3–10), resp.).
Also, muscle thickness was lower in the latter group (1.44 (0.59) cm versus 0.98 (0.3) cm).
Logistic regression showed severity by SOFA score as a risk factor and muscle thickness as a protective factor for mortality.
Conclusion.
Muscle mass showed to be a protective factor despite severity of illness; there is much more work to do regarding interventions and monitoring in order to prevent or overcome low muscle mass at admission to the intensive care unit.
American Psychological Association (APA)
Galindo Martín, Carlos Alfredo& Ubeda Zelaya, Reyna del Carmen& Monares Zepeda, Enrique& Lescas Méndez, Octavio Augusto. 2018. ROUNDS Studies: Relation of OUtcomes with Nutrition Despite Severity—Round One: Ultrasound Muscle Measurements in Critically Ill Adult Patients. Journal of Nutrition and Metabolism،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1195446
Modern Language Association (MLA)
Galindo Martín, Carlos Alfredo…[et al.]. ROUNDS Studies: Relation of OUtcomes with Nutrition Despite Severity—Round One: Ultrasound Muscle Measurements in Critically Ill Adult Patients. Journal of Nutrition and Metabolism No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1195446
American Medical Association (AMA)
Galindo Martín, Carlos Alfredo& Ubeda Zelaya, Reyna del Carmen& Monares Zepeda, Enrique& Lescas Méndez, Octavio Augusto. ROUNDS Studies: Relation of OUtcomes with Nutrition Despite Severity—Round One: Ultrasound Muscle Measurements in Critically Ill Adult Patients. Journal of Nutrition and Metabolism. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1195446
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1195446