Article ; Online: Comparison between ultrasonography and computed tomography for measuring skeletal muscle mass in critically ill patients with different body mass index.
Clinical nutrition ESPEN
2023 Volume 59, Page(s) 214–224
Abstract: Background & aim: Among critical patients, there is an early onset of changes in both the quantity and quality of muscle mass. It is essential to find tools that promptly identify this muscle mass loss. The aim of this study was to compare the ... ...
| Abstract | Background & aim: Among critical patients, there is an early onset of changes in both the quantity and quality of muscle mass. It is essential to find tools that promptly identify this muscle mass loss. The aim of this study was to compare the ultrasonography of the quadriceps femoris to the gold standard, thigh computed tomography (CT) for assessing the musculature of critically ill patients with different body mass index who have suffered traumatic brain injury. Methods: This is a prospective validation study in an Intensive Care Unit (ICU) specialized in trauma care, located at a tertiary teaching hospital. Our study involved a convenience sample of patients. Sequential ultrasound and CT scans were performed at three distinct time intervals: upon admission, between 24 and 96 h' post-admission, and finally, between 96 and 168 h' post-admission. For all ultrasound measurements, we conducted simultaneous quadriceps CT measurements. The correlation between measurements obtained by ultrasound and computed tomography at three different times and in three BMI ranges was analyzed, in individuals with normal weight, overweight and obese. Results: Results: We analyzed 252 images in 49 patients in time 1, 40 patients in time 2, and 37 in time 3 to compare the thickness quadriceps muscle using US and CT. Of these, 18 patients had a BMI ≤ 24.9 kg/m Conclusion: Our findings suggest that measure femoral quadriceps muscle thickness ultrasound-based exhibits a comparable performance to thigh CT. This conclusion stems from the excellent correlation and good agreement observed between ultrasound and CT, which is considered the gold standard for muscle assessment in critically ill patients. Trial registration: This clinical trial is registered at REBEC https://ensaiosclinicos.gov.br/ identifier: RBR-2bzspnz. The protocol was approved, on July 30, 2019, by the Research Ethics Committee of the Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto - Trial Registration Number: 3,475,851. |
|---|---|
| MeSH term(s) | Adult ; Female ; Humans ; Male ; Body Mass Index ; Critical Illness ; Obesity/diagnostic imaging ; Overweight/diagnostic imaging ; Quadriceps Muscle/diagnostic imaging ; Tomography, X-Ray Computed/methods ; Ultrasonography/methods ; Prospective Studies |
| Language | English |
| Publishing date | 2023-12-12 |
| Publishing country | England |
| Document type | Clinical Trial ; Comparative Study ; Journal Article |
| ISSN | 2405-4577 |
| ISSN (online) | 2405-4577 |
| DOI | 10.1016/j.clnesp.2023.12.012 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.
Inter-library loan at ZB MED
Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.