Association of quadriceps muscle thickness with the rectus femoris cross-sectional area, muscle strength and gait speed of critically ill patients
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Saúde (Santa Maria) |
Texto Completo: | https://periodicos.ufsm.br/revistasaude/article/view/40611 |
Resumo: | Objective: To verify whether there is an association between quadriceps muscle thickness (QMT) and rectus femoral cross-sectional area (RF), muscle strength and gait speed of critically ill patients. Methods: Cross-sectional study conducted at an adult intensive care unit of a tertiary hospital in southern Brazil. The QMT and RF were measured by ultrasonography, within the first 24 hours of mechanical ventilation, muscle strength was measured using the Medical Research Council scale on the awakening of patient. Gait speed was measured by the 6-m gait speed test at hospital discharge. Results: The sample consisted of 28 patients (46 ± 18 years, 20 males). The QMT showed a strong positive correlation with RF (r=0.708; p <0.0001) and moderate positive correlation with gait speed (r = 0.627; p = 0.003). Multivariate analysis showed the RF was the independent predictor variable of the QMT (β=0.14; p=0.003). Conclusion: The study showed that QMT was associated with rectus femoral cross-sectional area and gait speed of critically ill patients at the evaluated moments. In addition, RF was an independent predictor of EMQ. These results are clinically relevant because they describe the early applicability of quantitative ultrasound measurements in the setting of critically ill patients, as well as the relationship with functional outcomes. |
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Association of quadriceps muscle thickness with the rectus femoris cross-sectional area, muscle strength and gait speed of critically ill patientsAssociação da espessura do quadríceps com a área de secção transversa do reto femoral, força muscular e velocidade da marcha de pacientes críticosIntensive Care UnitUltrasonographyQuadriceps muscleMuscle strength.Unidades de Terapia IntensivaUltrassonografiaMúsculo quadrícepsForça muscular.Objective: To verify whether there is an association between quadriceps muscle thickness (QMT) and rectus femoral cross-sectional area (RF), muscle strength and gait speed of critically ill patients. Methods: Cross-sectional study conducted at an adult intensive care unit of a tertiary hospital in southern Brazil. The QMT and RF were measured by ultrasonography, within the first 24 hours of mechanical ventilation, muscle strength was measured using the Medical Research Council scale on the awakening of patient. Gait speed was measured by the 6-m gait speed test at hospital discharge. Results: The sample consisted of 28 patients (46 ± 18 years, 20 males). The QMT showed a strong positive correlation with RF (r=0.708; p <0.0001) and moderate positive correlation with gait speed (r = 0.627; p = 0.003). Multivariate analysis showed the RF was the independent predictor variable of the QMT (β=0.14; p=0.003). Conclusion: The study showed that QMT was associated with rectus femoral cross-sectional area and gait speed of critically ill patients at the evaluated moments. In addition, RF was an independent predictor of EMQ. These results are clinically relevant because they describe the early applicability of quantitative ultrasound measurements in the setting of critically ill patients, as well as the relationship with functional outcomes.Objetivo: Verificar se há relação entre a espessura muscular do quadríceps femoral (EMQ) com a área de secção transversa (AST) do reto femoral, força muscular periférica e velocidade da marcha em pacientes críticos. Métodos: Estudo transversal realizado na unidade de terapia intensiva adulto de um hospital terciário na região Sul do Brasil. A EMQ e a AST do reto femoral foram mensuradas a partir de imagens ultrassonográficas do quadríceps femoral, cuja avaliação foi realizada nas primeiras 24 horas de ventilação mecânica. A força muscular periférica foi avaliada por meio da pontuação obtida na escala Medical Research Council no momento do despertar do paciente. A velocidade da marcha foi mensurada através do teste de velocidade de marcha de 6 metros na alta hospitalar. Resultados: A amostra foi composta por 28 pacientes (46±18 anos, 20 do sexo masculino). A EMQ apresentou correlação positiva e forte com a AST do reto femoral (r=0,708; p<0,0001) e correlação positiva e moderada com a velocidade da marcha (r=0,627; p=0,003). Na análise multivariada, evidenciou-se que a AST do reto femoral foi a variável preditora independente da EMQ (β=0,14; p=0,003). Conclusão: O estudo demonstrou que a EMQ apresentou associação com a AST do reto femoral e com a velocidade da marcha de pacientes críticos nos momentos avaliados. Além disso, a AST do reto femoral foi um preditor independente da EMQ. Tais resultados são clinicamente relevantes pelo fato de descreverem a aplicabilidade precoce de medidas ultrassonográficas quantitativas no cenário do paciente crítico, bem como a relação com desfechos funcionais.Universidade Federal de Santa Maria2020-04-27info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.ufsm.br/revistasaude/article/view/4061110.5902/2236583440611Saúde (Santa Maria); Revista Saúde (Santa Maria), Vol.46, n.1, jan.-abr. 2020Saúde (Santa Maria); Revista Saúde (Santa Maria), Vol.46, n.1, jan.-abr. 20202236-58340103-4499reponame:Saúde (Santa Maria)instname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMporhttps://periodicos.ufsm.br/revistasaude/article/view/40611/pdfCarvalho, Maurício Tatsch XimenesSantos, Tamires Daros dosAragones, Bárbara LagoLudke, EvertonSilveira, Aron Ferreira daAlbuquerque, Isabella Martins deinfo:eu-repo/semantics/openAccess2020-04-28T17:31:44Zoai:ojs.pkp.sfu.ca:article/40611Revistahttps://periodicos.ufsm.br/revistasaudePUBhttps://periodicos.ufsm.br/revistasaude/oairevistasaude.ufsm@gmail.com || amanda.revsaude@gmail.com || beatriz.revsaude@gmail.com2236-58342236-5834opendoar:2020-04-28T17:31:44Saúde (Santa Maria) - Universidade Federal de Santa Maria (UFSM)false |
dc.title.none.fl_str_mv |
Association of quadriceps muscle thickness with the rectus femoris cross-sectional area, muscle strength and gait speed of critically ill patients Associação da espessura do quadríceps com a área de secção transversa do reto femoral, força muscular e velocidade da marcha de pacientes críticos |
title |
Association of quadriceps muscle thickness with the rectus femoris cross-sectional area, muscle strength and gait speed of critically ill patients |
spellingShingle |
Association of quadriceps muscle thickness with the rectus femoris cross-sectional area, muscle strength and gait speed of critically ill patients Carvalho, Maurício Tatsch Ximenes Intensive Care Unit Ultrasonography Quadriceps muscle Muscle strength. Unidades de Terapia Intensiva Ultrassonografia Músculo quadríceps Força muscular. |
title_short |
Association of quadriceps muscle thickness with the rectus femoris cross-sectional area, muscle strength and gait speed of critically ill patients |
title_full |
Association of quadriceps muscle thickness with the rectus femoris cross-sectional area, muscle strength and gait speed of critically ill patients |
title_fullStr |
Association of quadriceps muscle thickness with the rectus femoris cross-sectional area, muscle strength and gait speed of critically ill patients |
title_full_unstemmed |
Association of quadriceps muscle thickness with the rectus femoris cross-sectional area, muscle strength and gait speed of critically ill patients |
title_sort |
Association of quadriceps muscle thickness with the rectus femoris cross-sectional area, muscle strength and gait speed of critically ill patients |
author |
Carvalho, Maurício Tatsch Ximenes |
author_facet |
Carvalho, Maurício Tatsch Ximenes Santos, Tamires Daros dos Aragones, Bárbara Lago Ludke, Everton Silveira, Aron Ferreira da Albuquerque, Isabella Martins de |
author_role |
author |
author2 |
Santos, Tamires Daros dos Aragones, Bárbara Lago Ludke, Everton Silveira, Aron Ferreira da Albuquerque, Isabella Martins de |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Carvalho, Maurício Tatsch Ximenes Santos, Tamires Daros dos Aragones, Bárbara Lago Ludke, Everton Silveira, Aron Ferreira da Albuquerque, Isabella Martins de |
dc.subject.por.fl_str_mv |
Intensive Care Unit Ultrasonography Quadriceps muscle Muscle strength. Unidades de Terapia Intensiva Ultrassonografia Músculo quadríceps Força muscular. |
topic |
Intensive Care Unit Ultrasonography Quadriceps muscle Muscle strength. Unidades de Terapia Intensiva Ultrassonografia Músculo quadríceps Força muscular. |
description |
Objective: To verify whether there is an association between quadriceps muscle thickness (QMT) and rectus femoral cross-sectional area (RF), muscle strength and gait speed of critically ill patients. Methods: Cross-sectional study conducted at an adult intensive care unit of a tertiary hospital in southern Brazil. The QMT and RF were measured by ultrasonography, within the first 24 hours of mechanical ventilation, muscle strength was measured using the Medical Research Council scale on the awakening of patient. Gait speed was measured by the 6-m gait speed test at hospital discharge. Results: The sample consisted of 28 patients (46 ± 18 years, 20 males). The QMT showed a strong positive correlation with RF (r=0.708; p <0.0001) and moderate positive correlation with gait speed (r = 0.627; p = 0.003). Multivariate analysis showed the RF was the independent predictor variable of the QMT (β=0.14; p=0.003). Conclusion: The study showed that QMT was associated with rectus femoral cross-sectional area and gait speed of critically ill patients at the evaluated moments. In addition, RF was an independent predictor of EMQ. These results are clinically relevant because they describe the early applicability of quantitative ultrasound measurements in the setting of critically ill patients, as well as the relationship with functional outcomes. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-04-27 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.ufsm.br/revistasaude/article/view/40611 10.5902/2236583440611 |
url |
https://periodicos.ufsm.br/revistasaude/article/view/40611 |
identifier_str_mv |
10.5902/2236583440611 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.ufsm.br/revistasaude/article/view/40611/pdf |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Santa Maria |
publisher.none.fl_str_mv |
Universidade Federal de Santa Maria |
dc.source.none.fl_str_mv |
Saúde (Santa Maria); Revista Saúde (Santa Maria), Vol.46, n.1, jan.-abr. 2020 Saúde (Santa Maria); Revista Saúde (Santa Maria), Vol.46, n.1, jan.-abr. 2020 2236-5834 0103-4499 reponame:Saúde (Santa Maria) instname:Universidade Federal de Santa Maria (UFSM) instacron:UFSM |
instname_str |
Universidade Federal de Santa Maria (UFSM) |
instacron_str |
UFSM |
institution |
UFSM |
reponame_str |
Saúde (Santa Maria) |
collection |
Saúde (Santa Maria) |
repository.name.fl_str_mv |
Saúde (Santa Maria) - Universidade Federal de Santa Maria (UFSM) |
repository.mail.fl_str_mv |
revistasaude.ufsm@gmail.com || amanda.revsaude@gmail.com || beatriz.revsaude@gmail.com |
_version_ |
1799944001340571648 |