Association of quadriceps muscle thickness with the rectus femoris cross-sectional area, muscle strength and gait speed of critically ill patients

Detalhes bibliográficos
Autor(a) principal: Carvalho, Maurício Tatsch Ximenes
Data de Publicação: 2020
Outros Autores: Santos, Tamires Daros dos, Aragones, Bárbara Lago, Ludke, Everton, Silveira, Aron Ferreira da, Albuquerque, Isabella Martins de
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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spelling 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
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