Ultrasonografía del recto femoral y el riesgo de debilidad muscular adquirida en la unidad de cuidados intensivos

Esta investigación se realizó con el propósito de evaluar el rendimiento del ultrasonido del musculo recto femoral por área transversa del recto femoral (CSA-RF) y grosor del recto femoral más vasto intermedio (TH-FR+VI), para la predicción del desarrollo de debilidad adquirida en UCI (ICU-AW). Estu...

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Fecha de publicación:: 2023

Institución:: Universidad del Rosario

Repositorio:: Repositorio EdocUR - U. Rosario

Idioma:: spa

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network_acronym_str	EDOCUR2
network_name_str	Repositorio EdocUR - U. Rosario
repository_id_str
dc.title.none.fl_str_mv	Ultrasonografía del recto femoral y el riesgo de debilidad muscular adquirida en la unidad de cuidados intensivos
dc.title.TranslatedTitle.none.fl_str_mv	Ultrasonography of the rectus femoris and the risk of intensive acquired muscle weakness
title	Ultrasonografía del recto femoral y el riesgo de debilidad muscular adquirida en la unidad de cuidados intensivos
spellingShingle	Ultrasonografía del recto femoral y el riesgo de debilidad muscular adquirida en la unidad de cuidados intensivos Area transversa Recto femoral Grosor Vasto Intermedio Ultrasonografia Debilidad adquirida en UCI Cross sectional area Rectus femoris Thickness Vastus intermedium ICU-acquired weakness
title_short	Ultrasonografía del recto femoral y el riesgo de debilidad muscular adquirida en la unidad de cuidados intensivos
title_full	Ultrasonografía del recto femoral y el riesgo de debilidad muscular adquirida en la unidad de cuidados intensivos
title_fullStr	Ultrasonografía del recto femoral y el riesgo de debilidad muscular adquirida en la unidad de cuidados intensivos
title_full_unstemmed	Ultrasonografía del recto femoral y el riesgo de debilidad muscular adquirida en la unidad de cuidados intensivos
title_sort	Ultrasonografía del recto femoral y el riesgo de debilidad muscular adquirida en la unidad de cuidados intensivos
dc.contributor.advisor.none.fl_str_mv	Santacruz Herrrera, Carlos Andres
dc.contributor.none.fl_str_mv	Palacios Bejarano, Lis Denia Stozitzky Ríos, María Valentina
dc.subject.none.fl_str_mv	Area transversa Recto femoral Grosor Vasto Intermedio Ultrasonografia Debilidad adquirida en UCI
topic	Area transversa Recto femoral Grosor Vasto Intermedio Ultrasonografia Debilidad adquirida en UCI Cross sectional area Rectus femoris Thickness Vastus intermedium ICU-acquired weakness
dc.subject.keyword.none.fl_str_mv	Cross sectional area Rectus femoris Thickness Vastus intermedium ICU-acquired weakness
description	Esta investigación se realizó con el propósito de evaluar el rendimiento del ultrasonido del musculo recto femoral por área transversa del recto femoral (CSA-RF) y grosor del recto femoral más vasto intermedio (TH-FR+VI), para la predicción del desarrollo de debilidad adquirida en UCI (ICU-AW). Estudio de recolección prospectiva con un total de 43 pacientes incluidos en el análisis final. Donde se observó una diferencia significativa de la medida de CSA-RF y TH-RF+VI del ingreso entre los grupos de ICU-AW y no ICU-AW. Siendo para el CSA-RF: 1.64 cm2 (1.46-1.97), TH-RF+VI: 1.52 cm (1.26-1.60) para el grupo de ICU-AW y de CSA-RF: 2.20 cm2 (1.78-2.68), TH-RF+VI: 1.91 cm (1.66-2.31) para el grupo de no ICU-AW con un valor de (p=0.021) para CSA-RF y (p=<0.001) para el TH-RF+VI. Se logro establecer un punto de corte para la predicción de ICU-AW con las medidas tomadas al ingreso de UCI del CSA-RF: 2.02 cm2 y TH-RF+VI: 1.58 cm, con un AUC ROC de 0.72 y de 0.82 respectivamente. Se concluyo que las medidas por ecografía del CSA-RF y TH-RF+VI al ingreso de UCI podrían ser consideradas como una herramienta adicional para la predicción de ICU-AW. Sin embargo, se requiere de estudios adicionales para confirmar estos hallazgos.
publishDate	2023
dc.date.accessioned.none.fl_str_mv	2023-11-16T12:44:58Z
dc.date.available.none.fl_str_mv	2023-11-16T12:44:58Z
dc.date.created.none.fl_str_mv	2023-11-10
dc.date.embargoEnd.none.fl_str_mv	info:eu-repo/date/embargoEnd/2024-03-17
dc.type.none.fl_str_mv	bachelorThesis
dc.type.coar.fl_str_mv	http://purl.org/coar/resource_type/c_7a1f
dc.type.document.none.fl_str_mv	Trabajo de grado
dc.type.spa.none.fl_str_mv	Trabajo de grado
dc.identifier.uri.none.fl_str_mv	https://repository.urosario.edu.co/handle/10336/41676
url	https://repository.urosario.edu.co/handle/10336/41676
dc.language.iso.none.fl_str_mv	spa
language	spa
dc.rights.*.fl_str_mv	Attribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.coar.fl_str_mv	http://purl.org/coar/access_right/c_f1cf
dc.rights.acceso.none.fl_str_mv	Restringido (Temporalmente bloqueado)
dc.rights.uri.*.fl_str_mv	http://creativecommons.org/licenses/by-nc-nd/4.0/
rights_invalid_str_mv	Attribution-NonCommercial-NoDerivatives 4.0 International Restringido (Temporalmente bloqueado) http://creativecommons.org/licenses/by-nc-nd/4.0/ http://purl.org/coar/access_right/c_f1cf
dc.format.extent.none.fl_str_mv	99 pp
dc.format.mimetype.none.fl_str_mv	application/pdf
dc.publisher.none.fl_str_mv	Universidad del Rosario
dc.publisher.department.none.fl_str_mv	Escuela de Medicina y Ciencias de la Salud
dc.publisher.program.none.fl_str_mv	Especialización en Medicina Crítica y Cuidado Intensivo
publisher.none.fl_str_mv	Universidad del Rosario
institution	Universidad del Rosario
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Puthucheary, Zudin A; Phadke, Rahul; Rawal, Jaikitry; McPhail, Mark J W; Sidhu, Paul S; Rowlerson, Anthea; Moxham, John; Harridge, Stephen; Hart, Nicholas; Montgomery, Hugh E (2015) Qualitative Ultrasound in Acute Critical Illness Muscle Wasting. En: Critical care medicine. Vol. 43; No. 8; pp. 1603 - 1611; Disponible en: 10.1097/CCM.0000000000001016. Prado, Carla M M; Heymsfield, Steven B (2014) Lean tissue imaging: a new era for nutritional assessment and intervention. En: JPEN. Journal of parenteral and enteral nutrition. Vol. 38; No. 8; pp. 940 - 953; Disponible en: 10.1177/0148607114550189. Rodrigues, Camila Neves; Henrique, Jessimara Ribeiro; Vilela, Daniel Nogueira; Rocha, Ana Paula Campos; Toledo, Diogo Oliveira; Ferreira, Álida Rosária Silva; Correia, Maria Isabel Toulson Davisson (2020) Ultrasonography to assess body composition: Relevance of training. En: Nutrition (Burbank, Los Angeles County, Calif.). Vol. 70; pp. 110523 - 110523; Disponible en: 10.1016/j.nut.2019.06.004.
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spelling	Palacios Bejarano, Lis DeniaStozitzky Ríos, María ValentinaSantacruz Herrrera, Carlos Andresdbcb2e09-1ee0-44b3-baee-f45d3067dfbc-1Chaves Rosero, Andres MauricioTorres Barbosa, Sneider JulianEspecialista en Medicina Crítica y Cuidado IntensivoMaestríaFull timea90137e0-5113-499e-b44d-933548e75287-10d9a3709-e77f-4994-a9b3-6e43a6eee1b4-12023-11-16T12:44:58Z2023-11-16T12:44:58Z2023-11-10info:eu-repo/date/embargoEnd/2024-03-17Esta investigación se realizó con el propósito de evaluar el rendimiento del ultrasonido del musculo recto femoral por área transversa del recto femoral (CSA-RF) y grosor del recto femoral más vasto intermedio (TH-FR+VI), para la predicción del desarrollo de debilidad adquirida en UCI (ICU-AW). Estudio de recolección prospectiva con un total de 43 pacientes incluidos en el análisis final. Donde se observó una diferencia significativa de la medida de CSA-RF y TH-RF+VI del ingreso entre los grupos de ICU-AW y no ICU-AW. Siendo para el CSA-RF: 1.64 cm2 (1.46-1.97), TH-RF+VI: 1.52 cm (1.26-1.60) para el grupo de ICU-AW y de CSA-RF: 2.20 cm2 (1.78-2.68), TH-RF+VI: 1.91 cm (1.66-2.31) para el grupo de no ICU-AW con un valor de (p=0.021) para CSA-RF y (p=<0.001) para el TH-RF+VI. Se logro establecer un punto de corte para la predicción de ICU-AW con las medidas tomadas al ingreso de UCI del CSA-RF: 2.02 cm2 y TH-RF+VI: 1.58 cm, con un AUC ROC de 0.72 y de 0.82 respectivamente. Se concluyo que las medidas por ecografía del CSA-RF y TH-RF+VI al ingreso de UCI podrían ser consideradas como una herramienta adicional para la predicción de ICU-AW. Sin embargo, se requiere de estudios adicionales para confirmar estos hallazgos.This research was carried out with the purpose of evaluating the performance of ultrasound of the rectus femoris muscle by cross sectional area of the rectus femoris (CSA-RF) and thickness of the rectus femoris plus vastus intermedium (TH-FR+VI), for the prediction of the development of ICU-acquired weakness (ICU-AW). Prospective collection study with a total of n= 43 patients included in the final analysis. Where a significant difference was observed in the admission CSA-RF and TH-RF+VI measurement between the ICU-AW and non-ICU-AW groups. Being for the CSA-RF: 1.64 cm2 (1.46-1.97), TH-RF+VI: 1.52 cm (1.26-1.60) for the ICU-AW group and CSA-RF: 2.20 cm2 (1.78-2.68), TH-RF+VI: 1.91 cm (1.66-2.31) for the non-ICU-AW group with a value of (p=0.021) for CSA-RF and (p=<0.001) for the TH-RF+VI. A best cut-off point was established for the prediction of ICU-AW with the measurements taken at ICU admission of the CSA-RF: 2.02 cm2 and TH-RF+VI: 1.58 cm, with an AUC ROC of 0.72 and 0.82 respectively. We were concluded that ultrasound measurements of CSA-RF and TH-RF+VI upon ICU admission could be considered as an additional tool for the prediction of ICU-AW. However, additional studies are required to confirm these findings.99 ppapplication/pdfhttps://repository.urosario.edu.co/handle/10336/41676spaUniversidad del RosarioEscuela de Medicina y Ciencias de la SaludEspecialización en Medicina Crítica y Cuidado IntensivoAttribution-NonCommercial-NoDerivatives 4.0 InternationalRestringido (Temporalmente bloqueado)EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.http://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_f1cfPaolo, Formenti; Valentina, De Giorgis; Silvia, Coppola; Tommaso, Pozzi; Elena, Chiodaroli; Martin, Dres; Marini John, J.; Davide, Chiumello (2022) The possible predictive value of muscle ultrasound in the diagnosis of ICUAW in long-term critically ill patients. En: Journal of critical care. Vol. 71; J Crit Care; Disponible en: https://pubmed.ncbi.nlm.nih.gov/35797827/. Disponible en: 10.1016/J.JCRC.2022.154104.Malaiyandi, Deepa; James, Elysia (2023) Neuromuscular Weakness in Intensive Care. En: Critical care clinics. Vol. 39; No. 1; pp. 123 - 138; Crit Care Clin; Disponible en: https://pubmed.ncbi.nlm.nih.gov/36333027/. Disponible en: 10.1016/J.CCC.2022.06.004.Shepherd, Stephen J.; Newman, Richard; Brett, Stephen J.; Griffith, David M. (2016) Pharmacological Therapy for the Prevention and Treatment of Weakness After Critical Illness: A Systematic Review. En: Critical care medicine. Vol. 44; No. 6; pp. 1198 - 1205; Crit Care Med; Disponible en: https://pubmed.ncbi.nlm.nih.gov/26958749/. Disponible en: 10.1097/CCM.0000000000001652.Schefold, Joerg C.; Bierbrauer, Jeffrey; Weber-Carstens, Steffen (2010) Intensive care unit-acquired weakness (ICUAW) and muscle wasting in critically ill patients with severe sepsis and septic shock. En: Journal of cachexia, sarcopenia and muscle. Vol. 1; No. 2; pp. 147 - 157; J Cachexia Sarcopenia Muscle; Disponible en: https://pubmed.ncbi.nlm.nih.gov/21475702/. Disponible en: 10.1007/S13539-010-0010-6.Lad, Heta; Saumur, Tyler M.; Herridge, Margaret S.; Dos Santos, Claudia C.; Mathur, Sunita; Batt, Jane; Gilbert, Penney M. 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Vol. 10; No. MAR; Front Immunol; Disponible en: https://pubmed.ncbi.nlm.nih.gov/30941129/. Disponible en: 10.3389/FIMMU.2019.00476.Yang, Tao; Li, Zhiqiang; Jiang, Li; Wang, Yinhua; Xi, Xiuming (2018) Risk factors for intensive care unit-acquired weakness: A systematic review and meta-analysis. En: Acta neurologica Scandinavica. Vol. 138; No. 2; pp. 104 - 114; Acta Neurol Scand; Disponible en: https://pubmed.ncbi.nlm.nih.gov/29845614/. Disponible en: 10.1111/ANE.12964.Piva, Simone; Fagoni, Nazzareno; Latronico, Nicola (2019) Intensive care unit–acquired weakness: unanswered questions and targets for future research: [Version 1; peer review: 3 approved]. En: F1000Research. Vol. 8; F1000 Research Ltd; Disponible en: https://pubmed.ncbi.nlm.nih.gov/31069055/. Disponible en: 10.12688/F1000RESEARCH.17376.1/DOI.Jolley, Sarah E.; Bunnell, Aaron E.; Hough, Catherine L. (2016) ICU-Acquired Weakness. En: Chest. Vol. 150; No. 5; pp. 1129 - 1140; Chest; Disponible en: https://pubmed.ncbi.nlm.nih.gov/27063347/. Disponible en: 10.1016/J.CHEST.2016.03.045.Swash, Michael; De Carvalho, Mamede (2020) Intensive Care Unit-Acquired Weakness: Neuropathology. En: Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society. Vol. 37; No. 3; pp. 197 - 199; J Clin Neurophysiol; Disponible en: https://pubmed.ncbi.nlm.nih.gov/32358244/. Disponible en: 10.1097/WNP.0000000000000660.Lee, Christie M.; Fan, Eddy (2012) ICU-acquired weakness: what is preventing its rehabilitation in critically ill patients?. En: BMC medicine. Vol. 10; BMC Med; Disponible en: https://pubmed.ncbi.nlm.nih.gov/23033976/. Disponible en: 10.1186/1741-7015-10-115.Schefold, Joerg C.; Wollersheim, Tobias; Grunow, Julius J.; Luedi, Markus M.; Z'Graggen, Werner J.; Weber-Carstens, Steffen (2020) Muscular weakness and muscle wasting in the critically ill. 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Ultrasonografía del recto femoral y el riesgo de debilidad muscular adquirida en la unidad de cuidados intensivos

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