Changes in muscle ultrasound for the diagnosis of intensive care unit acquired weakness in critically ill patients

Abstract To test diagnostic accuracy of changes in thickness (TH) and cross-sectional area (CSA) of muscle ultrasound for diagnosis of intensive care unit acquired weakness (ICU-AW). Fully conscious patients were subjected to muscle ultrasonography including measuring the changes in TH and CSA of bi...

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Autores principales:	Weiqing Zhang, Jun Wu, Qiuying Gu, Yanting Gu, Yujin Zhao, Xiaoying Ge, Xiaojing Sun, Jun Lian, Qian Zeng
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/8a9f84efb25f4c83becc2951193675bc
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spelling	oai:doaj.org-article:8a9f84efb25f4c83becc2951193675bc2021-12-02T18:02:30ZChanges in muscle ultrasound for the diagnosis of intensive care unit acquired weakness in critically ill patients10.1038/s41598-021-97680-y2045-2322https://doaj.org/article/8a9f84efb25f4c83becc2951193675bc2021-09-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-97680-yhttps://doaj.org/toc/2045-2322Abstract To test diagnostic accuracy of changes in thickness (TH) and cross-sectional area (CSA) of muscle ultrasound for diagnosis of intensive care unit acquired weakness (ICU-AW). Fully conscious patients were subjected to muscle ultrasonography including measuring the changes in TH and CSA of biceps brachii (BB) muscle, vastus intermedius (VI) muscle, and rectus femoris (RF) muscles over time. 37 patients underwent muscle ultrasonography on admission day, day 4, day 7, and day 10 after ICU admission, Among them, 24 were found to have ICW-AW. Changes in muscle TH and CSA of RF muscle on the right side showed remarkably higher ROC-AUC and the range was from 0.734 to 0.888. Changes in the TH of VI muscle had fair ROC-AUC values which were 0.785 on the left side and 0.779 on the right side on the 10th day after ICU admission. Additionally, Sequential Organ Failure Assessment (SOFA), Acute Physiology, and Chronic Health Evaluation II (APACHE II) scores also showed good discriminative power on the day of admission (ROC-AUC 0.886 and 0.767, respectively). Ultrasonography of changes in muscles, especially in the TH of VI muscle on both sides and CSA of RF muscle on the right side, presented good diagnostic accuracy. However, SOFA and APACHE II scores are better options for early ICU-AW prediction due to their simplicity and time efficiency.Weiqing ZhangJun WuQiuying GuYanting GuYujin ZhaoXiaoying GeXiaojing SunJun LianQian ZengNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Weiqing Zhang Jun Wu Qiuying Gu Yanting Gu Yujin Zhao Xiaoying Ge Xiaojing Sun Jun Lian Qian Zeng Changes in muscle ultrasound for the diagnosis of intensive care unit acquired weakness in critically ill patients
description	Abstract To test diagnostic accuracy of changes in thickness (TH) and cross-sectional area (CSA) of muscle ultrasound for diagnosis of intensive care unit acquired weakness (ICU-AW). Fully conscious patients were subjected to muscle ultrasonography including measuring the changes in TH and CSA of biceps brachii (BB) muscle, vastus intermedius (VI) muscle, and rectus femoris (RF) muscles over time. 37 patients underwent muscle ultrasonography on admission day, day 4, day 7, and day 10 after ICU admission, Among them, 24 were found to have ICW-AW. Changes in muscle TH and CSA of RF muscle on the right side showed remarkably higher ROC-AUC and the range was from 0.734 to 0.888. Changes in the TH of VI muscle had fair ROC-AUC values which were 0.785 on the left side and 0.779 on the right side on the 10th day after ICU admission. Additionally, Sequential Organ Failure Assessment (SOFA), Acute Physiology, and Chronic Health Evaluation II (APACHE II) scores also showed good discriminative power on the day of admission (ROC-AUC 0.886 and 0.767, respectively). Ultrasonography of changes in muscles, especially in the TH of VI muscle on both sides and CSA of RF muscle on the right side, presented good diagnostic accuracy. However, SOFA and APACHE II scores are better options for early ICU-AW prediction due to their simplicity and time efficiency.
format	article
author	Weiqing Zhang Jun Wu Qiuying Gu Yanting Gu Yujin Zhao Xiaoying Ge Xiaojing Sun Jun Lian Qian Zeng
author_facet	Weiqing Zhang Jun Wu Qiuying Gu Yanting Gu Yujin Zhao Xiaoying Ge Xiaojing Sun Jun Lian Qian Zeng
author_sort	Weiqing Zhang
title	Changes in muscle ultrasound for the diagnosis of intensive care unit acquired weakness in critically ill patients
title_short	Changes in muscle ultrasound for the diagnosis of intensive care unit acquired weakness in critically ill patients
title_full	Changes in muscle ultrasound for the diagnosis of intensive care unit acquired weakness in critically ill patients
title_fullStr	Changes in muscle ultrasound for the diagnosis of intensive care unit acquired weakness in critically ill patients
title_full_unstemmed	Changes in muscle ultrasound for the diagnosis of intensive care unit acquired weakness in critically ill patients
title_sort	changes in muscle ultrasound for the diagnosis of intensive care unit acquired weakness in critically ill patients
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/8a9f84efb25f4c83becc2951193675bc
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Changes in muscle ultrasound for the diagnosis of intensive care unit acquired weakness in critically ill patients

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