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通过超声评估股直肌和腹膜前脂肪组织以预测住院患者并发症

Nutritional assessment by ultrasound of the rectus femoris and preperitoneal adipose tissue as predictors of hospitalized patient complications.

作者信息

Marín-Baselga R, Sanz-Ortega C, Platero-Dueñas L, Sorriguieta-Torre R, Palma-Milla S, Tung-Chen Y

机构信息

Servicio de Medicina Interna, Hospital Universitario La Paz, Madrid, Spain.

Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, Spain.

出版信息

Rev Clin Esp (Barc). 2023 Dec;223(10):640-646. doi: 10.1016/j.rceng.2023.10.002. Epub 2023 Oct 19.

DOI:10.1016/j.rceng.2023.10.002
PMID:37865334
Abstract

INTRODUCTION

Malnutrition and sarcopenia are associated with increased risk of adverse events and worse outcome in hospitalised patients. Ultrasonography is a useful tool in the assessment of body composition.

PATIENTS AND METHODS

Twenty-three patients admitted to a hospital ward were recruited. Ultrasonographic variables of muscle tissue and adipose tissue were collected, as well as their variation during admission. These were correlated with anthropometric, clinical and analytical data.

RESULTS

We observed a correlation of ultrasound measurements with length of hospitalisation (maximum preperitoneal fat -0.585, rectus femoris thickness - RF -0.539, RF area -0.540), frailty (RF -0.599) and dependency (RF 0.628). RF contractile capacity correlated with reported weekly exercise (0.642).

CONCLUSION

RF and preperitoneal fat thickness correlate with the number of days of admission and functional capacity, emerging as prognostic variables.

摘要

引言

营养不良和肌肉减少症与住院患者不良事件风险增加及预后较差相关。超声检查是评估身体成分的有用工具。

患者与方法

招募了23名入住医院病房的患者。收集肌肉组织和脂肪组织的超声变量及其在住院期间的变化。这些变量与人体测量学、临床和分析数据相关。

结果

我们观察到超声测量值与住院时间(最大腹膜前脂肪-0.585、股直肌厚度-RF-0.539、RF面积-0.540)、虚弱程度(RF-0.599)和依赖程度(RF 0.628)之间存在相关性。RF收缩能力与报告的每周运动量相关(0.642)。

结论

RF和腹膜前脂肪厚度与住院天数和功能能力相关,成为预后变量。

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