Department of Family Health and Occupational Therapy, Faculty of Medicine, Federal University of Bahia, Salvador 40026-010, BA, Brazil.
Post-Graduate Program in Health Sciences, Federal University of Sergipe, Aracaju 49060-100, SE, Brazil.
Int J Environ Res Public Health. 2024 Jul 11;21(7):908. doi: 10.3390/ijerph21070908.
Ultrasonography has been used to identify structural, quantitative, and qualitative muscle changes. These changes have been assessed in different muscles during ICU stays; however, it is unclear if it can predict functioning after ICU discharge.
To analyze the relationship between muscle changes assessed by ultrasonography and the strength and functioning of ICU survivors.
A systematic review with a meta-analysis was performed according to the MOOSE guidelines and registered in PROSPERO. Searches of the following databases were performed by two of the authors: PubMed, Cinahl, Embase, Scopus, LILACS, Web of Science, and Science Direct. Qualitative analysis was performed using NOS and AHRQ scales. Meta-analysis was performed using the "R", "metafor" package. Heterogeneity was assessed by I2 and Cochran's Q test. Meta-regression analyses were performed to verify the moderators, and funnel plots and Egger's regression intercept test were used to analyze the publication bias.
Sixteen articles were included in the qualitative assessment, and nine were used in the quantitative assessment. There is evidence of correlations between MT and muscle strength (r = 0.20 [0.11; 0.27]; < 0.0001), and MT (r = 0.35 [0.19; 0.49]; < 0.0001), CSA (r = 0.30 [0.10; 0.47]; = 0.0038), EI (r = -0.29 [-0.53; -0.01]; = 0.043) and mobility. In the subgroup analyses, some evidence of a correlation between specific muscles and strength and mobility were found.
There is evidence for the correlation between muscle characteristics assessed by US and functioning outcomes.
超声检查已被用于识别结构、定量和定性的肌肉变化。这些变化已在 ICU 期间的不同肌肉中进行了评估，但尚不清楚它是否可以预测 ICU 出院后的功能。
分析超声评估的肌肉变化与 ICU 幸存者的力量和功能之间的关系。
根据 MOOSE 指南进行了系统评价和荟萃分析，并在 PROSPERO 中进行了注册。两位作者对以下数据库进行了搜索：PubMed、Cinahl、Embase、Scopus、LILACS、Web of Science 和 Science Direct。使用 NOS 和 AHRQ 量表进行定性分析。使用“R”、“metafor”包进行荟萃分析。使用 I2 和 Cochran's Q 检验评估异质性。进行元回归分析以验证调节因素，并使用漏斗图和 Egger 回归截距检验分析发表偏倚。
纳入了 16 篇定性评估文章，9 篇用于定量评估。有证据表明 MT 与肌肉力量（r = 0.20 [0.11；0.27]；< 0.0001）和 MT（r = 0.35 [0.19；0.49]；< 0.0001）、CSA（r = 0.30 [0.10；0.47]； = 0.0038）、EI（r = -0.29 [-0.53；-0.01]； = 0.043）和移动性之间存在相关性。在亚组分析中，发现了一些特定肌肉与力量和移动性之间存在相关性的证据。
有证据表明超声评估的肌肉特征与功能结果之间存在相关性。
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