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Document Type

Original Article

Abstract

Background: Early prediction of prognosis of patients is important in critical care. ICUAW, It has been documented that there is an association between the aforementioned condition and the need for prolonged mechanical breathing as well as a lengthy stay in the intensive care unit (ICU). A potential technique to measure muscle thickness is ultrasound, which is noninvasive, frequently used in intensive care units. Objective: Evaluation of the prognostic value of rectus abdominis and rectus femoris muscles thickness guided by US in ICU patients and which of them undergoes more rapid changes and gives earlier prognosis. Patients and Methods: Seventy (70) patients admitted intensive care unit were enrolled. The thickness of rectus abdominis and rectus femoris muscles were measured using ultrasound at admission, 3rd and 7th days of admission. Clinical prognosis was measured using (APACHE II) scoring system at day of admission. Primary outcome of our study was evaluation of the prognostic value of rectus abdominis and rectus femoris muscles thickness guided by US in ICU patients. Secondary outcomes were assessing the association of degree of muscle wasting assessed by ultrasound, and ICU stay, need for mechanical ventilation, mortality incidence in ICU. Results: Lower mean value of rectus abdominal and rectus femoral muscle thickness was associated and negatively correlated with higher mean value of APACHE score, prolonged hospital stay and higher mortality rates. Conclusion: An accurate and practical quantitative technique that can be used to assess the morbidity and mortality risks in the intensive care unit is the thickness of the rectus abdominis and rectus femoris muscles as assessed by ultrasonography.

Keywords

Rectus Abdominis Muscle; Rectus Femoris Muscle; Ultrasound; Prognostic value

Subject Area

Anesthesiology

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