Time course of the Bioelectrical Impedance Vector Analysis and muscular ultrasound in critically ill patients
Copyright © 2021 Elsevier Inc. All rights reserved..
PURPOSE: Several different tools have been developed to integrate the clinical and biochemical nutritional evaluations in critical care patients. Aims of this study were to evaluate the changes in the Bioelectrical Impedance Vector Analysis (BIVA) and ultrasonographic features of the diaphragm (DTee) and rectus femoris (RFCSA) during the first week of ICU stay.
MATERIALS AND METHODS: Ninety-six adult mechanically ventilated patients enrolled within 24 h after the admission to the ICU (T1). RFCSA and diaphragm end-expiratory thickness were measured, as well as BIVA parameters. Anthropometric data and biochemical parameters were collected. The measurements were repeated on the 3rd (T3) and 7th (T7) days of ICU stay.
RESULTS: During the study period, the phase angle significantly decreased by 21%, reactance by 27%, and resistance by 11%. Both RFCSA and DTee significantly decreased, while neither were correlated to any BIVA parameter. DTee was considerably higher in survivors vs. non-survivors.
CONCLUSIONS: Body composition is significantly modified after one week of ICU stay. BIVA may be useful in the definition of hydration state, while it does not seem to track muscle mass. Different temporal trends of specific BIVA and muscle ultrasound parameters were found in patients with high or low severity of illness.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:68 |
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| Enthalten in: |
Journal of critical care - 68(2022) vom: 15. Apr., Seite 89-95 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Formenti, Paolo [VerfasserIn] |
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| Links: |
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| Themen: |
Bioelectrical impedance vector analysis |
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| Anmerkungen: |
Date Completed 15.04.2022 Date Revised 15.04.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.jcrc.2021.11.014 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM334883741 |
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| 500 | |a Date Completed 15.04.2022 | ||
| 500 | |a Date Revised 15.04.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2021 Elsevier Inc. All rights reserved. | ||
| 520 | |a PURPOSE: Several different tools have been developed to integrate the clinical and biochemical nutritional evaluations in critical care patients. Aims of this study were to evaluate the changes in the Bioelectrical Impedance Vector Analysis (BIVA) and ultrasonographic features of the diaphragm (DTee) and rectus femoris (RFCSA) during the first week of ICU stay | ||
| 520 | |a MATERIALS AND METHODS: Ninety-six adult mechanically ventilated patients enrolled within 24 h after the admission to the ICU (T1). RFCSA and diaphragm end-expiratory thickness were measured, as well as BIVA parameters. Anthropometric data and biochemical parameters were collected. The measurements were repeated on the 3rd (T3) and 7th (T7) days of ICU stay | ||
| 520 | |a RESULTS: During the study period, the phase angle significantly decreased by 21%, reactance by 27%, and resistance by 11%. Both RFCSA and DTee significantly decreased, while neither were correlated to any BIVA parameter. DTee was considerably higher in survivors vs. non-survivors | ||
| 520 | |a CONCLUSIONS: Body composition is significantly modified after one week of ICU stay. BIVA may be useful in the definition of hydration state, while it does not seem to track muscle mass. Different temporal trends of specific BIVA and muscle ultrasound parameters were found in patients with high or low severity of illness | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Bioelectrical impedance vector analysis | |
| 650 | 4 | |a Critical illness | |
| 650 | 4 | |a Diaphragm | |
| 650 | 4 | |a Muscle ultrasound | |
| 650 | 4 | |a Phase angle | |
| 650 | 4 | |a Rectus femoris | |
| 700 | 1 | |a Coppola, Silvia |e verfasserin |4 aut | |
| 700 | 1 | |a Umbrello, Michele |e verfasserin |4 aut | |
| 700 | 1 | |a Froio, Sara |e verfasserin |4 aut | |
| 700 | 1 | |a Caccioppola, Alessio |e verfasserin |4 aut | |
| 700 | 1 | |a De Giorgis, Valentina |e verfasserin |4 aut | |
| 700 | 1 | |a Galanti, Valentina |e verfasserin |4 aut | |
| 700 | 1 | |a Lusardi, Andrea Clarissa |e verfasserin |4 aut | |
| 700 | 1 | |a Ferrari, Erica |e verfasserin |4 aut | |
| 700 | 1 | |a Noè, Donatella |e verfasserin |4 aut | |
| 700 | 1 | |a Carnier, Simone |e verfasserin |4 aut | |
| 700 | 1 | |a Folli, Franco |e verfasserin |4 aut | |
| 700 | 1 | |a Chiumello, Davide |e verfasserin |4 aut | |
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