神戸大学附属図書館デジタルアーカイブ
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学内刊行物
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https://hdl.handle.net/20.500.14094/90008912
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2024-06-02
05:21 集計
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90008912 (fulltext)
pdf
1.41 MB
57
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ファイル出力
メタデータID
90008912
アクセス権
open access
出版タイプ
Accepted Manuscript
タイトル
Ultrasound assessment of muscle mass has potential to identify patients with low muscularity at intensive care unit admission: A retrospective study
著者
Arai, Yuta ; Nakanishi, Nobuto ; Ono, Yuko ; Inoue, Shigeaki ; Kotani, Joji ; Harada, Masafumi ; Oto, Jun
著者名
Arai, Yuta
研究者ID
1000020793376
著者名
Nakanishi, Nobuto
中西, 信人
ナカニシ, ノブト
所属機関名
医学部附属病院
著者ID
A2831
研究者ID
1000000745333
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=edbd72e02c5642c6520e17560c007669
著者名
Ono, Yuko
大野, 雄康
オオノ, ユウコウ
所属機関名
医学部附属病院
著者ID
A2411
研究者ID
1000030582209
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=34321d03fcf61f45520e17560c007669
著者名
Inoue, Shigeaki
井上, 茂亮
イノウエ, シゲアキ
所属機関名
医学研究科
著者ID
A2203
研究者ID
1000080360270
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=9b726c89fbdb9260520e17560c007669
著者名
Kotani, Joji
小谷, 穣治
コタニ, ジョウジ
所属機関名
医学部附属病院
著者名
Harada, Masafumi
著者名
Oto, Jun
収録物名
Clinical Nutrition ESPEN
巻(号)
45
ページ
177-183
出版者
Elsevier
刊行日
2021-10
公開日
2022-11-01
抄録
Background & aims: Muscle mass is an important biomarker of survival from a critical illness; however, there is no widely accepted method for routine assessment of low muscularity at intensive care unit (ICU) admission. We hypothesize that ultrasound-based partial muscle mass assessments can reflect the trunk muscle mass. Therefore, we aimed to investigate whether ultrasound muscle mass measurements could reflect trunk muscle mass and identify patients with low muscularity. Methods: We performed a retrospective analysis of prospectively obtained ultrasound data at ICU admission. We included patients who underwent computed tomography (CT) imaging at the third lumbar vertebra (L3) within 2 days before and 2 days after ICU admission. Primary outcomes included the correlation between the femoral muscle mass measurements using ultrasound and the cross-sectional area (CSA) at L3 obtained by CT. Low muscularity was defined as a skeletal muscle index of 36.0 cm2/m2 for males and 29.0 cm2/m2 for females. Secondary outcomes included the correlation with the ultrasound measurements of the biceps brachii muscle mass and diaphragm thickness. Results: Among 133 patients, 89 underwent CT imaging, which included the L3. The patient mean age was 72 ± 13 years, and 60 patients (67%) were male. The correlation between the femoral muscle ultrasound and CT was ρ = 0.57 (p < 0.01, n = 89) and ρ = 0.48 (p < 0.01, n = 89) for quadriceps muscle layer thickness and rectus femoris muscle CSA, and these had the discriminative power to assess low muscularity, with the areas under the curve of 0.84 and 0.76, respectively. The ultrasound measurements of the biceps brachii muscle mass and diaphragm thickness were correlated with CT imaging [ρ = 0.57–0.60 (p < 0.01, n = 52) and ρ = 0.35 (p < 0.01, n = 79)]. Conclusions: Ultrasound measurements of muscle mass were correlated with CT measurements, and the measurements of femoral muscle mass were useful to assess low muscularity at ICU admission.
キーワード
Rectus femoris muscle
Muscle mass
Ultrasound
Computed tomography
Intensive care unit
カテゴリ
医学研究科
医学部附属病院
学術雑誌論文
権利
© 2021 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd.
This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
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資源タイプ
journal article
言語
English (英語)
eISSN
2405-4577
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関連情報
DOI
https://doi.org/10.1016/j.clnesp.2021.08.032
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