Monitoring of muscle mass in critically ill patients : comparison of ultrasound and two bioelectrical impedance analysis devices

中西, 信人; ナカニシ, ノブト; Nakanishi, Nobuto; 堤, 理恵; ツツミ, リエ; Tsutsumi, Rie; オカヤマ, ヨシヒロ; オカヤマ, ヨシヒロ; Okayama, Yoshihiro; 髙島, 拓也; タカシマ, タクヤ; Takashima, Takuya; 上野, 義豊; ウエノ, ヨシトヨ; Ueno, Yoshitoyo; 板垣, 大雅; イタガキ, タイガ; Itagaki, Taiga; 堤, 保夫; ツツミ, ヤスオ; Tsutsumi, Yasuo; 阪上, 浩; サカウエ, ヒロシ; Sakaue, Hiroshi; 大藤, 純; オオトウ, ジュン; Oto, Jun

doi:https://doi.org/10.1186/s40560-019-0416-y

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Monitoring of muscle mass in critically ill patients : comparison of ultrasound and two bioelectrical impedance analysis devices

https://tokushima-u.repo.nii.ac.jp/records/2007478

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jintcare_7_61.pdf (966 KB)

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文献 / Documents(1)

公開日

2020-12-07

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open access

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http://purl.org/coar/resource_type/c_6501

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journal article

出版社版DOI

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DOI

関連名称

10.1186/s40560-019-0416-y

出版タイプ

VoR

出版タイプResource

http://purl.org/coar/version/c_970fb48d4fbd8a85

タイトル

Monitoring of muscle mass in critically ill patients : comparison of ultrasound and two bioelectrical impedance analysis devices

言語

著者

中西, 信人

ja	中西, 信人
ja-Kana	ナカニシ, ノブト
en	Nakanishi, Nobuto

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堤, 理恵

WEKO 428
徳島大学教育研究者総覧 207524/profile-ja.html
e-Rad 80510172

ja	堤, 理恵 ISNI
ja-Kana	ツツミ, リエ
en	Tsutsumi, Rie

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オカヤマ, ヨシヒロ

ja	オカヤマ, ヨシヒロ
ja-Kana	オカヤマ, ヨシヒロ
en	Okayama, Yoshihiro

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髙島, 拓也

WEKO 1516
徳島大学教育研究者総覧 393558/profile-ja.html

ja	髙島, 拓也 ISNI
ja-Kana	タカシマ, タクヤ
en	Takashima, Takuya

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上野, 義豊

WEKO 947
徳島大学教育研究者総覧 349361/profile-ja.html

ja	上野, 義豊 ISNI
ja-Kana	ウエノ, ヨシトヨ
en	Ueno, Yoshitoyo

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板垣, 大雅

WEKO 534
e-Rad 10464116

ja	板垣, 大雅 ISNI
ja-Kana	イタガキ, タイガ
en	Itagaki, Taiga

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堤, 保夫

WEKO 343
e-Rad 90523499

ja	堤, 保夫 ISNI
ja-Kana	ツツミ, ヤスオ
en	Tsutsumi, Yasuo

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阪上, 浩

WEKO 365
徳島大学教育研究者総覧 186826/profile-ja.html
e-Rad 60372645

ja	阪上, 浩 ISNI
ja-Kana	サカウエ, ヒロシ
en	Sakaue, Hiroshi

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大藤, 純

WEKO 1193
徳島大学教育研究者総覧 60684/profile-ja.html
e-Rad 40346606

ja	大藤, 純 ISNI
ja-Kana	オオトウ, ジュン
en	Oto, Jun

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内容記述タイプ

Abstract

内容記述

Background: Skeletal muscle atrophy commonly occurs in critically ill patients, and decreased muscle mass is associated with worse clinical outcomes. Muscle mass can be assessed using various tools, including ultrasound and bioelectrical impedance analysis (BIA). However, the effectiveness of muscle mass monitoring is unclear in critically ill patients. This study was conducted to compare ultrasound and BIA for the monitoring of muscle mass in critically ill patients.
Methods: We recruited adult patients who were expected to undergo mechanical ventilation for > 48 h and to remain in the intensive care unit (ICU) for > 5 days. On days 1, 3, 5, 7, and 10, muscle mass was evaluated using an ultrasound and two BIA devices (Bioscan: Malton International, England; Physion: Nippon Shooter, Japan). The influence of fluid balance was also evaluated between each measurement day.
Results: We analyzed 93 images in 21 patients. The age of the patients was 69 (interquartile range, IQR, 59–74) years, with 16 men and 5 women. The length of ICU stay was 11 days (IQR, 9–25 days). The muscle mass, monitored by ultrasound, decreased progressively by 9.2% (95% confidence interval (CI), 5.9–12.5%), 12.7% (95% CI, 9.3–16.1%), 18.2% (95% CI, 14.7–21.6%), and 21.8% (95% CI, 17.9–25.7%) on days 3, 5, 7, and 10 (p < 0.01), respectively, with no influence of fluid balance (r = 0.04, p = 0.74). The muscle mass did not decrease significantly in both the BIA devices (Bioscan, p = 0.14; Physion, p = 0.60), and an influence of fluid balance was observed (Bioscan, r = 0.37, p < 0.01; Physion, r = 0.51, p < 0.01). The muscle mass assessment at one point between ultrasound and BIA was moderately correlated (Bioscan, r = 0.51, p < 0.01; Physion, r = 0.37, p < 0.01), but the change of muscle mass in the same patient did not correlate between these two devices (Bioscan, r = − 0.05, p = 0.69; Physion, r = 0.23, p = 0.07).
Conclusions: Ultrasound is suitable for sequential monitoring of muscle atrophy in critically ill patients. Monitoring by BIA should be carefully interpreted owing to the influence of fluid change.

言語

キーワード

言語

主題Scheme

Other

主題

Muscle mass

キーワード

言語

主題Scheme

Other

主題

Ultrasound

キーワード

言語

主題Scheme

Other

主題

Bioelectrical impedance analysis

キーワード

言語

主題Scheme

Other

主題

Fluid balance

キーワード

言語

主題Scheme

Other

主題

Critically ill patients

書誌情報

en : Journal of Intensive Care

巻 7, p. 61, 発行日 2019-12-16

収録物ID

収録物識別子タイプ

ISSN

収録物識別子

20520492

出版者

BioMed Central

言語

出版者

Springer Nature

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権利情報

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権利情報

© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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361088

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eng

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Monitoring of muscle mass in critically ill patients : comparison of ultrasound and two bioelectrical impedance analysis devices

× 中西, 信人

× 堤, 理恵

× オカヤマ, ヨシヒロ

× 髙島, 拓也

× 上野, 義豊

× 板垣, 大雅

× 堤, 保夫

× 阪上, 浩

× 大藤, 純

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