Yk Yeo N, Aj Reddi B, Schultz CG, O'Connor SN, Chapman MJ, S Chapple LA. Early anthropometry, strength, and function in survivors of critical illness.
Aust Crit Care 2020;
34:33-37. [PMID:
32727702 DOI:
10.1016/j.aucc.2020.05.007]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2020] [Revised: 04/18/2020] [Accepted: 05/24/2020] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND
Critically ill patients experience acute muscle wasting and long-term functional impairments, yet this has been inadequately categorised early in recovery.
OBJECTIVE
This observational study aimed to evaluate anthropometry, strength, and muscle function after intensive care unit discharge.
METHODS
Adult patients able to complete study measures after prolonged intensive care unit stay (≥5 d) were eligible. Demographic and clinical data were collected, and bodyweight, height, triceps skinfold, trunk length, handgrip strength, 6-minute walk test, whole-body dual-energy x-ray absorptiometry, and mid-thigh, knee, and above-ankle circumferences were measured. Body cell mass was calculated from these data. Data are presented as mean (standard deviation) or median [interquartile range].
RESULTS
Fourteen patients (50% male; 57 [10.5] years) were assessed 11.1 (6.9) d after intensive care unit discharge. Patients lost 4.76 (6.66) kg in the intensive care unit. Triceps skinfold thickness (17.00 [8.65] mm) and handgrip strength (12.60 [8.57] kg) were lower than normative data. No patient could commence the 6-minute walk test. Dual-energy x-ray absorptiometry-derived muscle mass correlated with handgrip strength (R = 0.57; 95% confidence interval = 0.06-0.85; p = 0.03), but body cell mass did not.
CONCLUSIONS
Anthropometry and strength in intensive care unit survivors are below normal. Muscle mass derived from dual-energy x-ray absorptiometry correlates with handgrip strength but body cell mass does not.
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