Deuda calórica y pérdida de masa muscular medida por ultrasonografía en pacientes adultos ingresados en uci de un hospital de Manizales durante el primer semestre del 2021.

dc.contributorGonzalez-Correa, Clara Helena
dc.creatorMENESES RIASCOS, LUIS ALBERTO
dc.creatorAguirre Flórez, Diana Carolina
dc.date2022-06-15T00:06:30Z
dc.date2022-06-15T00:06:30Z
dc.date2022-06-14
dc.date.accessioned2023-09-06T18:28:23Z
dc.date.available2023-09-06T18:28:23Z
dc.identifierhttps://repositorio.ucaldas.edu.co/handle/ucaldas/17795
dc.identifierUniversidad de Caldas
dc.identifierRepositorio Institucional Universidad de Caldas
dc.identifierhttps://repositorio.ucaldas.edu.co/
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8697895
dc.descriptionIlustraciones, fotos
dc.descriptionspa:Los pacientes críticos frecuentemente presentan atrofia muscular, lo cual se asocia con aumento de la mortalidad y mayor tiempo de recuperación lo que disminuye su calidad de vida. La evaluación ultrasonográfica del cuádriceps femoral puede constituir una herramienta de fácil acceso para evaluar esta atrofia muscular. Objetivo: evaluar la asociación de la deuda calórica y la pérdida de masa muscular medida mediante ultrasonografía. Métodos: Estudio de cohortes. Se realizaron mediciones en 101 pacientes con una estancia no inferior a 7 días en la UCI. El espesor del músculo recto femoral se midió en el mismo punto de referencia los días 0, 3, 5 y 7 de estancia hospitalaria. Se calculó la meta calórica y su respectivo déficit según los parámetros incluidos en las guías internacionales de soporte nutricional en UCI. Resultados: Se realizaron 404 mediciones de espesor del músculo recto femoral por ultrasonido. El grosor del músculo cuádriceps femoral disminuyó más del 20% durante la primera semana después de la admisión en la UCI. No se encontraron diferencias estadísticamente significativas en el grupo de expuestos y no expuestos (deuda calórica mayor al 20% o menor respectivamente) con respecto a la pérdida de masa muscular. Conclusiones: No se encontró asociación entre la deuda calórica y la pérdida de masa muscular medida por ultrasonografía en el músculo recto femoral en los pacientes ingresados a la UCI. No fue posible establecer un punto de corte en el que la deuda calórica se asocie con una mayor disminución del diámetro del músculo recto femoral.
dc.descriptioneng:Critically ill patients frequently present muscle atrophy, which is associated with increased mortality and longer recovery time, which decreases their quality of life. Ultrasonographic evaluation of the quadriceps femoris can be an easily accessible tool to evaluate this muscular atrophy. Objective: to evaluate the association between caloric debt and muscle mass loss measured by ultrasonography. Methods: Cohort study. Measurements were made in 101 patients with a stay of no less than 7 days in the ICU. Rectus femoris muscle thickness was measured at the same reference point on days 0, 3, 5, and 7 of hospital stay. The caloric goal and its respective deficit were calculated according to the parameters included in the international guidelines for nutritional support in the ICU. Results: 404 thickness measurements of the rectus femoris muscle were performed by ultrasound. Quadriceps femoris muscle thickness decreased by more than 20% during the first week after ICU admission. No statistically significant differences were found in the exposed and unexposed groups (calorie debt greater than 20% or less, respectively) with respect to muscle mass loss. Conclusions: No association was found between caloric debt and muscle mass loss measured by ultrasonography in the rectus femoris muscle in patients admitted to the ICU. It was not possible to establish a cut-off point at which caloric debt is associated with a greater decrease in the diameter of the rectus femoris muscle.
dc.descriptionAgradecimientos / Resumen estructurado / Lista de abreviaturas / 1. Introducción / 2. Antecedentes / 2.1 Inestabilidad hemodinámica y catabolismo / 2.2 Malnutrición y mortalidad / 2.3 Relación consumo calórico y mortalidad /2.4 Pérdida de masa muscular en el paciente critico / 2.5 Uso de ultrasonografía para medición de masa muscular / 2.6 Selección de grupo muscular para medición ecográfica / 2.7 Protocolos para medición de masa muscular / 2.8 Fiabilidad de mediciones por ultrasonido / 3. Planteamiento del problema y justificación / 5 4. Objetivos / 5 Objetivo general / 5.2 Objetivos específicos / 6. Metodología / 6.1 Diseño y población / 6.2 Materiales y métodos / 6.3 Población objeto / 6.4 Muestra / 6.5 Criterios de inclusión / 6.5 Criterios de exclusión / 6.6 Metodología estadística / 7. Resultados / 8. Discusión / 9. Fortalezas y limitaciones / 10. Conclusiones / 11. Financiamiento / 12. Conflictos de interés / 13. Anexos y figuras / 14. Referencias bibliográficas
dc.descriptionEspecialización
dc.descriptionEspecialista en Epidemiología
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dc.languageeng
dc.languagespa
dc.publisherFacultad de Ciencias para la Salud
dc.publisherManizales
dc.publisherEspecialización en Epidemiología
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dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightshttp://purl.org/coar/access_right/c_abf2
dc.subjectPérdida de masa muscular
dc.subjectUltrasonografía
dc.subjectUnidad de cuidados intensivos
dc.subjectMeta calórica
dc.subjectMúsculo cuádriceps
dc.subjectCiencias médicas
dc.subjectEpidemiología
dc.titleDeuda calórica y pérdida de masa muscular medida por ultrasonografía en pacientes adultos ingresados en uci de un hospital de Manizales durante el primer semestre del 2021.
dc.typeTrabajo de grado - Especialización
dc.typehttp://purl.org/coar/resource_type/c_bdcc
dc.typeText
dc.typeinfo:eu-repo/semantics/masterThesis
dc.typeinfo:eu-repo/semantics/publishedVersion


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