Impact of Muscle Changes Assessed by Ultrasonography on Muscle Strength and Functioning after ICU Discharge: A Systematic Review with Meta-Analysis.

Autor:	Barbosa FDS; Department of Family Health and Occupational Therapy, Faculty of Medicine, Federal University of Bahia, Salvador 40026-010, BA, Brazil.; Post-Graduate Program in Health Sciences, Federal University of Sergipe, Aracaju 49060-100, SE, Brazil., Nascimento BSS; Department of Physioterapy, Campus Lagarto, Federal University of Sergipe, Lagarto 49400-000, SE, Brazil., Silva MCFS; Department of Physioterapy, Campus Lagarto, Federal University of Sergipe, Lagarto 49400-000, SE, Brazil., Cerqueira TCF; Department of Physioterapy, Campus Lagarto, Federal University of Sergipe, Lagarto 49400-000, SE, Brazil., de Santana Filho VJ; Post-Graduate Program in Health Sciences, Federal University of Sergipe, Aracaju 49060-100, SE, Brazil.; Department of Physioterapy, Campus São Cristóvão, Federal University of Sergipe, São Cristóvão 49100-000, SE, Brazil.
Jazyk:	angličtina
Zdroj:	International journal of environmental research and public health [Int J Environ Res Public Health] 2024 Jul 11; Vol. 21 (7). Date of Electronic Publication: 2024 Jul 11.
DOI:	10.3390/ijerph21070908
Abstrakt:	Background: Ultrasonography has been used to identify structural, quantitative, and qualitative muscle changes. These changes have been assessed in different muscles during ICU stays; however, it is unclear if it can predict functioning after ICU discharge. Objective: To analyze the relationship between muscle changes assessed by ultrasonography and the strength and functioning of ICU survivors. Methods: A systematic review with a meta-analysis was performed according to the MOOSE guidelines and registered in PROSPERO. Searches of the following databases were performed by two of the authors: PubMed, Cinahl, Embase, Scopus, LILACS, Web of Science, and Science Direct. Qualitative analysis was performed using NOS and AHRQ scales. Meta-analysis was performed using the "R", "metafor" package. Heterogeneity was assessed by I2 and Cochran's Q test. Meta-regression analyses were performed to verify the moderators, and funnel plots and Egger's regression intercept test were used to analyze the publication bias. Results: Sixteen articles were included in the qualitative assessment, and nine were used in the quantitative assessment. There is evidence of correlations between MT and muscle strength (r = 0.20 [0.11; 0.27]; p < 0.0001), and MT (r = 0.35 [0.19; 0.49]; p < 0.0001), CSA (r = 0.30 [0.10; 0.47]; p = 0.0038), EI (r = -0.29 [-0.53; -0.01]; p = 0.043) and mobility. In the subgroup analyses, some evidence of a correlation between specific muscles and strength and mobility were found. Conclusions: There is evidence for the correlation between muscle characteristics assessed by US and functioning outcomes.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu