The Predictive and Prognostic Value of Percentage Change in Calf Circumference in Infants and Children During the First Week of Admission in the Pediatric Intensive Care Unit: A Prospective Cohort Study.
| Autor: | Taha, Marwa, nael maslamani, Abdalkareem, Atef Abdelsattar Ibrahim, Hoda |
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| Předmět: |
PREDICTIVE tests
PREPROCEDURAL fasting ARM circumference LEG DATA analysis CRITICALLY ill PATIENTS LOGISTIC regression analysis CALF muscles BODY weight CATASTROPHIC illness DESCRIPTIVE statistics MANN Whitney U Test HOSPITAL mortality PEDIATRICS HOSPITAL care of newborn infants LONGITUDINAL method INTENSIVE care units NUTRITIONAL status STATISTICS ARTIFICIAL respiration ANTHROPOMETRY CONFIDENCE intervals DATA analysis software LENGTH of stay in hospitals HOSPITAL care of children CHILDREN |
| Zdroj: | Clinical Pediatrics; Dec2024, Vol. 63 Issue 12, p1718-1726, 9p |
| Abstrakt: | Calf circumference (CC) is an easy measure of muscle loss; yet, there are limited studies in children. We aimed to assess the viability of the first-week percent change in CC as a prognostic nutritional marker. Two MUAC (mid-upper arm circumference), CC, and weight measurements were carried out: one on the first day of admission and another on the seventh day. The differences and correlations between their percent changes were examined. The possible association between CC percent change and prolonged length of hospital stay (PLOS) and in-hospital mortality was assessed. Seventy participants were enrolled with a median age of 19.5 months. The median (interquartile range [IQR]) of CC percent change was 0.54 (5.5) with significant correlations between it and each of MUAC and weight percent change (ρ = 0.928, P =.001), (ρ = 0.902, P =.001), respectively. Calf circumference percent changes were significantly more negative in children with PLOS; (P =.004). These changes seem to be viable measures of nutritional status. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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