association between nutritional risk status and both diaphragmatic dysfunction and diaphragm atrophy in medical intensive care unit patients Asociación entre el estado de riesgo nutricional y la disfunción diafragmática y la atrofia del diafragma en pacientes de la unidad de cuidados intensivos médicos

Inci K., Macit Aydın E., Aygencel G., Türkoğlu M.

Nutricion Hospitalaria, cilt.41, sa.2, ss.286-292, 2024 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 41 Sayı: 2
  • Basım Tarihi: 2024
  • Doi Numarası: 10.20960/nh.05011
  • Dergi Adı: Nutricion Hospitalaria
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, Fuente Academica Plus, CINAHL, Food Science & Technology Abstracts, MEDLINE, Directory of Open Access Journals, DIALNET
  • Sayfa Sayıları: ss.286-292
  • Anahtar Kelimeler: Diaphragm atrophy, Diaphragmatic dysfunction, Malnutrition risk, Mid-upper arm circumference, Nutritional risk screening
  • Gazi Üniversitesi Adresli: Evet

Özet

Aim: critical illness often leads to malnutrition and diaphragmatic dysfunction (DD), common in intensive care units (ICU). Ultrasonography (US) is a potent tool for detecting DD. This study examines the connection between malnutrition risk and DD in ICU patients using ultrasonographic diaphragm measurements in medical ICU patients. Methods: we assessed nutritional risk using risk screening tools and mid-upper arm circumference measurements (MUAC). Diaphragm atrophy (DA) and DD were evaluated by measuring diaphragmatic excursion (DE), thickness, and thickening fraction (TF) by US. We then compared these diaphragmatic measurements in patients based on their nutritional risk scores. Results: of the fifty patients studied, 54 % to 78 % were at risk of malnutrition, 28 % exhibited diaphragm atrophy (DA), and 24 % showed DD upon ICU admission. Malnutrition risk diagnosed by all nutritional risk screening tools was significantly more frequent in patients with DD, while diagnosed by MUAC was considerably higher in patients with DA. A total of 16 patients (32 %) died during their ICU stay, with DD, DA, and malnutrition risks (as identified by the mNUTRIC Score) being more prevalent among non-survivors (p < 0.05). Malnutrition risk (as determined by the mNUTRIC Score) was an independent risk factor for DD [OR (95 % CI): 6.6 (1.3-34), p = 0.03]. Conclusion: malnutrition risk may be significantly associated with DD and DA in medical ICU patients upon ICU admission.