Association of the Adductor Pollicis Muscle Thickness With Clinical Outcomes in Intensive Care Unit Patients

Ghorabi, Sima; Ardehali, Seyed Hossein; Amiri, Zohreh; Shariatpanahi, Zahra Vahdat

doi:10.1177/0884533615621547

Cited by 31 publications

(41 citation statements)

References 12 publications

(19 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Likewise, Bragnolo et al 27 showed that postoperative mortality was 25% higher in patients with APMT below the cut-off point considered for dominant hand in the older patients <12.2mm (women) and <14.4mm for men and Ghorabi et.al 30 in patients from intensive care unit, 11.12 ± 2 mm in the patients who died and 16.7 ± 2.2 mm in those who survived (P = .05).…”

Section: Discussionmentioning

confidence: 91%

Nutritional Predictors of Mortality after Discharge in Older Patients with type 2 Diabetes

Beretta

Silva

Feldman

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Older patient with type 2 diabetes (T2D) and malnutrition have a greater chance of negative events during hospitalization and a higher risk of mortality. The aim of this study was to investigate nutritional markers as mortality predictors following discharge hospitalized older patients with T2D. Methods: This is a prospective cohort study with follow-up of four years. All patients were subjected to Mini Assessment Nutrition, Subjective Global Assessment, calf circumference, arm circumference and adductor pollicis muscle thickness, obtained all within 48 h of admission. Mortality data were verified by medical registry and analyzed using Cox-proportional hazard models and survival curves. Results: 311 patients were included; the mean age was 71.35 years. There were 113 (36.3 %) deaths in the follow-up period. Nutritional status evaluated according to BMI identified 54.5% (n = 168) were overweight, for other hand the MAN identified 45.7% of patients were at risk of malnutrition and 37.7% malnutrition and the SGA identify 61.7% (n = 192) presented normal nutrition in admission. Malnutrition patients (OR=2.02), with low calf circumference (OR=1.43) or with APMT less than 5th percentile (2.33) were associated with post-discharge mortality. Conclusion: Malnutrition, reduced calf circumference and reduced APMT were nutritional predictors of mortality after hospital discharge in older patients with diabetes

show abstract

Section: Discussionmentioning

confidence: 91%

Nutritional Predictors of Mortality after Discharge in Older Patients with type 2 Diabetes

Beretta

Silva

Feldman

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…The reason for selecting the APM thickness as a malnutrition index is that its measurement is easy and fast and has a well-defined anatomical position [9]. Two studies have shown that the APM thickness is associated with mortality in the ICU [10, 11]. The first was conducted on 248 medical and surgical patients in a tertiary care ICU.…”

Section: Discussionmentioning

confidence: 99%

“…Evaluation of thicknesses of other muscles such as triceps requires subcutaneous fat measurement and a use of a formula for calculation [9]. Two studies have reported that the APM thickness on the day of admission predicts morbidity and mortality in critically ill patients [10, 11]. If APM thickness at the time of ICU admission is sensitive to predicting outcomes, then incorporating it directly into the predictive scoring models like APACHE II and III may increase the predictive value of these models.…”

Section: Introductionmentioning

confidence: 99%

Combination of APACHE Scoring Systems with Adductor Pollicis Muscle Thickness for the Prediction of Mortality in Patients Who Spend More Than One Day in the Intensive Care Unit

Nematifard

Ardehali

Shahbazi

et al. 2018

Critical Care Research and Practice

Self Cite

View full text Add to dashboard Cite

Background The objective of the present study was to compare the ability of Acute Physiology and Chronic Health Evaluation (APACHE) scoring systems with the combination of an anthropometric variable score “adductor pollicis muscle (APM) thickness” to the APACHE systems in predicting mortality in the intensive care unit. Methods A prospective observational study was conducted with the APM thickness in the dominant hand, and APACHE II and III scores were measured for each patient upon admission. Given scores for the APM thickness were added to APACHE score systems to make two composite scores of APACHE II-APM and APACHE III-APM. The accuracy of the two composite models and APACHE II and III systems in predicting mortality of patients was compared using the area under the ROC curve. Results Three hundred and four patients with the mean age of 54.75 ± 18.28 years were studied, of which 96 (31.57%) patients died. Median (interquartile range) of APACHE II and III scores was 15 (12–20) and 47 (33–66), respectively. Median (interquartile range) of APM thickness was 15 (12–17) mm, respectively. The area under the ROC curves for the prediction of mortality was 0.771 (95% CI: 0.715–0.827), 0.802 (95% CI: 0.751–0.854), 0.851 (95% CI: 0.807–0.896), and 0.865 (95% CI: 0.822–0.908) for APACHE II, APACHE III, APACHE II-APM, and APACHE III-APM, respectively. Conclusion Although improvements in the area under ROC curves were not statistically significant when the APM thickness added to the APACHE systems, but the numerical value added to AUCs are considerable.

show abstract

“…Some inflammatory parameters, such as IL‐6, are an integral part of the nutrition assessment score for intensive care patients (Nutrition Risk in Critically Ill [NUTRIC] score), which needs to be validated prospectively 77 . Recent clinical studies have shown an association between muscle mass measured by different techniques and survival of ICU patients 78 , 79 . Plank 80 reported the derangements in body composition of 33 patients (21 with trauma and 12 with peritonitis) over a 3‐week period from soon after admission to the ICU.…”

Section: Clinical Consequencesmentioning

confidence: 99%

Role of Nutrition Support in Inflammatory Conditions

Lheureux

Preiser

2017

Nut in Clin Prac

View full text Add to dashboard Cite

This review intends to summarize recent development on the potential nutrition implications of acute inflammation encountered during critical illness. Different aspects of the inflammatory response and their impact on nutrition management during critical illness will be discussed: the timing of the postinjury metabolic response, the integration of regulatory mechanisms involved in the metabolic response to stress, the oxidative stress, the metabolic and clinical consequences in terms of energy expenditure, use of energy, changes in body composition, and behavior.

show abstract

Association of the Adductor Pollicis Muscle Thickness With Clinical Outcomes in Intensive Care Unit Patients

Abstract: The results showed that APMT is a low-cost, reliable, and easy method to assess nutrition status and to predict the patient's outcomes in the ICU.

Cited by 31 publications

References 12 publications

Nutritional Predictors of Mortality after Discharge in Older Patients with type 2 Diabetes

Nutritional Predictors of Mortality after Discharge in Older Patients with type 2 Diabetes

Combination of APACHE Scoring Systems with Adductor Pollicis Muscle Thickness for the Prediction of Mortality in Patients Who Spend More Than One Day in the Intensive Care Unit

Role of Nutrition Support in Inflammatory Conditions

Contact Info

Product

Resources

About