Validation of bedside ultrasound to predict lumbar muscle area in the computed tomography in 200 non-critically ill patients: The USVALID prospective study

Fischer, Andreas; Hertwig, Anatol; Hahn, R; Anwar, Mochamad; Siebenrock, Timo; Pesta, Maximilian; Liebau, Konstantin; Timmermann, Isabel; Brugger, Jonas; Posch, Martin; Ringl, Helmut; Tamandl, Dietmar; Hiesmayr, M.; Laggner, Anton N.; Roth, Dominik von; Zielinski, Christoph; Jäger, Ulrich; Staudinger, Thomas; Schellongowski, Peter; Lang, Irene; Gottsauner‐Wolf, Michael; Mascherbauer, Julia; Heinz, Gottfried; Oberbauer, Rainer; Trauner, Michael; Ferlitsch, Arnulf; Zauner, Christian; Husslein, Peter; Krepler, P; Shariat, Shahrokh F.; Gnant, Michael; Sahora, Klaus; Laufer, Günther; Taghavi, Shahrokh; Huk, Ihor; Radtke, Christine; Markstaller, Klaus; Rössler, Bernhard; Schaden, Eva; Bacher, Andreas; Faybik, Peter; Ullrich, Roman; Plöchl, Walter; Ihra, Gerald; Schäfer, Bruno; Mouhieddine, M.; Neugebauer, Thomas; Steinlechner, Barbara; Schiferer, Arno; Tschernko, Edda

doi:10.1016/j.clnu.2022.01.034

Cited by 9 publications

(12 citation statements)

References 26 publications

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“…Bury et al 86 explored its use to assess short‐term substantial changes in quadriceps muscle layer thickness in critically ill surgical patients. In a study including patients in the surgical and medical ward, a single ultrasound measuring point at the thigh (ie, muscle thickness) plus sex, weight, and height were used in a model to predict CT‐assessed muscle mass (at the L3 level) 87 …”

Section: Assessing Malnutrition: a Focus On Novel And Nascent Methodsmentioning

confidence: 99%

Section: Assessing Malnutrition: a Focus On Novel And Nascent Methodsmentioning

confidence: 99%

“…In a study including patients in the surgical and medical ward, a single ultrasound measuring point at the thigh (ie, muscle thickness) plus sex, weight, and height were used in a model to predict CT-assessed muscle mass (at the L3 level). 87 Notably, although there is a growing interest in using ultrasound as an indirect marker of muscle glycogen concentration (from echogenicity), its validity is questionable. We refer the reader to another publication discussing this issue.…”

Section: Ultrasoundmentioning

confidence: 99%

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Nascent to novel methods to evaluate malnutrition and frailty in the surgical patient

Prado

Ford

Gonzalez

et al. 2022

J Parenter Enteral Nutr

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Preoperative nutrition status is an important determinant of surgical outcomes, yet malnutrition assessment is not integrated into all surgical pathways. Given its importance and the high prevalence of malnutrition in patients undergoing surgical procedures, preoperative nutrition screening, assessment, and intervention are needed to improve postoperative outcomes. This narrative review discusses novel methods to assess malnutrition and frailty in the surgical patient. The Global Leadership Initiative for Malnutrition (GLIM) criteria are increasingly used in surgical settings although further spread and implementation are strongly encouraged to help standardize the diagnosis of malnutrition. The use of body composition (ie, reduced muscle mass) as a phenotypic criterion in GLIM may lead to a greater number of patients identified as having malnutrition, which may otherwise be undetected if screened by other diagnostic tools. Skeletal muscle loss is a defining criterion of malnutrition and frailty. Novel direct and indirect approaches to assess muscle mass in clinical settings may facilitate the identification of patients with or at risk for malnutrition. Selected imaging techniques have the additional advantage of identifying myosteatosis (an independent predictor of morbidity and mortality for surgical patients). Feasible pathways for screening and assessing frailty exist and may determine the cost/benefit of surgery, long‐term independence and productivity, and the value of undertaking targeted interventions. Finally, the evaluation of nutrition risk and status is essential to predict and mitigate surgical outcomes. Nascent to novel approaches are the future of objectively identifying patients at perioperative nutrition risk and guiding therapy toward optimal perioperative standards of care.

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Section: Assessing Malnutrition: a Focus On Novel And Nascent Methodsmentioning

confidence: 99%

Section: Assessing Malnutrition: a Focus On Novel And Nascent Methodsmentioning

confidence: 99%

Section: Ultrasoundmentioning

confidence: 99%

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Nascent to novel methods to evaluate malnutrition and frailty in the surgical patient

Prado

Ford

Gonzalez

et al. 2022

J Parenter Enteral Nutr

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“…51,76,77 Ultrasound is an additional tool that can measure muscle mass and quality by echogenicity; however, its use in presurgical populations has not been fully explored. 51,78 Bioelectrical impedance analysis does not measure muscle mass directly but is used to estimate fat mass and fat-free mass (a composite of skeletal and nonskeletal muscle, organs, connective tissue and bone) and is considered a practical, low cost, reproducible clinical tool. 74,79 Additionally, phase angle, derived from raw measurements of resistance and reactance obtained by bioelectrical impedance analysis, is reflective of cell membrane integrity, associated with muscle mass function, 80 and predictive of postoperative complications.…”

Section: Reserve Deficits: Musclementioning

confidence: 99%

“…Sarcopaenia‐specific screening tools such as SARC‐F (muscle function) or SARC‐CalF (muscle mass and function) have been found to perform satisfactorily in older adults but have not been fully explored and validated in presurgical patients 51,76,77 . Ultrasound is an additional tool that can measure muscle mass and quality by echogenicity; however, its use in presurgical populations has not been fully explored 51,78 . Bioelectrical impedance analysis does not measure muscle mass directly but is used to estimate fat mass and fat‐free mass (a composite of skeletal and non‐skeletal muscle, organs, connective tissue and bone) and is considered a practical, low cost, reproducible clinical tool 74,79 .…”

Section: Biological and Physiological Variables That Influence Functi...mentioning

confidence: 99%

Tailoring prehabilitation to address the multifactorial nature of functional capacity for surgery

Gillis

Martinez

Mina

2022

J Human Nutrition Diet

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Mounting evidence suggests that recovery begins before the surgical incision. The presurgery phase of recovery, namely the preparation for optimal surgical recovery, can be reinforced with prehabilitation. Prehabilitation is the approach of enhancing the functional capacity of the individual to enable them to withstand a stressful event. With this narrative review, we apply the Wilson and Cleary conceptual model of patient outcomes to specify the complex and integrative relationship of health factors that limit functional capacity before surgery. To have the greatest impact on patient outcomes, prehabilitation programs require individualised and coordinated care from medical, nutritional, psychosocial and exercise services.

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Ultrasound utilized by registered dietitians for body composition measurement, nutritional assessment, and nutritional management

Kokura

Nishioka²,

Maeda

et al. 2023

Clinical Nutrition ESPEN

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Validation of bedside ultrasound to predict lumbar muscle area in the computed tomography in 200 non-critically ill patients: The USVALID prospective study

Cited by 9 publications

References 26 publications

Nascent to novel methods to evaluate malnutrition and frailty in the surgical patient

Nascent to novel methods to evaluate malnutrition and frailty in the surgical patient

Tailoring prehabilitation to address the multifactorial nature of functional capacity for surgery

Ultrasound utilized by registered dietitians for body composition measurement, nutritional assessment, and nutritional management

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