Diagnostic value of early bedside ultrasound measurement of quadriceps femoris on in-hospital mortality of septic patients

• Published in: Zhonghua wei zhong bing ji jiu yi xue Vol. 34; no. 10; p. 1060
• Main Authors: Hu, Qinghe, Sun, Peng, Zhang, Chunling, Xu, Hongying, Zhang, Cuicui, Chen, Lingzhi, Hao, Cuiping, Ma, Aiying
• Format: Journal Article
• Language: Chinese
• Published: China 01.10.2022
• ISSN: 2095-4352
• DOI: 10.3760/cma.j.cn121430-20220822-00773

To investigate the changes of quadriceps femoris thickness with the length of stay in intensive care unit (ICU) in patients with sepsis, and to evaluate the diagnostic value of muscle changes in mortality. A prospective study was conducted, and 92 patients with sepsis who were admitted to the ICU of the Affiliated Hospital of Jining Medical College from January 2020 to December 2021 were enrolled. The thickness of quadriceps femoris [including the quadriceps femoris muscle thickness at the midpoint of the anterior superior iliac spine and the upper edge of the patella (M-QMLT), and at the middle and lower 1/3 of the patella (T-QMLT)] measured by ultrasound 1 day (D1), 3 days (D3), and 7 days (D7) after admission to the ICU were collected. The atrophy rate of quadriceps femoris was calculated 3 and 7 days after admission to the ICU compared with 1 day [(D3-D1)/D1 and (D7-D1)/D1, (TD3-TD1)/TD1 and (TD7-TD1)/TD1, respectively]. The demographic information, underlying diseases, vital signs when admission to the I