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The risk of muscle wasting is high in the intensive care unit patients during the treatment process and this condition is associated with adverse clinical outcomes. The etiology of muscle wasting is multifactorial and medical nutrition therapy plays a key role in muscle wasting treatment and prevention. The aim of this study is assesing the malnutrition and fraility, anthropometric measurements, and muscle mass by ultrasound at the first admission to the intensive care unit and to determine the nutritional factors affecting clinical outcomes. In addition, it is planned to determine the risk factors affecting the change of anthropometric measurements and muscle wasting in the first week during the intensive care unit.
A nutrition-focused physical examination is an integral component in the assessment of critically ill patients. Malnutrition, muscle wasting, and frailty are multidimensional clinical conditions in critically ill patients and are associated with adverse outcomes. Although malnutrition, muscle wasting and frailty are linked, the exact relation between them is unsure. As a result of evaluating these conditions together, it is planned to develop new treatment strategies and to improve the clinical results of patients by determining the relationship between medical nutrition therapy.
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| Measure | Description | Time Frame |
|---|---|---|
| Changes in muscle cross-sectional area | Rectus femoris muscle cross-sectional area will be evaluated by ultrasound. | Baseline and 7 days |
| Changes in anthropometric measurements | Triceps skinfold thickness will be measured by caliper. | Baseline and 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of mechanical ventilation | Duration of mechanical ventilation in survivors and non survivors | Time of admission to the ICU until the time of discharge from the intensive care unit, up to 1 year |
| Mortality rate |
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Inclusion Criteria:
Exclusion Criteria:
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Critically ill patients aged between 45-80 years of both sexes
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| Name | Affiliation | Role |
|---|---|---|
| Ahmet Oguzhan Kucuk, MD | Karadeniz Technical University | Principal Investigator |
| Hulya Ulusoy, Professor | Karadeniz Technical University | Principal Investigator |
| Ayse Ozfer Ozcelik, Professor | Ankara University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Karadeniz Technical University Faculty of Health Sciences | Trabzon | Eyalet/Yerleşke | 61080 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D016638 | Critical Illness |
| D009748 | Nutrition Disorders |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009750 | Nutritional and Metabolic Diseases |
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ICU mortality
| Time of admission to the ICU until the time of discharge from the intensive care unit, up to 1 year |