CT, MuscleSound, Ultrasound
Conditions
Brief summary
The purpose of this study is to test whether ultrasound images (pictures) can be used as a valid assessment of muscle quality in different muscle groups during Intensive Care stay. This new approach would allow clinicians to obtain frequent skeletal muscle images and would enable doctors to observe any changes over time in muscle quality that could occur during ICU stay. Participants in this study will have ultrasound images made of their leg-, chest- and jaw muscles taken on every day until ICU discharge.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* admission Duke Trauma center, SICU, MICU, or CT ICU * \>18 years of age
Exclusion criteria
* \<18 years of age * prisoners
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Muscle Quality from the rectus femoris, vastus lateralis, intermedius, intercostalis, temporalis and styloglossus | Minimum of every other day while in ICU (up to 10 days). Once discharged from ICU minimum of 3x a week until discharge (up to 3 weeks) | Ultrasound-derived area of intramuscular adipose tissue (IMAT) and intramuscular glycogen content from the rectus femoris, vastus lateralis, intermedius, intercostalis, temporalis and styloglossus |
| Muscle volume and thickness from the rectus femoris, vastus lateralis, intermedius, intercostalis, temporalis and styloglossus | Minimum of every other day while in ICU (up to 10 days). Once discharged from ICU minimum of 3x a week until discharge (up to 3 weeks) | Ultrasound-derived volume and thicknessfrom the rectus femoris, vastus lateralis, intermedius, intercostalis, temporalis and styloglossus |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes of Intramuscular adipose tissue (IMAT) content and muscle volume/thickness from the psoas at the Level of L3/L4 | Up to 1 year | the change over time of (standard of care) CT-derived area of intramuscular adipose tissue in cm2 |
| Changes of Intramuscular adipose tissue (IMAT) content and muscle volume/thickness from the intercostal muscle at the Level of Th3/Th4 | Up to 1 year | the change over time of (standard of care) CT-derived area of intramuscular adipose tissue in cm2 |
| Changes of Intramuscular adipose tissue (IMAT) content and muscle volume/thickness from the intercostal muscle at the Level of the head | Up to 1 year | the change over time of (standard of care) CT-derived area of intramuscular adipose tissue in cm2 |
Countries
United States