Value of ultrasound in grading the severity of sarcopenia in patients with hepatic cirrhosis
Abstract Background Ultrasound is emerging as an efficient significant method for measuring muscle mass in patients with liver cirrhosis. It has been applied in numerous studies as an accurate measuring tool for the muscles of the limbs. This study was conducted to assess the severity of sarcopenia...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2021-12-01
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| Series: | The Egyptian Journal of Radiology and Nuclear Medicine |
| Online Access: | https://doi.org/10.1186/s43055-021-00638-3 |
| _version_ | 1797398087095812096 |
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| author | Heba Mahmoud Heba Kamal Nevien El-Liethy Mohamed Hassan Elham Said |
| author_facet | Heba Mahmoud Heba Kamal Nevien El-Liethy Mohamed Hassan Elham Said |
| author_sort | Heba Mahmoud |
| collection | DOAJ |
| description | Abstract Background Ultrasound is emerging as an efficient significant method for measuring muscle mass in patients with liver cirrhosis. It has been applied in numerous studies as an accurate measuring tool for the muscles of the limbs. This study was conducted to assess the severity of sarcopenia in liver cirrhosis patients, through utilizing ultrasound in measuring the cross-sectional area and consequently estimating the muscle mass of both the upper and lower limb muscles, than correlating the results with hand grip strength as representative of functional status. Also, the severity of sarcopenia was correlated with conventional prognostic scores for liver cirrhosis, like Child or MELD scores and detecting its effect on the duration of hospital stay and mortality. Results This study was conducted on 101 liver cirrhosis patients who were admitted to the internal medicine hospital, 30 healthy participants were added as a control group. Using the FNIH (Foundation for the national Institutes of health) cuff off of hand grip (< 26 kg in male and < 16 kg in female, Quadriceps muscle index cutoff was estimated to be(1.67 cm/m2 for male and 1.58 cm/m2 for female). Ultrasound (mid upper arm, mid-thigh and Quadriceps muscle index) showed significant indirect correlation with (Child even in Child A and MELD) scores, as well as with the duration of hospital stay. Also, they showed a direct correlation with HGS. Conclusion Sarcopenia in cirrhotic patients assessed by ultrasonography of (mid upper arm, mid-thigh muscle thickness) and HGS are independent predictors of disease severity and poor outcome, which is assessed by high Child and MELD scores. Also, ultrasound and HGS are straightforward bedside techniques used for assessment of sarcopenia. |
| first_indexed | 2024-03-09T01:20:37Z |
| format | Article |
| id | doaj.art-8f706a9b07ff44e4968fd0850a7188cb |
| institution | Directory Open Access Journal |
| issn | 2090-4762 |
| language | English |
| last_indexed | 2024-03-09T01:20:37Z |
| publishDate | 2021-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Radiology and Nuclear Medicine |
| spelling | doaj.art-8f706a9b07ff44e4968fd0850a7188cb2023-12-10T12:11:57ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine2090-47622021-12-0152111410.1186/s43055-021-00638-3Value of ultrasound in grading the severity of sarcopenia in patients with hepatic cirrhosisHeba Mahmoud0Heba Kamal1Nevien El-Liethy2Mohamed Hassan3Elham Said4Department of Internal medicine, Faculty of Medicine, Kasr Al-AiniDepartment of Diagnostic and Interventional Radiology, Faculty of Medicine, Kasr Al-AiniDepartment of Diagnostic and Interventional Radiology, Faculty of Medicine, Kasr Al-AiniDepartment of Internal medicine, Faculty of Medicine, Kasr Al-AiniDepartment of Internal medicine, Faculty of Medicine, Kasr Al-AiniAbstract Background Ultrasound is emerging as an efficient significant method for measuring muscle mass in patients with liver cirrhosis. It has been applied in numerous studies as an accurate measuring tool for the muscles of the limbs. This study was conducted to assess the severity of sarcopenia in liver cirrhosis patients, through utilizing ultrasound in measuring the cross-sectional area and consequently estimating the muscle mass of both the upper and lower limb muscles, than correlating the results with hand grip strength as representative of functional status. Also, the severity of sarcopenia was correlated with conventional prognostic scores for liver cirrhosis, like Child or MELD scores and detecting its effect on the duration of hospital stay and mortality. Results This study was conducted on 101 liver cirrhosis patients who were admitted to the internal medicine hospital, 30 healthy participants were added as a control group. Using the FNIH (Foundation for the national Institutes of health) cuff off of hand grip (< 26 kg in male and < 16 kg in female, Quadriceps muscle index cutoff was estimated to be(1.67 cm/m2 for male and 1.58 cm/m2 for female). Ultrasound (mid upper arm, mid-thigh and Quadriceps muscle index) showed significant indirect correlation with (Child even in Child A and MELD) scores, as well as with the duration of hospital stay. Also, they showed a direct correlation with HGS. Conclusion Sarcopenia in cirrhotic patients assessed by ultrasonography of (mid upper arm, mid-thigh muscle thickness) and HGS are independent predictors of disease severity and poor outcome, which is assessed by high Child and MELD scores. Also, ultrasound and HGS are straightforward bedside techniques used for assessment of sarcopenia.https://doi.org/10.1186/s43055-021-00638-3 |
| spellingShingle | Heba Mahmoud Heba Kamal Nevien El-Liethy Mohamed Hassan Elham Said Value of ultrasound in grading the severity of sarcopenia in patients with hepatic cirrhosis The Egyptian Journal of Radiology and Nuclear Medicine |
| title | Value of ultrasound in grading the severity of sarcopenia in patients with hepatic cirrhosis |
| title_full | Value of ultrasound in grading the severity of sarcopenia in patients with hepatic cirrhosis |
| title_fullStr | Value of ultrasound in grading the severity of sarcopenia in patients with hepatic cirrhosis |
| title_full_unstemmed | Value of ultrasound in grading the severity of sarcopenia in patients with hepatic cirrhosis |
| title_short | Value of ultrasound in grading the severity of sarcopenia in patients with hepatic cirrhosis |
| title_sort | value of ultrasound in grading the severity of sarcopenia in patients with hepatic cirrhosis |
| url | https://doi.org/10.1186/s43055-021-00638-3 |
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