Evaluación ultrasonográfica de la masa muscular del cuádriceps femoral en personas mayores de 60 o más años ingresados en la unidad de cuidados intensivos de una institución de salud de la ciudad de Manizales, Colombia
Tablas
- Autores:
- Tipo de recurso:
- Fecha de publicación:
- 2025
- Institución:
- Universidad de Caldas
- Repositorio:
- Repositorio Institucional U. Caldas
- Idioma:
- spa
- OAI Identifier:
- oai:repositorio.ucaldas.edu.co:ucaldas/22725
- Acceso en línea:
- https://repositorio.ucaldas.edu.co/handle/ucaldas/22725
- Palabra clave:
- 610 - Medicina y salud::618 - Ginecología, obstetricia, pediatría, geriatría
3. Ciencias Médicas y de la Salud
Masa muscular
Personas mayores
Ultrasonografía
Unidad de cuidado intensivo
Sarcopenia
Gerontología
- Rights
- License
- https://creativecommons.org/licenses/by-nc/4.0/
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| dc.title.none.fl_str_mv |
Evaluación ultrasonográfica de la masa muscular del cuádriceps femoral en personas mayores de 60 o más años ingresados en la unidad de cuidados intensivos de una institución de salud de la ciudad de Manizales, Colombia |
| title |
Evaluación ultrasonográfica de la masa muscular del cuádriceps femoral en personas mayores de 60 o más años ingresados en la unidad de cuidados intensivos de una institución de salud de la ciudad de Manizales, Colombia |
| spellingShingle |
Evaluación ultrasonográfica de la masa muscular del cuádriceps femoral en personas mayores de 60 o más años ingresados en la unidad de cuidados intensivos de una institución de salud de la ciudad de Manizales, Colombia 610 - Medicina y salud::618 - Ginecología, obstetricia, pediatría, geriatría 3. Ciencias Médicas y de la Salud Masa muscular Personas mayores Ultrasonografía Unidad de cuidado intensivo Sarcopenia Gerontología |
| title_short |
Evaluación ultrasonográfica de la masa muscular del cuádriceps femoral en personas mayores de 60 o más años ingresados en la unidad de cuidados intensivos de una institución de salud de la ciudad de Manizales, Colombia |
| title_full |
Evaluación ultrasonográfica de la masa muscular del cuádriceps femoral en personas mayores de 60 o más años ingresados en la unidad de cuidados intensivos de una institución de salud de la ciudad de Manizales, Colombia |
| title_fullStr |
Evaluación ultrasonográfica de la masa muscular del cuádriceps femoral en personas mayores de 60 o más años ingresados en la unidad de cuidados intensivos de una institución de salud de la ciudad de Manizales, Colombia |
| title_full_unstemmed |
Evaluación ultrasonográfica de la masa muscular del cuádriceps femoral en personas mayores de 60 o más años ingresados en la unidad de cuidados intensivos de una institución de salud de la ciudad de Manizales, Colombia |
| title_sort |
Evaluación ultrasonográfica de la masa muscular del cuádriceps femoral en personas mayores de 60 o más años ingresados en la unidad de cuidados intensivos de una institución de salud de la ciudad de Manizales, Colombia |
| dc.contributor.none.fl_str_mv |
Villada Gómez, Johan Sebastian Grupo de Investigación en Gerontología y Geriatría (Categoría A1) López Velasquez, Sebastián Dominguez, Jorge Hugo Gómez Montes, José Fernando |
| dc.subject.none.fl_str_mv |
610 - Medicina y salud::618 - Ginecología, obstetricia, pediatría, geriatría 3. Ciencias Médicas y de la Salud Masa muscular Personas mayores Ultrasonografía Unidad de cuidado intensivo Sarcopenia Gerontología |
| topic |
610 - Medicina y salud::618 - Ginecología, obstetricia, pediatría, geriatría 3. Ciencias Médicas y de la Salud Masa muscular Personas mayores Ultrasonografía Unidad de cuidado intensivo Sarcopenia Gerontología |
| description |
Tablas |
| publishDate |
2025 |
| dc.date.none.fl_str_mv |
2025-09-15T15:16:37Z 2025-09-15T15:16:37Z 2025-09-12 |
| dc.type.none.fl_str_mv |
Trabajo de grado - Especialización http://purl.org/coar/resource_type/c_7a1f Text info:eu-repo/semantics/bachelorThesis |
| dc.identifier.none.fl_str_mv |
https://repositorio.ucaldas.edu.co/handle/ucaldas/22725 Universidad de Caldas Repositorio Institucional Universidad de Caldas repositorio.ucaldas.edu.co |
| url |
https://repositorio.ucaldas.edu.co/handle/ucaldas/22725 |
| identifier_str_mv |
Universidad de Caldas Repositorio Institucional Universidad de Caldas repositorio.ucaldas.edu.co |
| dc.language.none.fl_str_mv |
spa |
| language |
spa |
| dc.relation.none.fl_str_mv |
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Mitochondrial respiratory chain disease discrimination by retrospective cohort analysis of blood metabolites. Mol Genet Metab. 2013 Sep;110(1–2):145–52. Madyaret D, Carbelo Á, Leidelén D, Sosa E, Rodríguez González C. Historia y desarrollo del ultrasonido en la Imagenología. Acta Médica del Centro [Internet]. 2019 Oct [cited 2024 Feb 22];13(4):601–15. Available from: https://www.medigraphic.com/pdfs/medicadelcentro/mec 2019/mec194o.pdf Ortega D, Solange Seguel T. Historia del ultrasonido: el caso chileno. Revista chilena de radiología [Internet]. 2004 [cited 2024 Feb 22];10(2):89–92. Available from: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717 93082004000200008&lng=en&nrm=iso&tlng=en B MU, Archana M, P DS, S NA, A T V. Applications of Ultrasound in Medical Science: A Review [Internet]. International Journal of Science and Research. 2013. Available from: www.ijsr.net Diaz Rodriguez N, Garrido Chamorro R, Castellano Alarcon J. 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Available from: https://www.minsalud.gov.co/sites/rid/lists/bibliotecadigital/ride/de/dij/resolucion-8430-de 1993.pdf Council for International Organizations of Medical Sciences, World Health Organization. International ethical guidelines for health-related research involving humans. 122 p. Departamento Administrativo De La Función Pública. Decreto Número 019 de 2012 [Internet]. 2012 [cited 2024 Mar 26]. Available from: https://scj.gov.co/sites/default/files/marco legal/Decreto%2019%20de%202012.pdf Lee SI, Huh JW, Hong SB, Koh Y, Lim CM. Age Distribution and Clinical Results of Critically Ill Patients above 65-Year-Old in an Aging Society: A Retrospective Cohort Study. Tuberc Respir Dis (Seoul). 2024 Jul 1;87(3):338–48. Mchenry RD, Quasim CEJ, Mackay T, And Pell DF, Mchenry RD, Scotstar M, et al. Association between socioeconomic status and outcomes in critical care: a systematic review and meta analysis. Crit Care Med [Internet]. 2023 Mar 2;51 (3):347–56. Available from: https://eprints.gla.ac.uk/293187/ Wu RY, Sung WH, Cheng HC, Yeh HJ. Investigating the rate of skeletal muscle atrophy in men and women in the intensive care unit: a prospective observational study. Sci Rep. 2022 Dec 1;12(1). Deutz NEP, Singer P, Wierzchowska-McNew RA, Viana M V., Ben-David IA, Pantet O, et al. Females have a different metabolic response to critical illness, measured by comprehensive amino acid flux analysis. Metabolism. 2023 May 1;142. Rajagopal K, Vijayan D, Thomas SM. Association of SOFA Score with Severity of Muscle Wasting in Critically Ill Patients: A Prospective Observational Study. Indian Journal of Critical Care Medicine. 2023 Oct 1;27(10):743–7. Turton P, Hay R, Taylor J, McPhee J, Welters I. Human limb skeletal muscle wasting and architectural remodeling during five to ten days intubation and ventilation in critical care - an observational study using ultrasound. BMC Anesthesiol. 2016 Nov 29;16(1). |
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Universidad de Caldas Facultad de Ciencias para la Salud Colombia, Caldas, Manizales Especialización Medicina Interna - Geriatría |
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Universidad de Caldas Facultad de Ciencias para la Salud Colombia, Caldas, Manizales Especialización Medicina Interna - Geriatría |
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Universidad de Caldas |
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Evaluación ultrasonográfica de la masa muscular del cuádriceps femoral en personas mayores de 60 o más años ingresados en la unidad de cuidados intensivos de una institución de salud de la ciudad de Manizales, Colombia610 - Medicina y salud::618 - Ginecología, obstetricia, pediatría, geriatría3. Ciencias Médicas y de la SaludMasa muscularPersonas mayoresUltrasonografíaUnidad de cuidado intensivoSarcopeniaGerontologíaTablasIntroducción A medida que las personas envejecen, aumenta la probabilidad de requerir hospitalización en la Unidad de Cuidados Intensivos (UCI), lo que eleva el riesgo de desarrollar síndromes geriátricos como la pérdida de masa muscular (sarcopenia). En la población mayor que permanece en UCI se observa una alta prevalencia de baja masa muscular esquelética, que puede alcanzar hasta el 51%. Objetivo Evaluar la variación de la masa muscular del cuádriceps femoral en personas de 60 años o más ingresadas en la Unidad de Cuidados Intensivos de una institución de salud. Metodología Se realizó un estudio observacional analítico con diseño antes-después. Se efectuó valoración ultrasonográfica de la masa muscular del cuádriceps femoral al ingreso y al séptimo día de estancia hospitalaria en pacientes de 60 años o más, con patologías médicas o quirúrgicas, admitidos y atendidos en la UCI del Hospital Departamental Santa Sofia de la ciudad de Manizales durante el periodo 2024–2025. Resultados Se evaluaron prospectivamente 50 pacientes en UCI entre 2024 y 2025, con predominio masculino (60%) y una mediana de edad de 72,5 años. Tras siete días de hospitalización, la masa muscular del cuádriceps femoral mostró reducciones significativas en todos los parámetros evaluados: 16,2% en el área de sección transversal del recto femoral, 14,6% en el grosor del cuádriceps femoral derecho, 20,2% en el izquierdo y 18,2% en el ángulo de penación. Los modelos multivariados identificaron factores asociados con mayor pérdida muscular: edad avanzada, sexo femenino, uso de hipoglucemiantes, mayor puntuación SOFA y menor índice de Barthel premórbido. De manera destacada, el análisis de correlación mostró que la gravedad de la disfunción orgánica (SOFA) se asoció de forma negativa e independiente con los parámetros musculares, particularmente con la arquitectura muscular al ingreso, mientras que la mortalidad en UCI (30%) se relacionó significativamente con un menor ángulo de penación.Introduction As people age, the likelihood of requiring hospitalization in the Intensive Care Unit (ICU) increases, which elevates the risk of developing geriatric syndromes such as loss of muscle mass (sarcopenia). Among older adults who remain in the ICU, a high prevalence of low skeletal muscle mass is observed, reaching up to 51%. Objective To evaluate the variation in quadriceps femoris muscle mass in individuals aged 60 years or older admitted to the Intensive Care Unit of a healthcare institution. Methodology An analytical observational study with a before-and-after design was conducted. Ultrasonographic assessment of quadriceps femoris muscle mass was performed at admission and on the seventh day of hospitalization in patients aged 60 years or older with medical or surgical conditions, admitted and cared for in the ICU of the Hospital Departamental Santa Sofia in the city of Manizales during the 2024–2025 period. Results A total of 50 ICU patients were prospectively evaluated between 2024 and 2025, with a male predominance (60%) and a median age of 72.5 years. After seven days of hospitalization, the quadriceps femoris muscle showed significant reductions across all evaluated parameters: 16.2% in rectus femoris cross-sectional area, 14.6% in right quadriceps femoris thickness, 20.2% in left quadriceps femoris thickness, and 18.2% in pennation angle. Multivariable models identified factors associated with greater muscle loss: advanced age, female sex, use of hypoglycemic agents, higher SOFA score, and lower premorbid Barthel Index. Notably, correlation analysis revealed that the severity of organ dysfunction (SOFA) was independently and negatively associated with muscle parameters, particularly with muscle architecture at admission, while ICU mortality (30%) was significantly associated with a lower pennation angle.Información general del proyecto -- Resumen -- Planteamiento del problema -- Justificación -- Marco conceptual -- Marco teórico -- Antecedentes históricos -- Antecedentes clínicos -- Pérdida de masa muscular -- Ecografía muscular -- Objetivos -- Objetivo general -- Objetivos específicos -- Planteamiento de hipótesis -- Metodología -- Enfoque investigativo -- Diseño y tipo de estudio -- Población de estudio -- Diseño muestral -- Criterios de selección -- Criterios de inclusión -- Criterios de exclusión -- Variables del estudio -- Recolección de información -- Proceso de recolección de la información -- Control de errores y sesgos -- Procedimientos -- Protocolo del ultrasonido institucional -- Toma de medidas -- Técnicas de procesamiento -- Plan de análisis estadístico -- Aspectos éticos -- Resultados -- Características demográficas y clínicas -- Mediciones de masa muscular del cuádriceps femoral al ingreso y a los 7 días de estancia UCI -- Distribución de las mediciones musculares -- Variación en las mediciones de la masa muscular del cuádriceps femoral -- Distribución absoluta y porcentual de los cambios de la masa muscular del cuádriceps femoral a los 7 días de estancia UCI -- Correlación entre el cambio en la masa muscular del cuádriceps femoral y los aspectos clínicos del paciente -- Análisis multivariado de la regresión cuantílica -- Discusión -- Fortalezas y limitaciones metodológicas -- Conclusiones -- Anexos -- BibliografíaEspecializaciónSe desarrolló un estudio enmarcado en el paradigma empírico-analítico, en el cual se emplearon herramientas matemáticas, especialmente de tipo estadístico, aplicadas a la epidemiología clínica. El enfoque utilizado fue predominantemente cuantitativo. Diseño y tipo de estudio Se utilizó un diseño epidemiológico observacional de intención analítica, tipo antes y después, con el objetivo de evaluar la variación en la masa muscular del cuádriceps femoral al ingreso hospitalario y tras 7 días de estancia. No se realizó ningún tipo de intervención ni modificación en la atención habitual del paciente; únicamente se efectuaron dos mediciones transversales de las variables de estudio. Población de estudio Pacientes de 60 años o más, con patologías médicas o quirúrgicas, admitidos en la Unidad de Cuidados Intensivos (UCI) del Hospital Departamental Santa Sofía de Manizales durante el periodo 2024-2025. Diseño Muestral Se realizó una búsqueda en los registros de historias clínicas de personas mayores de 60 o más años, admitidos y atendidos por patologías médicas o quirúrgicas en la Unidad de Cuidados Intensivos del Hospital Departamental Santa Sofía, en la ciudad de Manizales, durante el período comprendido entre el 6 de diciembre de 2024 y el 30 de mayo de 2025. Para la selección de las unidades de análisis se utilizó una muestra censal, aplicando posteriormente un muestreo por cuotas (69), conforme a los criterios de inclusión establecidos por el estudio, relacionados principalmente con la edad y las condiciones médicas específicas del paciente hospitalizado en la UCI.Especialista Medicina Interna - GeriatríaUniversidad de CaldasFacultad de Ciencias para la SaludColombia, Caldas, ManizalesEspecialización Medicina Interna - GeriatríaVillada Gómez, Johan SebastianGrupo de Investigación en Gerontología y Geriatría (Categoría A1)López Velasquez, SebastiánDominguez, Jorge HugoGómez Montes, José FernandoZarate Herran, Nestor Julian2025-09-15T15:16:37Z2025-09-15T15:16:37Z2025-09-12Trabajo de grado - Especializaciónhttp://purl.org/coar/resource_type/c_7a1fTextinfo:eu-repo/semantics/bachelorThesis96 páginasapplication/pdfapplication/pdfapplication/pdfapplication/pdfhttps://repositorio.ucaldas.edu.co/handle/ucaldas/22725Universidad de CaldasRepositorio Institucional Universidad de Caldasrepositorio.ucaldas.edu.cospaOrganización mundial de la salud. 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