<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2448-8909</journal-id>
<journal-title><![CDATA[Medicina crítica (Colegio Mexicano de Medicina Crítica)]]></journal-title>
<abbrev-journal-title><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></abbrev-journal-title>
<issn>2448-8909</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-89092023000400310</article-id>
<article-id pub-id-type="doi">10.35366/112164</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Riesgo nutricional y ultrasonido muscular en el paciente críticamente enfermo]]></article-title>
<article-title xml:lang="en"><![CDATA[Assessment of nutritional risk and muscle in critically ill patients]]></article-title>
<article-title xml:lang="pt"><![CDATA[Risco nutricional e ultrassom muscular no paciente em estado crítico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Real Poveda]]></surname>
<given-names><![CDATA[Héctor Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galindo Martín]]></surname>
<given-names><![CDATA[Carlos Alfredo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valles Guerrero]]></surname>
<given-names><![CDATA[Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital San Ángel Inn Universidad  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>37</volume>
<numero>4</numero>
<fpage>310</fpage>
<lpage>313</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092023000400310&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092023000400310&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092023000400310&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Se ha propuesto el uso de la escala nutritional risk in the critically ill (NUTRIC) como una herramienta para la valoración nutricional en el paciente crítico. Una de las principales desventajas es que dicha escala no considera variables críticas en la determinación de desnutrición como el desgaste muscular. El objetivo del presente estudio es evaluar la importancia del músculo valorado por ultrasonido del recto femoral y vasto intermedio, en conjunto con el riesgo nutricional por la escala NUTRIC en los resultados clínicos de pacientes críticamente enfermos. Se realizó ultrasonido muscular dentro de las primeras 48 horas de ingreso a pacientes adultos. A su vez se calculó el riesgo nutricional con la escala NUTRIC, y se dio seguimiento detectando mortalidad hospitalaria. Se incluyeron 43 pacientes, 21 presentaron riesgo nutricional (48.8%) sin mostrar diferencia en el grosor muscular. En el modelo de regresión ajustado por la escala NUTRIC, ventilación mecánica mayor de 48 horas, índice de masa corporal y grosor muscular, este último se mostró como un factor protector de mortalidad (OR: 0.21, IC 95%: 0.03-0.83). El presente estudio resalta la necesidad de una valoración integral considerando la masa muscular como variable cardinal en la detección de desnutrición en pacientes críticamente enfermos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Nutritional Risk in the critically ill score, it has been used like tool to asses nutritional state in critically ill patient. A mayor limitation of this score is that not include important variables in the assessment of malnutrition, like muscular wasting. The main goal of this study is to evaluate the relevance of the muscle, by measuring the femoral quadriceps, along with NUTRIC score of critically ill patients results. An ultrasound in the first 48 hours of admission to ICU was made plus NUTRIC score and a follow up detecting in-hospital mortality. We included 43 patients, with 21 with nutritional risk (48.8%) showing no difference in muscular thickness. The NUTRIC score adjusted regression model, mechanical ventilation longer than 48 hours, body weight index and muscular thickness. The muscular thickness shows as mortality protector factor (OR: 0.21, 95% CI: 0.03-0.83). This study remarks the need for integral assessment considering muscular mass as a main variable in the malnutrition detection in critically ill patients.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: A utilização da escala de Nutritional Risk in the Critically Ill tem sido proposta como uma ferramenta para avaliação nutricional em pacientes em estado crítico. Uma das principais desvantagens é que esta escala não considera variáveis críticas na determinação da desnutrição, como a perda de massa muscular. O objetivo do presente estudo é avaliar a importância do músculo, avaliado por ultrassom do reto femoral e vasto intermediário, em conjunto com o risco nutricional por NUTRIC score nos resultados clínicos de pacientes em estado crítico. O ultrassom muscular foi realizado nas primeiras 48 horas de internação em pacientes adultos. Paralelamente, calculou-se o risco nutricional pelo NUTRIC, bem como o seguimento detectando a mortalidade hospitalar. Incluíram-se 43 pacientes, 21 apresentando risco nutricional (48.8%) sem diferença na espessura muscular. No modelo de regressão ajustado pelo NUTRIC, ventilação mecânica maior a 48 horas, índice de massa corporal e espessura muscular, esta última se mostrou fator protetor para mortalidade (OR: 0.21, IC 95%: 0.03-0.83). Este estudo destaca a necessidade de uma avaliação abrangente considerando a massa muscular como uma variável cardinal na detecção de desnutrição em pacientes em estado crítico.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[escala NUTRIC]]></kwd>
<kwd lng="es"><![CDATA[ultrasonido]]></kwd>
<kwd lng="es"><![CDATA[cuádriceps femoral]]></kwd>
<kwd lng="es"><![CDATA[APACHE II]]></kwd>
<kwd lng="es"><![CDATA[SOFA]]></kwd>
<kwd lng="en"><![CDATA[NUTRIC score]]></kwd>
<kwd lng="en"><![CDATA[ultrasound]]></kwd>
<kwd lng="en"><![CDATA[femoral quadriceps]]></kwd>
<kwd lng="en"><![CDATA[APACHE II]]></kwd>
<kwd lng="en"><![CDATA[SOFA]]></kwd>
<kwd lng="pt"><![CDATA[NUTRIC score]]></kwd>
<kwd lng="pt"><![CDATA[ultrassom]]></kwd>
<kwd lng="pt"><![CDATA[quadríceps femoral]]></kwd>
<kwd lng="pt"><![CDATA[APACHE II]]></kwd>
<kwd lng="pt"><![CDATA[SOFA]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rahman]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Hasan]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Agarwala]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Martin]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Day]]></surname>
<given-names><![CDATA[AG]]></given-names>
</name>
<name>
<surname><![CDATA[Heyland]]></surname>
<given-names><![CDATA[DK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Identifying critically-ill patients who will benefit most from nutritional therapy: Further validation of the &#8220;modified NUTRIC&#8221; nutritional risk assessment tool]]></article-title>
<source><![CDATA[Clin Nutr]]></source>
<year>2016</year>
<volume>35</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>158-62</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Al-Kalaldeh]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Suleiman]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Al-Kalaldeh]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prognostic performance of NUTRIC score in quantifying malnutrition risk in the critically ill in congruence with the bioelectrical impedance analysis]]></article-title>
<source><![CDATA[Nutr Clin Pract]]></source>
<year>2020</year>
<volume>35</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>559-66</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[ZY]]></given-names>
</name>
<name>
<surname><![CDATA[Hasan]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Day]]></surname>
<given-names><![CDATA[AG]]></given-names>
</name>
<name>
<surname><![CDATA[Ng]]></surname>
<given-names><![CDATA[CC]]></given-names>
</name>
<name>
<surname><![CDATA[Ong]]></surname>
<given-names><![CDATA[SP]]></given-names>
</name>
<name>
<surname><![CDATA[Yap]]></surname>
<given-names><![CDATA[CSL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Initial development and validation of a novel nutrition risk, sarcopenia, and frailty assessment tool in mechanically ventilated critically ill patients: The NUTRIC-SF score]]></article-title>
<source><![CDATA[JPEN J Parenter Enteral Nutr]]></source>
<year>2022</year>
<volume>46</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>499-507</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chourdakis]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Grammatikopoulou]]></surname>
<given-names><![CDATA[MG]]></given-names>
</name>
<name>
<surname><![CDATA[Day]]></surname>
<given-names><![CDATA[AG]]></given-names>
</name>
<name>
<surname><![CDATA[Bouras]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Heyland]]></surname>
<given-names><![CDATA[DK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Are all low-NUTRIC-score patients the same? Analysis of a multi-center observational study to determine the relationship between nutrition intake and outcome]]></article-title>
<source><![CDATA[Clin Nutr]]></source>
<year>2019</year>
<volume>38</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>2783-9</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Toledo]]></surname>
<given-names><![CDATA[DO]]></given-names>
</name>
<name>
<surname><![CDATA[Freitas]]></surname>
<given-names><![CDATA[BJ]]></given-names>
</name>
<name>
<surname><![CDATA[Dib]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Pfeilsticker]]></surname>
<given-names><![CDATA[FJDA]]></given-names>
</name>
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[DMD]]></given-names>
</name>
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[BC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Peripheral muscular ultrasound as outcome assessment tool in critically ill patients on mechanical ventilation: An observational cohort study]]></article-title>
<source><![CDATA[Clin Nutr ESPEN]]></source>
<year>2021</year>
<volume>43</volume>
<page-range>408-14</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Wu]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Gu]]></surname>
<given-names><![CDATA[Q]]></given-names>
</name>
<name>
<surname><![CDATA[Gu]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Zhao]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Ge]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Changes in muscle ultrasound for the diagnosis of intensive care unit acquired weakness in critically ill patients]]></article-title>
<source><![CDATA[Sci Rep]]></source>
<year>2021</year>
<volume>11</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>18280</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lukaski]]></surname>
<given-names><![CDATA[HC]]></given-names>
</name>
<name>
<surname><![CDATA[Kyle]]></surname>
<given-names><![CDATA[UG]]></given-names>
</name>
<name>
<surname><![CDATA[Kondrup]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Assessment of adult malnutrition and prognosis with bioelectrical impedance analysis: phase angle and impedance ratio]]></article-title>
<source><![CDATA[Curr Opin Clin Nutr Metab Care]]></source>
<year>2017</year>
<volume>20</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>330-9</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Raslan]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Gonzalez]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Torrinhas]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
<name>
<surname><![CDATA[Ravacci]]></surname>
<given-names><![CDATA[GR]]></given-names>
</name>
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Waitzberg]]></surname>
<given-names><![CDATA[DL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Complementarity of Subjective Global Assessment (SGA) and Nutritional Risk Screening 2002 (NRS 2002) for predicting poor clinical outcomes in hospitalized patients]]></article-title>
<source><![CDATA[Clin Nutr]]></source>
<year>2011</year>
<volume>30</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>49-53</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Puthucheary]]></surname>
<given-names><![CDATA[ZA]]></given-names>
</name>
<name>
<surname><![CDATA[Phadke]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Rawal]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[McPhail]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Sidhu]]></surname>
<given-names><![CDATA[PS]]></given-names>
</name>
<name>
<surname><![CDATA[Rowlerson]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Qualitative ultrasound in acute critical illness muscle wasting]]></article-title>
<source><![CDATA[Crit Care Med]]></source>
<year>2015</year>
<volume>43</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>1603-11</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Valla]]></surname>
<given-names><![CDATA[FV]]></given-names>
</name>
<name>
<surname><![CDATA[Young]]></surname>
<given-names><![CDATA[DK]]></given-names>
</name>
<name>
<surname><![CDATA[Rabilloud]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Periasami]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
<name>
<surname><![CDATA[John]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Baudin]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Thigh ultrasound monitoring identifies decreases in quadriceps femoris thickness as a frequent observation in critically ill children]]></article-title>
<source><![CDATA[Pediatr Crit Care Med]]></source>
<year>2017</year>
<volume>18</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>e339-47</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Weinel]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[Summers]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Chapple]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ultrasonography to measure quadriceps muscle in critically ill patients: A literature review of reported methodologies]]></article-title>
<source><![CDATA[Anaesth Intensive Care]]></source>
<year>2019</year>
<volume>47</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>423-34</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Muresan]]></surname>
<given-names><![CDATA[BT]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Artero]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Montoro]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Ruíz Berjaga]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estudio transversal de medición de la composición corporal en pacientes con cáncer mediante antropometría y técnicas de imagen médica]]></article-title>
<source><![CDATA[Rev Esp Nutr Hum Diet]]></source>
<year>2019</year>
<volume>23</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>162-74</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alvayay]]></surname>
<given-names><![CDATA[QP]]></given-names>
</name>
<name>
<surname><![CDATA[von Geldern]]></surname>
<given-names><![CDATA[OP]]></given-names>
</name>
<name>
<surname><![CDATA[de la Maza]]></surname>
<given-names><![CDATA[CMP]]></given-names>
</name>
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[FAC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Área muscular abdominal determinada por tomografía computada como predictor de mortalidad en pacientes oncológicos]]></article-title>
<source><![CDATA[Rev Chil Radiol]]></source>
<year>2015</year>
<volume>21</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>133-7</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Toledo]]></surname>
<given-names><![CDATA[DO]]></given-names>
</name>
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[AMRR]]></given-names>
</name>
<name>
<surname><![CDATA[Toloi]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
<name>
<surname><![CDATA[De Mattos Farah]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The use of computed tomography images as a prognostic marker in critically ill cancer patients]]></article-title>
<source><![CDATA[Clin Nutr ESPEN]]></source>
<year>2018</year>
<volume>25</volume>
<page-range>114-20</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
