Sarcopenia has a high prevalence among patients admitted to intensive care units, and it is associated with adverse outcomes and increased mortality. Its prevalence increases with advancing age; however, it is not a pathology specific to the geriatric population. The etiology is multifactorial, including metabolic, nutritional, inflammatory, endocrine and neuromuscular factors. In critically ill patients, the progression of sarcopenia is rapid. Diagnosis in the intensive care unit is most commonly based on objective assessment of muscle quantity and quality using computed tomography (CT), magnetic resonance imaging (MRI), dual-energy X-ray absorptiometry (DEXA), ultrasonography (US) and bioelectrical impedance analysis (BIA). The therapeutic management is multidisciplinary, individualized and multimodal, including nutritional support, physiotherapy, electrotherapy and pharmacological interventions. Early diagnosis and appropriate therapeutic management may significantly influence patient prognosis.
Stîngaciu et al. (Thu,) studied this question.
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