Is NMES Treatment in Sepsis/ Septic Shock Patients Protective in Development of ICU-AW?

Is Neuromuscular Electrical Stimulator Treatment in Sepsis/ Septic Shock Patients Protective in the Development of Intensive Care Unit Acquired Muscle Weakness (ICU-AW)?

Background: Sarcopenia (muscle weakness) characterized by a decrease in muscle mass, strength and performance is a condition that increases with old age. Sarcopenia can be seen in 5-13% of patients hospitalized in ICU where various treatment methods are used to prevent this weakness, the rate increases in patients with sepsis/ septic shock. Muscle treatment methods are used to prevent sarcopenia in similar patients hospitalized in ICU. It is predicted that "neuromuscular electrical stimulator-NMES" treatment may increase muscle mass and strength in patients who's can not be exercised actively. In this study, the contribution of NMES treatment to prevent the development of muscle weakness in patients with a diagnosis of sepsis/ septic shock followed in intensive care units (ICU) was evaluated.

Study Overview

• Status: Completed
• Conditions: Sepsis, Severe; Intensive Care Unit Acquired Weakness
• Intervention / Treatment: Device: NMES GROUP

Detailed Description

Background: Sarcopenia (muscle weakness) characterized by a decrease in muscle mass, strength and performance is a condition that increases with old age. Sarcopenia can be seen in 5-13% of patients hospitalized in ICU where various treatment methods are used to prevent this weakness, the rate increases in patients with sepsis/ septic shock. Muscle treatment methods are used to prevent sarcopenia in similar patients hospitalized in ICU. It is predicted that "neuromuscular electrical stimulator-NMES" treatment may increase muscle mass and strength in patients who's can not be exercised actively. In this study, the contribution of NMES treatment to prevent the development of muscle weakness in patients with a diagnosis of sepsis/ septic shock followed in intensive care units (ICU) was evaluated.

Patients and methods: In our single-center, prospective clinical study, 80 patients with a diagnosis of sepsis/ septic shock who were hospitalized in ICU were included. The effects of NMES and muscle strengthening and standard physiotherapy exercises on the development of ICU-AW were observed. The day when our patients were diagnosed with sepsis was recorded as the first day of the study. Anthropometric and ultrasonographic measurements of bilateral biceps brachii and bilateral rectus femoris muscles were recorded on the following days i.e. 3, 7, 14, 21, and 28. Sarcopenia was defined by anthropometric and ultrasonographic measurement, and all patient outcome data were recorded.

• Study Type: Interventional
• Enrollment (Actual): 148
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Atakum
    • Samsun, Atakum, Turkey, 55200
      • Ondokuz Mayis University Faculty of Medicine

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Being in the Intensive Care Unit
• Over the age of 18
• Diagnosed with sepsis/ septic shock

Exclusion Criteria:

• Under the age of 18
• Pregnancy
• Having a cardiac pacemaker
• Amputated lower limbs
• Having severe venous insufficiency or major injuries to their lower extremities
• Having neuromuscular disease
• Malignancy

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Crossover Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: NMES GROUP; NMES TREATMENT AND PHYSICAL TREATMENT	Device: NMES GROUP; The effects of NMES and muscle strengthening and standard physiotherapy exercises on the development of ICU-AW were observed
Active Comparator: CONTROL GROUP; JUST PHYSICAL TREATMENT	Device: NMES GROUP; The effects of NMES and muscle strengthening and standard physiotherapy exercises on the development of ICU-AW were observed

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Effects of NMES treatment on ICU-AW development, anthropometric measurement,	The measurements of the patients were recorded as anthropometric (arm circumference and thigh circumference) on the 1st, 3rd, 7th, 14th, 21st and 28th days. Arm circumference(centimeter) measurement was measured from the thickest part of the biceps muscle(centimeter) when the elbow was flexed and thigh circumference (centimeter) was measured anthropometrically with a tape measure (centimeter), 15 centimeter above the patella with the leg in extension.	28 DAYS
Effects of NMES treatment on ICU-AW development, ultrasonographic measurement	Using an ultrasound imaging device, the thickness of biceps brachii (cm^2) and rectus femoris muscles (cm^2) were measured ultrasonographically (at the same points of anthropometric measurements) with the linear probe.	on the 1st, 3rd, 7th, 14th, 21st and 28th days
Effects of NMES treatment on ICU-AW development, scoring systems.	The muscle strength of the patients were evaluated according to the Medical Research Council (MRC) scoring.	on the 1st, 3rd, 7th, 14th, 21st and 28th days
Effects of NMES treatment on ICU-AW development, scoring systems.	On the first day of the study, SOFA (Sequential Organ Failure Assessment) score,scoring systems were calculated for each patients.	on the 1st, 3rd, 7th, 14th, 21st and 28th days
Effects of NMES treatment on ICU-AW development, scoring systems.	On the first day of the study, qSOFA (quick Sequential Organ Failure Assessment) score scoring systems were calculated for each patients.	first day
Effects of NMES treatment on ICU-AW development, scoring systems.	On the first day of the study, APACHE-II (Acute Physiology And Chronic Health Evaluation II) scoring systems were calculated for each patients.	first day
Effects of NMES treatment on ICU-AW development, scoring systems.	When the follow-up was completed, duration of the ICU stay, intubated and/ or extubated days.	28 days
Effects of NMES treatment on ICU-AW development, scoring systems.	When the follow-up was completed, duration of the ICU stay, , last BMI (body mass index)(kg/m^2) were recorded.	28 days
Effects of NMES treatment on ICU-AW development, nutrition.	The diet of the patients were standardized by the dietitian.	28 days
height	The height of the patients was calculated by measuring the knee height from many alternative height measurement methods. The measurement includes the length from the base of the foot to the anterior surface of the thigh while the lower extremity is flexed and is easily taken Chumlea et al. The equation created by the Chumlea method, known as the Chumlea method, is the most accurate equation used to estimate standing height from knee height. This method has been cross-validated for use in ICU patients. The original estimated equations are given. White Male Estimated height (cm) = (knee height (cm) × 1.88) + 71.85 White Female Estimated height (cm) = (knee height (cm) × 1.87) - (0.06 × age (y)) + 70.25	first day and last day ( end of the 28th day)
weight	We calculated the body weight of our patients by indirectly using the method of calculating body weight in bedridden patients. Age (Year) 6-18 Male : (Knee length (cm) x 0.68) + (Arm circumference (cm)x 2.64) -50.08 Female : (Knee (cm) x 0.77) + (Arm (cm) x 2.47) - 50.16 19-59 Male : (Knee (cm) x 1.19) + (Arm (cm) x 3.21) -86.82 Female : (Knee (cm) x 1.01) + (Arm (cm) x 2.81) - 66.04 60-80 Male : (Knee (cm) x 1.10) + (Arm (cm) x 3.07) -75.81 Female : (Knee (cm) x 1.09) + (Arm circumference(cm) x 2.68) - 65.51	first day and last day (end of the 28th day)

Collaborators and Investigators

• Sponsor: Ondokuz Mayıs University

Study record dates

Study Major Dates

• Study Start (Actual): October 23, 2018
• Primary Completion (Actual): October 1, 2020
• Study Completion (Actual): October 1, 2020

Study Registration Dates

• First Submitted: February 19, 2021
• First Submitted That Met QC Criteria: April 4, 2021
• First Posted (Actual): April 6, 2021

Study Record Updates

• Last Update Posted (Actual): April 6, 2021
• Last Update Submitted That Met QC Criteria: April 4, 2021
• Last Verified: March 1, 2021

More Information

Terms related to this study

• Keywords: sarcopenia; NMES; ICU-AW; sepsis.
• Additional Relevant MeSH Terms: Pathologic Processes; Infections; Systemic Inflammatory Response Syndrome; Inflammation; Sepsis; Toxemia; Asthenia
• Other Study ID Numbers: 01.02.2018 V:01

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No