Evidence map›Paper›PMID 26700274›Full record

Trial reportBMJ open2015

First results about recovery of walking function in patients with intensive care unit-acquired muscle weakness from the General Weakness Syndrome Therapy (GymNAST) cohort study.

Jan Mehrholz, Simone Mückel, Frank Oehmichen, Marcus Pohl

Abstract readClinical Trial
In one paragraph

Trial report in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jan MehrholzWissenschaftliches Institut, Private Europäische Medizinische Akademie der Klinik Bavaria in Kreischa, Kreischa, Germany Department of Public Health, Medizinische Fakultät 'Carl Gustav Carus', Technische Universität Dresden, Dresden, Germany.
Simone MückelWissenschaftliches Institut, Private Europäische Medizinische Akademie der Klinik Bavaria in Kreischa, Kreischa, Germany.
Frank OehmichenFach und Privatkrankenhaus, Klinik Bavaria in Kreischa, Kreischa, Germany.
Marcus PohlFach und Privatkrankenhaus, Klinik Bavaria in Kreischa, Kreischa, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo describe the time course of recovery of walking function and other activities of daily living in patients with intensive care unit (ICU)-acquired muscle weakness.

designThis is a cohort study.

participantsWe included critically ill patients with ICU-acquired muscle weakness.

settingPost-acute ICU and rehabilitation units in Germany. MEASURES: We measured walking function, muscle strength, activities in daily living, motor and cognitive function.

resultsWe recruited 150 patients (30% female) who fulfilled our inclusion and exclusion criteria. The primary outcome recovery of walking function was achieved after a median of 28.5 days (IQR=45) after rehabilitation onset and after a median of 81.5 days (IQR=64) after onset of illness. Our final multivariate model for recovery of walking function included two clinical variables from baseline: the Functional Status Score ICU (adjusted HR=1.07 (95% CI 1.03 to 1.12) and the ability to reach forward in cm (adjusted HR=1.02 (95% CI 1.00 to 1.04). All secondary outcomes but not pain improved significantly in the first 8 weeks after study onset.

conclusionsWe found good recovery of walking function for most patients and described the recovery of walking function of people with ICU-acquired muscle weakness. TRIALS REGISTRATIONS NUMBER: Sächsische Landesärztekammer EK-BR-32/13-1; DRKS00007181, German Register of Clinical Trials.

Indexed as

Activities of Daily LivingCritical CareIntensive Care UnitsRecovery of FunctionWalkingAdolescentAdultAgedAged, 80 and overFemaleGermanyHumansMaleMiddle AgedModels, StatisticalMultivariate AnalysisREHABILITATION MEDICINE

Identifiers

PMID26700274
PMCPMC4691758

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.