Evidence map›Paper›PMID 28101364›Full record

ArticleJournal of intensive care2017

Hemodynamic effects of electrical muscle stimulation in the prophylaxis of deep vein thrombosis for intensive care unit patients: a randomized trial.

Masahiro Ojima, Ryosuke Takegawa, Tomoya Hirose, Mitsuo Ohnishi, Tadahiko Shiozaki, Takeshi Shimazu

Abstract read
In one paragraph

Article in Journal of intensive care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Observational
  6. Article
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  11. Review
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  13. Review
  14. Effect of Active and Passive Mechanical Thromboprophylaxis and Consensual Effect on the Venous Blood Flow Velocity Among Hemiparetic Patients.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
  15. Article
  16. Garments for functional electrical stimulation: Design and proofs of concept.Journal of rehabilitation and assistive technologies engineering
    Article
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

6 authors.

Masahiro OjimaDepartment of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita, Osaka Japan.
Ryosuke TakegawaDepartment of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita, Osaka Japan.
Tomoya HiroseDepartment of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita, Osaka Japan.
Mitsuo OhnishiDepartment of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita, Osaka Japan.
Tadahiko ShiozakiDepartment of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita, Osaka Japan.
Takeshi ShimazuDepartment of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita, Osaka Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDeep vein thrombosis (DVT) is a major complication in critical care. There are various methods of prophylaxis, but none of them fully prevent DVT, and each method has adverse effects. Electrical muscle stimulation (EMS) could be a new effective approach to prevent DVT in intensive care unit (ICU) patients. We hypothesized that EMS increases the venous flow of the lower limbs and has a prophylactic effect against the formation of DVT.

methodsThis study included 26 patients admitted to a single ICU. We enrolled patients who could not move themselves due to spinal cord injury, head injury, central nervous system abnormalities, and sedation for mechanical ventilation. The patients were randomly allocated to either the EMS group or the control group. Patients in the EMS group received 30-min sessions of EMS applied to the bilateral lower extremities on arbitrary days within 14 days after admission. The control patients received no EMS. The peak flow velocity and diameter of the popliteal vein (Pop.V) and common femoral vein (CFV) were measured by ultrasound and then the volumes of venous flow were calculated using a formula.

resultsThere were no statistically significant differences in patient characteristics between the two groups except for the mortality rate. In the EMS group, the median and interquartile range (IQR, 25th-75th percentile) of velocities of the Pop.V and CFV were higher during EMS compared with at rest: 10.6 (8.0-14.8) vs 24.5 (15.1-37.8) cm/s and 17.0 (12.3-23.8) vs 24.3 (17.0-33.0) cm/s, respectively (

conclusionsEMS increased the venous flow of the lower limbs. EMS could be one potential method for venous thromboprophylaxis.

trial registrationUMIN000013642.

Indexed as

Deep vein thrombosisElectrical muscle stimulationHemodynamicsIntensive careThromboprophylaxis

Identifiers

PMID28101364
PMCPMC5237178

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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.