Evidence map›Paper›PMID 29194689›Full record

ArticleMuscle & nerve2018

New device for nonvolitional evaluation of quadriceps force in ventilated patients.

Franco Laghi, Najeeb Khan, Thimothy Schnell, Dinas Aleksonis, Kendra Hammond, Hameeda Shaikh, Eileen Collins, Amal Jubran, Martin J Tobin

Abstract read
In one paragraph

Article in Muscle & nerve, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Trial
  2. Trial
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  4. Review
  5. Observational
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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

9 authors.

Franco LaghiSection of Pulmonary Diseases and Critical Care Medicine, Division of Internal Medicine, Edward Hines Jr. Veterans Affairs Hospital (111N), Fifth Avenue and Roosevelt Road, Hines, Illinois, 60141, USA.
Najeeb KhanSection of Pulmonary Diseases and Critical Care Medicine, Division of Internal Medicine, Edward Hines Jr. Veterans Affairs Hospital (111N), Fifth Avenue and Roosevelt Road, Hines, Illinois, 60141, USA.
Thimothy SchnellSection of Pulmonary Diseases and Critical Care Medicine, Division of Internal Medicine, Edward Hines Jr. Veterans Affairs Hospital (111N), Fifth Avenue and Roosevelt Road, Hines, Illinois, 60141, USA.
Dinas AleksonisSection of Pulmonary Diseases and Critical Care Medicine, Division of Internal Medicine, Edward Hines Jr. Veterans Affairs Hospital (111N), Fifth Avenue and Roosevelt Road, Hines, Illinois, 60141, USA.
Kendra HammondDivision of Pulmonary, Critical Care & Sleep Medicine, Department of Medicine, National Jewish Health, Denver, Colorado, USA.
Hameeda ShaikhSection of Pulmonary Diseases and Critical Care Medicine, Division of Internal Medicine, Edward Hines Jr. Veterans Affairs Hospital (111N), Fifth Avenue and Roosevelt Road, Hines, Illinois, 60141, USA.
Eileen CollinsSection of Pulmonary Diseases and Critical Care Medicine, Division of Internal Medicine, Edward Hines Jr. Veterans Affairs Hospital (111N), Fifth Avenue and Roosevelt Road, Hines, Illinois, 60141, USA.
Amal JubranSection of Pulmonary Diseases and Critical Care Medicine, Division of Internal Medicine, Edward Hines Jr. Veterans Affairs Hospital (111N), Fifth Avenue and Roosevelt Road, Hines, Illinois, 60141, USA.
Martin J TobinSection of Pulmonary Diseases and Critical Care Medicine, Division of Internal Medicine, Edward Hines Jr. Veterans Affairs Hospital (111N), Fifth Avenue and Roosevelt Road, Hines, Illinois, 60141, USA.

Funding

Sustainability of Rehabilitation Gains in COPDI01RX001325 · VA · EDWARD HINES JR VA HOSPITAL · PI COLLINS, EILEEN G, LAGHI, FRANCO · 2015 to 2018
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RRD VA I01 RX001325
6 · The paper itself

Abstract

introductionIn mechanically ventilated patients, nonvolitional assessment of quadriceps weakness using femoral-nerve stimulation (twitch force) while the leg rests on a right-angle trapezoid or dangles from the bed edge is impractical. Accordingly, we developed a knee-support apparatus for use in ventilated patients.

methodsNinety subjects (12 ventilated patients, 28 ambulatory patients, and 50 healthy subjects) were enrolled. Twitches with leg-dangling, trapezoid, and knee-support setups were compared.

resultsKnee-support twitches were similar to trapezoid twitches but smaller than leg-dangling twitches (P < 0.0001). Inter- and intraoperator agreement was high for knee-support twitches at 1 week and 1 month. In ventilated patients, knee-support twitches were smaller than in healthy subjects and ambulatory patients (P < 0.004). DISCUSSION: The new knee-support apparatus allows accurate recording of quadriceps twitches. The ease of use in ventilated patients and excellent inter- and intraoperator agreement suggest that this technique is suitable for cross-sectional and longitudinal studies in critically ill patients. Muscle Nerve 57: 784-791, 2018.

Indexed as

Ventilators, MechanicalAdultAgedElectromyographyFemaleFemoral NerveHumansKneeMagnetic Field TherapyMaleMiddle AgedMuscle ContractionMuscle TonusQuadriceps MuscleSupine Positionfemoral nerveICUmagnetic stimulationmechanical ventilationnonvolitional strengthquadricepsstrengthweakness

Identifiers

PMID29194689
PMCPMC5910250

What OpenQuestion holds

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Registered trials

None linked

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.