Evidence map›Paper›PMID 31101987›Full record

ReviewAnnals of intensive care2019

Clinical review: peripheral muscular ultrasound in the ICU.

Paolo Formenti, Michele Umbrello, Silvia Coppola, Sara Froio, Davide Chiumello

4 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Annals of intensive care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 75 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 4 pooled it
7.4field-weighted citation impact, top 2% of its field
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.

NCT05055440 completednot on this mapstarted 2021, after this paper: background citation

Evaluation of Peripheral Muscle With Ultrassonografic of Critical Patients With Covid-19

TypeobservationalSponsorUniversity of PernambucoRan2021 to 2022Enrolled30ConditionsCOVID-19 Respiratory Infection
NCT06697470 recruitingnot on this mapstarted 2024, after this paper: background citation

Cross-sectional Study on the Variation of Muscle Thickness and Subcutaneous Tissues by Ultrasound and Bioelectrical Impedance in Association with the Fluid Balance of Patients in Intensive Care

Typeobservational_patient_registrySponsorDr F DuprezRan2024 to 2024Enrolled40ConditionsWeakness Acquired in the ICU, Muscle Wasting, Edema, Fluid OverloadArmsUltrasound and Bioelectrical Impedance Analysis for Muscle Thickness and Fluid Balance Assessment Translation
NCT07017517 narecruitingnot on this mapstarted 2026, after this paper: background citation

Effect of Physical Therapy on NLRP3 Inflammasome Activation and Muscle Atrophy in Critical Illness Myopathy (PT-NLRP3-CIM).

TypeinterventionalSponsorUniversity of ChileRan2026 to 2027Enrolled24ConditionsCritical Illness MyopathyArmsMotomed Letto® servo-assisted cycling + standard physiotherapy, Standard physiotherapy
NCT07032870 recruitingnot on this mapstarted 2025, after this paper: background citation

Pilot Study: Validation of Operators and Inter-Evaluator Variability in Diagnostic Strategies for ICU-Acquired Weakness (NMusICU-R)

TypeobservationalSponsorUniversity of ChileRan2025 to 2025Enrolled37ConditionsCritical Illness
3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 4 syntheses or guidelines pooled it, 128 citations in OpenAlex.

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  4. ICU-acquired weakness.Intensive care medicine · 2020
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15 more citing papers are in PubMed but not listed here.

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

5 authors at 3 institutions in 1 country.

Paolo FormentiSC Anestesia e Rianimazione, Ospedale San Paolo - Polo Universitario, ASST Santi Paolo e Carlo, Milan, Italy. formenti.paolo80@gmail.com.
Michele UmbrelloSC Anestesia e Rianimazione, Ospedale San Paolo - Polo Universitario, ASST Santi Paolo e Carlo, Milan, Italy.
Silvia CoppolaSC Anestesia e Rianimazione, Ospedale San Paolo - Polo Universitario, ASST Santi Paolo e Carlo, Milan, Italy.
Sara FroioSC Anestesia e Rianimazione, Ospedale San Paolo - Polo Universitario, ASST Santi Paolo e Carlo, Milan, Italy.
Davide ChiumelloSC Anestesia e Rianimazione, Ospedale San Paolo - Polo Universitario, ASST Santi Paolo e Carlo, Milan, Italy.
Ospedale San Paolo · ITUniversity of Milan · ITAzienda Socio Sanitaria Territoriale Santi Paolo e Carlo

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Muscular weakness developing from critical illness neuropathy, myopathy and muscle atrophy has been characterized as intensive care unit-acquired weakness (ICUAW). This entity occurs commonly during and after critical care stay. Various causal factors for functional incapacity have been proposed. Among these, individual patient characteristics (such as age, comorbidities and nutritional status), acting in association with sustained bed rest and pharmacological interventions (included the metabolic support approach), seem influential in reducing muscular mass. Long-term outcomes in heterogeneous ICUAW populations include transient disability in 30% of patients and persistent disabilities that may occur even in patients with nearly complete functional recovery. Currently available tools for the assessment of skeletal muscle mass are imprecise and difficult to perform in the ICU setting. A valid alternative to these imaging modalities is muscular ultrasonography, which allows visualization and classification of muscle characteristics by cross-sectional area, muscle layer thickness, echointensity by grayscale and the pennation angle). The aim of this narrative review is to describe the current literature addressing muscular ultrasound for the detection of muscle weakness and its potential impact on treatment and prognosis of critically ill patients when combined with biomarkers of muscle catabolism/anabolism and bioenergetic state. In addition, we suggest a practical flowchart for establishing an early diagnosis.

Indexed as

ICU-acquired weaknessMuscle cross-sectional areaMuscle echointensityMuscle layer thicknessPennation anglePeripheral muscular ultrasoundSkeletal muscle

Identifiers

PMID31101987
PMCPMC6525229
OpenAlexW2946982941

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.