Evidence map›Paper›PMID 32568800›Full record

ReviewCurrent opinion in critical care2020

Novel approaches to metabolic assessment and structured exercise to promote recovery in ICU survivors.

Jeroen Molinger, Amy M Pastva, John Whittle, Paul E Wischmeyer

Abstract readReview
In one paragraph

Review in Current opinion in critical care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Observational
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Point-Counterpoint: Indirect Calorimetry Is Essential for Optimal Nutrition Therapy in the Intensive Care Unit.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2021
    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

4 authors.

Jeroen MolingerDuke University School of Medicine, Department of Anesthesiology, Center for Perioperative Organ Protection (CPOP), Duke Human Pharmacology and Physiology Lab (HPPL), Durham, North Carolina, USA.
Amy M PastvaDuke University School of Medicine, Department of Orthopedic Surgery, Division of Physical Therapy, and Duke Claude D. Pepper Older Americans Independence Center, Durham, North Carolina, USA.
John WhittleDuke University School of Medicine, Department of Anesthesiology, Center for Perioperative Organ Protection (CPOP), Duke Human Pharmacology and Physiology Lab (HPPL), Durham, North Carolina, USA.
Paul E WischmeyerDuke University School of Medicine, Department of Anesthesiology, Center for Perioperative Organ Protection (CPOP), Duke Human Pharmacology and Physiology Lab (HPPL), Durham, North Carolina, USA.

Funding

Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Sarah B. Peskoe · 2006 to 2026
$24.6M
Supplemental Parenteral Nutrition to Reduce Death in Malnourished ICU PatientsR34HL109369 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI HEYLAND, DAREN KEITH, WISCHMEYER, PAUL E · 2012 to 2014
$568k
CIHRNHLBI NIH HHS R34 HL109369NIA NIH HHS P30 AG028716
6 · The paper itself

Abstract

purpose of reviewSurvivorship or addressing impaired quality of life (QoL) in ICU survivors has been named 'the defining challenge of critical care' for this century to address this challenge; in addition to optimal nutrition, we must learn to employ targeted metabolic/muscle assessment techniques and utilize structured, progressive ICU rehabilitative strategies. RECENT

findingsObjective measurement tools such as ccardiopulmonary exercise testing (CPET) and muscle-specific ultrasound show great promise to assess/treat post-ICU physical dysfunction. CPET is showing that systemic mitochondrial dysfunction may underlie development and persistence of poor post-ICU functional recovery. Finally, recent data indicate that we are poor at delivering effective, early ICU rehabilitation and that there is limited benefit of currently employed later ICU rehabilitation on ICU-acquired weakness and QoL outcomes. SUMMARY: The combination of nutrition with effective, early rehabilitation is highly likely to be essential to optimize muscle mass/strength and physical function in ICU survivors. Currently, technologies such as muscle-specific ultrasound and CPET testing show great promise to guide ICU muscle/functional recovery. Further, we must evolve improved ICU-rehabilitation strategies, as current methods are not consistently improving outcomes. In conclusion, we must continue to look to other areas of medicine and to athletes if we hope to ultimately improve 'ICU Survivorship'.

Indexed as

Critical IllnessExerciseQuality of LifeHumansIntensive Care UnitsSurvivors

Identifiers

PMID32568800
PMCPMC8104451

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.