Evidence map›Paper›PMID 32843937›Full record

ArticleWorld journal of cardiology2020

Sonographic muscle mass assessment in patients after cardiac surgery.

Stavros Dimopoulos, Vasiliki Raidou, Dimitrios Elaiopoulos, Foteini Chatzivasiloglou, Despoina Markantonaki, Efterpi Lyberopoulou, Ioannis Vasileiadis, Katerina Marathias, Serafeim Nanas, Andreas Karabinis

Registry-linked trialOpen access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07128849 (Effects of Phase I Cardiac Rehabilitation With and Without Upper Limb Cycle Ergometer in Immediate Post-Operative Period of CABG), which is not on this map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
1.2field-weighted citation impact, top 20% 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.

NCT07128849 narecruitingnot on this mapstarted 2025, after this paper: background citation

Effects of Phase I Cardiac Rehabilitation With and Without Upper Limb Cycle Ergometer in Immediate Post-Operative Period of CABG

TypeinterventionalSponsorRiphah International UniversityRan2025 to 2025Enrolled44ConditionsCADArmsupper limb exercise with arm ergometer, upper limb exercise with out arm ergometer
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.

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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

10 authors at 2 institutions in 1 country.

Stavros DimopoulosDepartment of Cardiac Surgery ICU, Onassis Cardiac Surgery Center, Athens 17674, Greece.
Vasiliki RaidouClinical Ergospirometry, Exercise and Rehabilitation Laboratory, National and Kapodistrian University of Athens, Athens 10676, Greece.
Dimitrios ElaiopoulosDepartment of Cardiac Surgery ICU, Onassis Cardiac Surgery Center, Athens 17674, Greece.
Foteini ChatzivasiloglouClinical Ergospirometry, Exercise and Rehabilitation Laboratory, National and Kapodistrian University of Athens, Athens 10676, Greece.
Despoina MarkantonakiDepartment of Cardiac Surgery ICU, Onassis Cardiac Surgery Center, Athens 17674, Greece.
Efterpi LyberopoulouDepartment of Cardiac Surgery ICU, Onassis Cardiac Surgery Center, Athens 17674, Greece.
Ioannis VasileiadisClinical Ergospirometry, Exercise and Rehabilitation Laboratory, National and Kapodistrian University of Athens, Athens 10676, Greece.
Katerina MarathiasDepartment of Cardiac Surgery ICU, Onassis Cardiac Surgery Center, Athens 17674, Greece.
Serafeim NanasClinical Ergospirometry, Exercise and Rehabilitation Laboratory, National and Kapodistrian University of Athens, Athens 10676, Greece.
Andreas KarabinisDepartment of Cardiac Surgery ICU, Onassis Cardiac Surgery Center, Athens 17674, Greece.
Onassis Cardiac Surgery Center · GRNational and Kapodistrian University of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients undergoing cardiac surgery particularly those with comorbidities and frailty, experience frequently higher rates of post-operative morbidity, mortality and prolonged hospital length of stay. Muscle mass wasting seems to play important role in prolonged mechanical ventilation (MV) and consequently in intensive care unit (ICU) and hospital stay.

aimTo investigate the clinical value of skeletal muscle mass assessed by ultrasound early after cardiac surgery in terms of duration of MV and ICU length of stay.

methodsIn this observational study, we enrolled consecutively all patients, following their admission in the Cardiac Surgery ICU within 24 h of cardiac surgery. Bedside ultrasound scans, for the assessment of quadriceps muscle thickness, were performed at baseline and every 48 h for seven days or until ICU discharge. Muscle strength was also evaluated in parallel, using the Medical Research Council (MRC) scale.

resultsOf the total 221 patients enrolled, ultrasound scans and muscle strength assessment were finally performed in 165 patients (patients excluded if ICU stay < 24 h). The muscle thickness of rectus femoris (RF), was slightly decreased by 2.2% [(95% confidence interval (CI): - 0.21 to 0.15),

conclusionSkeletal quadriceps muscle thickness assessed by ultrasound shows a trend to a decrease in patients after cardiac surgery post-ICU admission and is associated with prolonged duration of MV and ICU length of stay.

Indexed as

Cardiac surgeryIntensive care unit-acquired weaknessMuscle massMuscle ultrasoundQuadriceps femorisSkeletal muscle wasting

Identifiers

PMID32843937
PMCPMC7415234
OpenAlexW3044572586

What OpenQuestion holds

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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.