Evidence map›Paper›PMID 34626754›Full record

Observational studyBrazilian journal of anesthesiology (Elsevier)

Fatigue, depression, and physical activity in patients with malignant hyperthermia: a cross-sectional observational study.

P Mela Vieira de Andrade, L Ívia Maria Valim, Joilson Moura Dos Santos, Isac de Castro, Jos Luiz Gomes do Amaral, Helga Cristina Almeida da Silva

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study in Brazilian journal of anesthesiology (Elsevier). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 33% 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.

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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Malignant hyperthermia: new knowledge changing perspectives.Brazilian journal of anesthesiology (Elsevier)
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

P Mela Vieira de AndradeUniversidade Federal de S.·o Paulo, Centro de Estudo, Diagn..stico e Investiga...·o de Hipertermia Maligna (CEDHIMA), Disciplina de Anestesiologia, Dor e Terapia Intensiva, S.·o Paulo, SP, Brazil. Electronic address: pamela.vieira@unifesp.br.
L Ívia Maria ValimUniversidade Federal de S.·o Paulo, Centro de Estudo, Diagn..stico e Investiga...·o de Hipertermia Maligna (CEDHIMA), Disciplina de Anestesiologia, Dor e Terapia Intensiva, S.·o Paulo, SP, Brazil.
Joilson Moura Dos SantosUniversidade Federal de S.·o Paulo, Centro de Estudo, Diagn..stico e Investiga...·o de Hipertermia Maligna (CEDHIMA), Disciplina de Anestesiologia, Dor e Terapia Intensiva, S.·o Paulo, SP, Brazil.
Isac de CastroUniversidade Federal de S.·o Paulo, Centro de Estudo, Diagn..stico e Investiga...·o de Hipertermia Maligna (CEDHIMA), Disciplina de Anestesiologia, Dor e Terapia Intensiva, S.·o Paulo, SP, Brazil.
Jos Luiz Gomes do AmaralUniversidade Federal de S.·o Paulo, Centro de Estudo, Diagn..stico e Investiga...·o de Hipertermia Maligna (CEDHIMA), Disciplina de Anestesiologia, Dor e Terapia Intensiva, S.·o Paulo, SP, Brazil.
Helga Cristina Almeida da SilvaUniversidade Federal de S.·o Paulo, Centro de Estudo, Diagn..stico e Investiga...·o de Hipertermia Maligna (CEDHIMA), Disciplina de Anestesiologia, Dor e Terapia Intensiva, S.·o Paulo, SP, Brazil.
Sociedade Brasileira de Anestesiologia · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalignant Hyperthermia (MH) is a pharmacogenetic disorder triggered by halogenated anesthesia agents/succinylcholine and characterized by hypermetabolism crisis during anesthesia, but also by day-to-day symptoms, such as exercise intolerance, that may alert the health professional.

objectiveThe study aimed to analyze the incidence of fatigue in MH susceptible patients and the variables that can impact perception of fatigue, such as the level of routine physical activity and depression.

methodsA cross-sectional observational study was carried out with three groups ... 22 patients susceptible to MH (positive in vitro muscle contracture test), 13 non-susceptible to MH (negative in vitro muscle contracture test) and 22 controls (no history of MH). Groups were assessed by a demographic/clinical questionnaire, a fatigue severity scale (intensity, specific situations, psychological consequences, rest/sleep response), and the Beck depression scale. Subgroups were re-assessed with the Baecke habitual physical exercise questionnaire (occupational physical activity, leisure physical exercise, leisure/locomotion physical activity).

resultsThere were no significant differences among the three groups regarding fatigue intensity, fatigue related to specific situations, psychological consequences of fatigue, fatigue response to resting/sleeping, depression, number of active/sedentary participants, and the mean time and characteristics of habitual physical activity. Nevertheless, unlike the control sub-group, the physically active MH-susceptible subgroup had a higher fatigue response to resting/sleeping than the sedentary MH susceptible subgroup (respectively, 5.9.ß...ß1.9 vs. 3.9.ß...ß2, t-test unpaired, p.ß<.ß0.05).

conclusionWe did not detect subjective fatigue in MH susceptible patients, although we reported protracted recovery after physical activity, which may alert us to further investigation requirements.

Indexed as

ContractureMalignant HyperthermiaCross-Sectional StudiesDepressionDisease SusceptibilityExerciseHalothaneHumansHalothaneDepressionFatigueMalignant hyperthermiaPhysical exercise

Identifiers

PMID34626754
PMCPMC10068523
OpenAlexW3203162290

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.