Evidence map›Paper›PMID 34663393›Full record

Observational studyCritical care (London, England)2021

Lean mass as a risk factor for intensive care unit admission: an observational study.

Matthew Thackeray, Mohammadreza Mohebbi, Neil Orford, Mark A Kotowicz, Julie A Pasco

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Critical care (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

8 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Rebranding Nutritional Care for Critically Ill Patients.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2023
    Article
  8. 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

5 authors at 2 institutions in 1 country.

Matthew ThackerayIMPACT (Institute of Mental and Physical Health and Clinical Translation), Deakin University, Geelong, Australia. mthack@barwonhealth.org.au.ORCID 0000-0002-4474-4795
Mohammadreza MohebbiIMPACT (Institute of Mental and Physical Health and Clinical Translation), Deakin University, Geelong, Australia.ORCID 0000-0001-9713-7211
Neil OrfordIMPACT (Institute of Mental and Physical Health and Clinical Translation), Deakin University, Geelong, Australia.ORCID 0000-0002-2285-9233
Mark A KotowiczIMPACT (Institute of Mental and Physical Health and Clinical Translation), Deakin University, Geelong, Australia.ORCID 0000-0002-8094-1411
Julie A PascoIMPACT (Institute of Mental and Physical Health and Clinical Translation), Deakin University, Geelong, Australia.ORCID 0000-0002-8968-4714
Barwon Health · AUDeakin University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIntensive care unit (ICU) survivors have reduced physical function likely due to skeletal muscle wasting and weakness acquired during critical illness. However, the contribution of pre-morbid muscle mass has not been elucidated. We aimed to examine the association between pre-ICU muscle mass and ICU admission risk. Secondary outcomes include the relationship between muscle mass and ICU outcomes.

methodsICU admissions between June 1, 1998, and February 1, 2019, were identified among participants of Geelong Osteoporosis Study (GOS), a population-based cohort study. Cox proportional hazard regression models estimated hazard ratios (HR) for ICU admission across T-score strata and continuous values of DXA-derived lean mass measures of skeletal mass index (SMI, lean mass/body mass %) and appendicular lean mass corrected for height (ALM/h

resultsOne hundred and eighty-six of 3126 participants enrolled in GOS were admitted to the ICU during the follow-up period. In adjusted models, lean mass was not predictive of ICU admission (SMI: HR 0.99 95%CI 0.97-1.01, p = 0.32; ALM/h

conclusionLean mass was not associated with ICU admission in this population-based cohort study; however, greater appendicular lean mass was associated with reduced mortality. This suggests pre-ICU muscle status may not predict development of critical illness but is associated with better survival after critical illness occurs.

Indexed as

Intensive Care UnitsPatient AdmissionThinnessCohort StudiesCritical IllnessHumansRisk FactorsDXAIntensive care unitLean massMuscle massOutcomesSarcopenia

Identifiers

PMID34663393
PMCPMC8525013
OpenAlexW3206016757

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.