Evidence map›Paper›PMID 34881516›Full record

ArticleJournal of cachexia, sarcopenia and muscle2022

Sonographic assessment of low muscle quantity identifies mortality risk during COVID-19: a prospective single-centre study.

Wolfgang M Kremer, Christian Labenz, Robert Kuchen, Ingo Sagoschen, Marc Bodenstein, Oliver Schreiner, Marcus A Wörns, Visvakanth Sivanathan, Arndt Weinmann, Peter R Galle and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06829290 (Influence of Sarcopenia on the Course of the Diseases - Measured Using Ultrasound and Biochemical Markers), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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.

NCT06829290 recruitingnot on this mapstarted 2024, after this paper: background citation

Influence of Sarcopenia on the Course of the Diseases - Measured Using Ultrasound and Biochemical Markers

Typeobservational_patient_registrySponsorUniversitatsmedizin Mainz - 1. Medizinische KlinikRan2024 to 2028Enrolled200ConditionsLiver Cirrhosis, Cancer, Cachexia, SarcopeniaArmsUltrasound
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Sarcopenia and COVID-19 Outcomes.Clinical interventions in aging · 2023
    Review
  9. Article
  10. 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

11 authors at 1 institution in 1 country.

Wolfgang M KremerDepartment of Internal Medicine I, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.
Christian LabenzDepartment of Internal Medicine I, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.ORCID 0000-0001-8390-9663
Robert KuchenInstitute of Medical Biometry, Epidemiology and Informatics of the Johannes Gutenberg-University, Mainz, Germany.ORCID 0000-0003-4384-7511
Ingo SagoschenCenter for Cardiology-Cardiology I, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.
Marc BodensteinDepartment of Anesthesiology and Intensive Care Medicine, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.
Oliver SchreinerDepartment of Internal Medicine I, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.
Marcus A WörnsDepartment of Internal Medicine I, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.ORCID 0000-0001-5815-7789
Visvakanth SivanathanDepartment of Internal Medicine I, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.ORCID 0000-0002-0371-6827
Arndt WeinmannDepartment of Internal Medicine I, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.
Peter R GalleDepartment of Internal Medicine I, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.ORCID 0000-0001-8294-0992
Martin F SprinzlDepartment of Internal Medicine I, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.ORCID 0000-0002-4544-9560
Johannes Gutenberg University Mainz · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAssessment of muscle quantity by sonographic muscle indices could help identify patients at risk for fatal outcome during coronavirus disease-2019 (COVID-19). The aim of this study was to explore sonographic muscle indices as predictors of COVID-19 outcome and to test the feasibility of sonographic muscle measurement in an isolation context.

methodsMuscle indices, derived from the psoas muscle or thigh muscles, were quantified by sonography in a cohort of patients without COVID-19 to obtain reference values for low muscle quantity. Gender-specific median of different muscle indices were defined as threshold value for low muscle quantity. The prognostic relevance of low muscle quantity, was prospectively explored in two cohorts of hospitalized COVID-19 patients. Optimal muscle index cutoff values predictive for 30 day mortality during COVID-19 were determined by receiver operating characteristic-area under the curve and Youden index calculation. Muscle quantity and known prognostic factors of COVID-19 were analysed by multivariable log-regression.

resultsCompared with other muscle indices, the psoas muscle area index (PMAI) showed the most favourable characteristics to predict outcome of COVID-19 disease. Sonographic morphometry of patients without COVID-19 (n = 136) revealed a gender-specific median for PMAI (male: 291.1 mm

conclusionsSonographic morphometry provides reliable muscle quantification under hygienic precautions and allows risk stratification of patients with COVID-19.

Indexed as

COVID-19FemaleHumansMaleProspective StudiesPsoas MusclesRetrospective StudiesSARS-CoV-2COVID-19MorphometryMuscleOutcomeUltrasound

Identifiers

PMID34881516
PMCPMC8818698
OpenAlexW4200228648

What OpenQuestion holds

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LicenceCC BY-NC
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.