Evidence map›Paper›PMID 36364761›Full record

Observational studyNutrients2022

Diagnostic Utility of Temporal Muscle Thickness as a Monitoring Tool for Muscle Wasting in Neurocritical Care.

Andreas Maskos, Moritz L Schmidbauer, Stefan Kunst, Raphael Rehms, Timon Putz, Sebastian Römer, Vassilena Iankova, Konstantinos Dimitriadis

Abstract readObservational Study
In one paragraph

Observational study in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Article
  2. Review
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  4. Article
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  6. Article
  7. Article
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  9. Observational
  10. Article
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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

8 authors.

Andreas MaskosDepartment of Neurology, University Hospital, LMU Munich, 81377 Munich, Germany.ORCID 0000-0001-8745-1960
Moritz L SchmidbauerDepartment of Neurology, University Hospital, LMU Munich, 81377 Munich, Germany.ORCID 0000-0001-9553-9911
Stefan KunstDepartment of Neurology, University Hospital, LMU Munich, 81377 Munich, Germany.
Raphael RehmsInstitute for Medical Information Processing, Biometry, and Epidemiology (IBE), LMU Munich, 81377 Munich, Germany.ORCID 0000-0002-3996-0194
Timon PutzDepartment of Neurology, University Hospital, LMU Munich, 81377 Munich, Germany.
Sebastian RömerDepartment of Neurology, University Hospital, LMU Munich, 81377 Munich, Germany.
Vassilena IankovaDepartment of Neurology, Friedrich-Baur-Institute, University Hospital, LMU Munich, 81377 Munich, Germany.
Konstantinos DimitriadisDepartment of Neurology, University Hospital, LMU Munich, 81377 Munich, Germany.ORCID 0000-0003-0417-2267

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Temporalis muscle (TM) atrophy has emerged as a potential biomarker for muscle wasting. However, its diagnostic utility as a monitoring tool in intensive care remains uncertain. Hence, the objective of this study was to evaluate the diagnostic value of sequential ultrasound- and computed tomography (CT)-based measurements of TM thickness (TMT). With a prospective observational design, we included 40 patients without preexisting sarcopenia admitted to a neurointensive care unit. TMT measurements, performed upon admission and serially every 3−4 days, were correlated with rectus femoris muscle thickness (RFT) ultrasound measurements. Interrater reliability was assessed by Bland Altmann plots and intraclass correlation coefficient (ICC). Analysis of variance was performed in subgroups to evaluate differences in the standard error of measurement (SEM). RFT decline was paralleled by ultrasound- as well as CT-based TMT measurements (TMT to RFT: r = 0.746, p < 0.001; CT-based TMT to ultrasound-based RFT: r = 0.609, p < 0.001). ICC was 0.80 [95% CI 0.74, 0.84] for ultrasound-based assessment and 0.90 [95% CI 0.88, 0.92] for CT-based TMT measurements. Analysis of variance for BMI, Heckmatt score, fluid balance, and agitation showed no evidence of measurement errors in these subgroups. This study demonstrates the clinical feasibility and utility of ultrasound- and CT-based TMT measurements for the assessment of muscle wasting.

Indexed as

Muscular AtrophyTemporal MuscleHumansQuadriceps MuscleReproducibility of ResultsUltrasonographycritical caremuscular atrophyquadriceps musclesarcopeniatemporal muscleultrasonography

Identifiers

PMID36364761
PMCPMC9654352

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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.