Evidence map›Paper›PMID 36415406›Full record

ArticleCureus2022

Endothelial Damage and Muscle Wasting in Cardiac Surgery Patients.

George Stavrou, Georgios Tzikos, Alexandra-Eleftheria Menni, Georgios Chatziantoniou, Aggeliki Vouchara, Barbara Fyntanidou, Vasilios Grosomanidis, Katerina Kotzampassi

Abstract read
In one paragraph

Article in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

George StavrouLeeds Institute of Emergency General Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, GBR.
Georgios TzikosDepartment of Surgery, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, GRC.
Alexandra-Eleftheria MenniDepartment of Surgery, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, GRC.
Georgios ChatziantoniouDepartment of Surgery, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, GRC.
Aggeliki VoucharaDepartment of Surgery, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, GRC.
Barbara FyntanidouDepartment of Surgery, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, GRC.
Vasilios GrosomanidisDepartment of Surgery, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, GRC.
Katerina KotzampassiDepartment of Surgery, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This is a post-hoc analysis to assess the effect of anesthesia, surgical trauma, and extracorporeal circuit on endothelial integrity, microvascular permeability, and extracellular fluid balance, as well as on skeletal muscle catabolism, in patients undergoing elective cardiac surgery. We included 127 well-nourished patients undergoing "on-pump" elective cardiac surgery. One day prior to surgery (D0) and again on postoperative day 7 (POD7), body mass index, body composition assessment, hand-grip strength (HGS), and mid-upper arm muscle circumference (MAMC) were measured. Patients were assigned to early recovery (ER) and late recovery (LR) groups, depending on the duration of ICU stay (cut-off 48 hours). The magnitude of change (Δ) in all parameters studied was assessed in ER versus LR groups, regarding (i) epithelial tissue dysfunction (Δ-Extra-Cellular Water percentage (Δ-ECW%), Δ-Phase Angle (Δ-PhA)), (ii) skeletal muscle mass catabolism (Δ-Skeletal muscle mass reduction%, Δ-Hand Grip Strength (Δ-HGS) and Δ-Mid Upper-Arm Muscle Circumference (Δ-MAMC)). Baseline measurements were similar in both groups. A significant difference was observed in all Δ-parameters studied (Δ-ECW%, Δ-PhA and muscle catabolism, Δ-HGS, Δ-MAMC), the worse results being correlated to the LR group. The results raise the issue that patients with early recovery may silently have pathological conditions, continuing even on the day of discharge - further research should be planned.

Indexed as

bioimpedance analysiscardiac surgeryendothelial dysfunctionhandgrip strengthphase angleskeletal muscle loss

Identifiers

PMID36415406
PMCPMC9675898

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Registered trials

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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.