Evidence map›Paper›PMID 36477671›Full record

ArticleEuropean journal of clinical nutrition2023

A longitudinal analysis of resting energy expenditure and body composition in people with spinal cord injury undergoing surgical repair of pressure injuries: a pilot study.

Amy N Nevin, Susan Urquhart, Sridhar S Atresh, Timothy J Geraghty, Elizabeth Walter, Elizabeth G Ryan, Angela Vivanti, Leigh C Ward, Ingrid J Hickman

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In one paragraph

Article in European journal of clinical nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.5field-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.

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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Observational
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

9 authors at 3 institutions in 1 country.

Amy N NevinDepartment of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, QLD, Australia. Amy.Nevin@health.qld.gov.au.ORCID 0000-0003-2791-2520
Susan UrquhartSpinal Injuries Unit, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Sridhar S AtreshThe Hopkins Centre - Research for Rehabilitation and Resilience, Metro South Health and Griffith University, Brisbane, QLD, Australia.
Timothy J GeraghtyThe Hopkins Centre - Research for Rehabilitation and Resilience, Metro South Health and Griffith University, Brisbane, QLD, Australia.ORCID 0000-0002-8571-8315
Elizabeth WalterSpinal Injuries Unit, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Elizabeth G RyanFaculty of Medicine, University of Queensland, Brisbane, QLD, Australia.
Angela VivantiDepartment of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Leigh C WardSchool of Chemistry and Molecular Biosciences, University of Queensland, Brisbane, QLD, Australia.ORCID 0000-0003-2378-279X
Ingrid J HickmanDepartment of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, QLD, Australia.
The University of Queensland · AUGriffith University · AUPrincess Alexandra Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData informing energy needs of people with spinal cord injury (SCI) and pressure injuries are scarce, the impact of surgical repair unknown, and the role of body composition in healing unexplored. The study aims were to investigate resting energy expenditure (REE) over the course of pressure injury surgical repair, compare with available energy prediction equations, and explore associations between body composition and wound healing.

methodsIndirect calorimetry measured REE pre-surgery, post-surgery, at suture removal and hospital discharge. A clinically significant change was defined as +/-10% difference from pre-surgery. Eight SCI-specific energy prediction equations were compared to pre-surgery REE. Wound breakdown (Yes/No), weight, waist circumference (WC), and body composition (fat mass [FM], fat-free mass [FFM], bioimpedance spectroscopy) were measured.

resultsTwenty people underwent pressure injury surgical repair (95% male, mean age 56 ± 12 years, 70% paraplegia). Between pre-surgery and discharge, mean REE increased (+118 kcal/d, p = 0.005), but with <10% change at any timepoint. An energy prediction equation incorporating FFM showed greatest agreement (r

conclusionThe presence of pressure injuries and subsequent surgical repair did not impact REE and energy prediction equations incorporating FFM performed best. While not statistically significant, clinically important differences in body composition were observed in those with wound breakdown.

Indexed as

Pressure UlcerSpinal Cord InjuriesAdultAgedBasal MetabolismBody CompositionBody Mass IndexCalorimetry, IndirectEnergy MetabolismFemaleHumansMaleMiddle AgedPilot Projects

Identifiers

PMID36477671
OpenAlexW4310965501

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.