Evidence map›Paper›PMID 37415048›Full record

ArticleIntensive care medicine experimental2023

The metabolic cost of inspiratory muscle training in mechanically ventilated patients in critical care.

Timothy O Jenkins, Vicky MacBean, Mathias Krogh Poulsen, Dan Stieper Karbing, Stephen Edward Rees, Brijesh V Patel, Michael I Polkey

Open access · goldAbstract read
In one paragraph

Article in Intensive care medicine experimental, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 10% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. 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

7 authors at 4 institutions in 2 countries.

Timothy O JenkinsRehabilitation and Therapies Department, Royal Brompton and Harefield Clinical Group, Guy's and St Thomas' NHS Foundation Trust, London, UK. tim.jenkins@brunel.ac.uk.ORCID http://orcid.org/0000-0002-8631-0725
Vicky MacBeanCollege of Health, Medicine and Life Sciences, Department of Health Sciences, Brunel University London, London, UK.ORCID http://orcid.org/0000-0003-0268-2693
Mathias Krogh PoulsenRespiratory and Critical Care Group, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.
Dan Stieper KarbingRespiratory and Critical Care Group, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.
Stephen Edward ReesRespiratory and Critical Care Group, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.
Brijesh V PatelDivision of Anaesthetics, Pain Medicine, and Intensive Care, Department of Surgery and Cancer, Imperial College, London, UK.
Michael I PolkeyDepartment of Respiratory Medicine, Royal Brompton and Harefield Clinical Group, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Aalborg University · DKGuy's and St Thomas' NHS Foundation Trust · GBBrunel University of London · GBRoyal Brompton & Harefield NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiaphragmatic dysfunction is well documented in patients receiving mechanical ventilation. Inspiratory muscle training (IMT) has been used to facilitate weaning by strengthening the inspiratory muscles, yet the optimal approach remains uncertain. Whilst some data on the metabolic response to whole body exercise in critical care exist, the metabolic response to IMT in critical care is yet to be investigated. This study aimed to quantify the metabolic response to IMT in critical care and its relationship to physiological variables.

methodsWe conducted a prospective observational study on mechanically ventilated patients ventilated for ≥ 72 h and able to participate in IMT in a medical, surgical, and cardiothoracic intensive care unit. 76 measurements were taken on 26 patients performing IMT using an inspiratory threshold loading device at 4 cmH

resultsFirst session mean (SD) VO

conclusionsIMT causes a significant load-dependent increase in VO TAKE HOME MESSAGE: The optimal approach to IMT in ICU is uncertain; we measured VO

Indexed as

ArtificialCritical careOxygen consumptionPhysical therapy modalitiesRehabilitationRespiration

Identifiers

PMID37415048
PMCPMC10326210
OpenAlexW4383312624

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.