Evidence map›Paper›PMID 37708859›Full record

ArticleDigestive surgery2023

Computed Tomography-Defined Body Composition as Prognostic Parameter in Acute Mesenteric Ischemia.

Christoph Schwartner, Matthias Mehdorn, Ines Gockel, Manuel Florian Struck, Jakob Leonhardi, Markus Rositzka, Sebastian Ebel, Timm Denecke, Hans-Jonas Meyer

Open access · hybridAbstract read
In one paragraph

Article in Digestive surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 24% 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, 3 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Christoph SchwartnerDepartment of Diagnostic and Interventional Radiology, University of Leipzig, Leipzig, Germany.
Matthias MehdornDepartment of Visceral, Transplant, Thoracic and Vascular Surgery, University of Leipzig, Leipzig, Germany.
Ines GockelDepartment of Visceral, Transplant, Thoracic and Vascular Surgery, University of Leipzig, Leipzig, Germany.
Manuel Florian StruckDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Leipzig, Leipzig, Germany.
Jakob LeonhardiDepartment of Diagnostic and Interventional Radiology, University of Leipzig, Leipzig, Germany.
Markus RositzkaDepartment of Diagnostic and Interventional Radiology, University of Leipzig, Leipzig, Germany.
Sebastian EbelDepartment of Diagnostic and Interventional Radiology, University of Leipzig, Leipzig, Germany.
Timm DeneckeDepartment of Diagnostic and Interventional Radiology, University of Leipzig, Leipzig, Germany.
Hans-Jonas MeyerDepartment of Diagnostic and Interventional Radiology, University of Leipzig, Leipzig, Germany.
Leipzig University · DEUniversity Hospital Leipzig · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBody composition comprising low-skeletal muscle mass (LSMM) and subcutaneous and visceral adipose tissue (SAT and VAT) can be assessed by using cross-sectional imaging modalities. Previous analyses suggest that these parameters harbor prognostic relevance in various diseases. Aim of this study was to analyze possible associations of body composition parameters on mortality in patients with clinically suspected acute mesenteric ischemia (AMI).

methodsAll patients with clinically suspected AMI were retrospectively assessed between 2016 and 2020. Overall, 137 patients (52 female patients, 37.9%) with a median age of 71 years were included in the present analysis. For all patients, the preoperative abdominal computed tomography (CT) was used to calculate LSMM, VAT, and SAT.

resultsOverall, 94 patients (68.6%) of the patient cohort died within 30 days within a median of 2 days, range 1-39 days. Of these, 27 patients (19.7%) died within 24 h. According to the CT, 101 patients (73.7%) were classified as being visceral obese, 102 patients (74.5%) as being sarcopenic, and 69 patients (50.4%) as being sarcopenic obese. Skeletal muscle index (SMI) was lower in non-survivors compared to survivors (37.5 ± 12.4 cm2/m2 vs. 44.1 ± 13.9 cm2/m2, p = 0.01). There were no associations between body composition parameters with mortality in days (SMI r = 0.07, p = 0.48, SAT r = -0.03, p = 0.77, and VAT r = 0.04, p = 0.68, respectively). In Cox regression analysis, a nonsignificant trend for visceral obesity was observed (HR: 0.62, 95% CI: 0.36-1.05, p = 0.07).

conclusionSMI might be a valuable CT-based parameter, which could help discriminate between survivors and non-survivors. Further studies are needed to elucidate the associations between body composition and survival in patients with AMI.

Indexed as

Mesenteric IschemiaSarcopeniaAgedBody CompositionFemaleHumansIntra-Abdominal FatObesityPrognosisRetrospective StudiesTomography, X-Ray ComputedAcute mesenteric ischemiaBody compositionComputed tomography

Identifiers

PMID37708859
PMCPMC10716866
OpenAlexW4386758320

What OpenQuestion holds

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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.