Evidence map›Paper›PMID 39780828›Full record

ArticleJTCVS open2024

Malnutrition in adult patients treated with venoarterial extracorporeal membrane oxygenation: A descriptive cohort study.

Stacy Pelekhaty, Julie Gessler, Devon Baer, Raymond Rector, Michael Plazak, Allison Bathula, Chris Wells, Aakash Shah, Alison Grazioli, Bradley Taylor and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JTCVS open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Stacy PelekhatyDepartment of Clinical Nutrition, University of Maryland Medical Center, Baltimore, Md.
Julie GesslerDepartment of Clinical Nutrition, University of Maryland Medical Center, Baltimore, Md.
Devon BaerDepartment of Clinical Nutrition, University of Maryland Medical Center, Baltimore, Md.
Raymond RectorDepartment Perioperative Services, University of Maryland Medical Center, Baltimore, Md.
Michael PlazakDepartment of Pharmaceutical Services, University of Maryland Medical Center, Baltimore, Md.
Allison BathulaDepartment of Pharmaceutical Services, University of Maryland Medical Center, Baltimore, Md.
Chris WellsDepartment of Rehabilitation Services, University of Maryland Medical Center, Baltimore, Md.
Aakash ShahDepartment of Cardiothoracic Surgery, University of Maryland Medical Center, Baltimore, Md.
Alison GrazioliDepartment of Medicine, University of Maryland School of Medicine, Baltimore, Md.
Bradley TaylorDivision of Cardiac Surgery, University of Maryland School of Medicine, Baltimore, Md.
Bartley P GriffithDivision of Cardiac Surgery, University of Maryland School of Medicine, Baltimore, Md.
Joseph RabinDepartment of Surgery, University of Maryland School of Medicine, Baltimore, Md.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate malnutrition and its association with outcomes in adult patients requiring venoarterial (VA) extracorporeal membrane oxygenation (ECMO). Methods: Patients cannulated for VA ECMO between January 1, 2020, and January 1, 2023, were screened. Patients on ECMO for <48 hours or without a nutritional evaluation were excluded. Demographic and anthropometric data were collected retrospectively. Malnutrition assessments were conducted using the Global Leadership Initiative on Malnutrition framework. Outcomes analyzed were duration of ECMO and in-hospital mortality. Patients were stratified by admission and discharge nutritional status for analysis. Baseline characteristics were controlled for with propensity score matching. Results: Data from 197 patients was analyzed. The cohort was 68% male. The median duration of ECMO was 139.5 hours (interquartile range [IQR], 94.8-257 hours), and mortality was 35%. Thirty-three patients presented with malnutrition, and 61 developed hospital-acquired malnutrition, for an incidence of 47.7%. Malnutrition at any point was associated with longer duration of ECMO (median, 180 hours [IQR, 107.8-335.8 hours] vs 120 hours [IQR, 90-185.8 hours]; Conclusions: In adult patients, malnutrition appears to be associated with prolonged duration of VA ECMO. Adequately powered studies are needed to further investigate the relationship between malnutrition and mortality.

Indexed as

malnutritionnutritionVA ECMO

Identifiers

PMID39780828
PMCPMC11704522

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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.