Evidence map›Paper›PMID 40913673›Full record

ArticleJournal of medical ultrasonics (2001)2025

Differences in muscle atrophy between the lower limbs and the accessory respiratory muscles in critically ill patients.

Ryuji Sugiya, Shinichi Arizono, Yuji Higashimoto, Masashi Shiraishi, Hiroki Mizusawa, Kazunari Sunagawa, Hironori Shigeoka, Yasushi Uchiyama, Jan Bakker, Koichiro Shinozaki

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of medical ultrasonics (2001), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Ryuji SugiyaDepartment of Integrated Health Sciences, Nagoya University Graduate School of Medicine, Aichi, Japan.ORCID http://orcid.org/0000-0003-2874-0759
Shinichi ArizonoSchool of Rehabilitation Science, Seirei Christopher University, Shizuoka, Japan.
Yuji HigashimotoDepartment of Rehabilitation Medicine, Faculty of Medicine, Kindai University, Osaka, Japan.
Masashi ShiraishiDepartment of Rehabilitation Medicine, Faculty of Medicine, Kindai University, Osaka, Japan.
Hiroki MizusawaDepartment of Rehabilitation Medicine, Faculty of Medicine, Kindai University, Osaka, Japan.
Kazunari SunagawaDepartment of Emergency Medicine, Faculty of Medicine, Kindai University, Osaka, Japan.
Hironori ShigeokaDepartment of Emergency Medicine, Faculty of Medicine, Kindai University, Osaka, Japan.
Yasushi UchiyamaDepartment of Integrated Health Sciences, Nagoya University Graduate School of Medicine, Aichi, Japan.
Jan BakkerDepartment of Intensive Care, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Koichiro ShinozakiDepartment of Emergency Medicine, Faculty of Medicine, Kindai University, Osaka, Japan. shino@gk9.so-net.ne.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to investigate muscle atrophy in critically ill patients using ultrasonography. We compared the rectus femoris (a major muscle of the lower limbs) with the sternocleidomastoid (an accessory respiratory muscle).

methodsThirty-four patients hospitalized at the Critical Care Medical Center of Kindai University Hospital between January 2022 and March 2023 were enrolled. Muscle dysfunction was measured based on the thickness and cross-sectional area of the rectus femoris and sternocleidomastoid using ultrasonography. These values were evaluated every alternate day for 13 days after admission or until discharge, whichever occurred first. Factors that correlated with percentage changes in sternocleidomastoid thickness were also analyzed.

resultsThe mean age of the patients was 67.3 ± 15.3 years, and 20 (59%) were men. Seven patients (21%) were admitted for trauma, and 27 (79%) for medical or other non-trauma-related emergency conditions. The rectus femoris thickness and cross-sectional area significantly decreased after day 7 (P < 0.05). There was no significant change in sternocleidomastoid thickness. However, it negatively correlated with the length of hospitalization and duration of mechanical ventilation use (r = - 0.38, P < 0.05; r = - 0.64, P < 0.05, respectively).

conclusionAlthough rectus femoris thickness decreased significantly, changes in sternocleidomastoid thickness may be related to the use of mechanical ventilation.

Indexed as

Lower ExtremityMuscular AtrophyQuadriceps MuscleRespiratory MusclesAgedAged, 80 and overCritical IllnessFemaleHumansMaleMiddle AgedRespiration, ArtificialUltrasonographyMuscle atrophyRectus femorisSternocleidomastoidThicknessUltrasonography

Identifiers

PMID40913673

What Socratic 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 Socratic graph.