Evidence mapPaperPMID 41340877Full record

ReviewJournal of multidisciplinary healthcare2025

Risk Factors, Diagnostic Challenges, and Emerging Therapeutic Strategies for ICU-Acquired Weakness: A Brief Review.

Xiaojie Zhang, Zixuan Wang, Jing Wang, Fei Wu, Le Xia, Suqin Shi, Min Zhu, Jinqiang Zhuang

Abstract readReview
In one paragraph

Review in Journal of multidisciplinary healthcare, 2025. 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. Article
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

8 authors.

Xiaojie ZhangSchool of Nursing, Faculty of Medicine, Yangzhou University, Yangzhou, Jiangsu, People's Republic of China.ORCID 0009-0001-0201-2967
Zixuan WangSchool of Nursing, Faculty of Medicine, Yangzhou University, Yangzhou, Jiangsu, People's Republic of China.
Jing WangSchool of Nursing, Faculty of Medicine, Yangzhou University, Yangzhou, Jiangsu, People's Republic of China.
Fei WuEmergency Intensive Care Unit (EICU), The Affiliated Hospital of Yangzhou University, Yangzhou, Jiangsu, People's Republic of China.
Le XiaEmergency Intensive Care Unit (EICU), The Affiliated Hospital of Yangzhou University, Yangzhou, Jiangsu, People's Republic of China.
Suqin ShiEmergency Intensive Care Unit (EICU), The Affiliated Hospital of Yangzhou University, Yangzhou, Jiangsu, People's Republic of China.
Min ZhuEmergency Intensive Care Unit (EICU), The Affiliated Hospital of Yangzhou University, Yangzhou, Jiangsu, People's Republic of China.
Jinqiang ZhuangEmergency Intensive Care Unit (EICU), The Affiliated Hospital of Yangzhou University, Yangzhou, Jiangsu, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intensive care unit-acquired weakness (ICU-AW) is a common complication in critically ill patients, associated with multiple risk factors and significantly impacting long-term patient outcomes. Currently, early diagnosis remains a key challenge in managing ICU-AW: clinical scales are limited by subjectivity, while muscle ultrasound and emerging biomarkers (such as the creatinine/cystatin C ratio, miR-451a, and MuRF1), though showing potential for early identification, have not yet been widely adopted in clinical practice. In terms of management, prevention is paramount. The ABCDEF bundle emphasizes early mobilization (initiated within 24-72 hours), while nutritional strategies targeting molecular pathways (such as HMB and ω-3 fatty acids) help regulate protein metabolism balance. Novel targeted therapies (eg, the myostatin inhibitor Bimagrumab) have demonstrated potential to increase muscle mass in clinical trials. Currently, early diagnosis remains the critical barrier. This review aims to synthesize the latest evidence on the risk factors, diagnostic challenges, and management strategies for ICU-AW, providing insights for clinical practice. It also underscores the need for future research to focus on developing highly sensitive diagnostic tools, optimizing preventive strategies, and promoting the clinical translation of targeted therapies. Ultimately, this will help establish a comprehensive and precise multi-level intervention framework to improve patient outcomes.

Indexed as

assessmentintensive care unit-acquired weaknessneuroinflammation markersrisk factors

Identifiers

PMID41340877
PMCPMC12671084

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.