The role of inflammation in ICU-acquired weakness
Open accessAbstract
A pilot observational study by Weber-Carstens and colleagues contributes to a mechanistic explanation of the puzzling and complex phenomena of ICU-acquired weakness (ICU-AW). The authors suggest systemic, inflammatory-mediated pathology is the most significant risk factor for ICU-AW. While this finding is somewhat equivocal, it provides important direction for future investigations and illustrates the challenges of interpreting significance in small observational studies.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Inflammation and sepsis are major risk factors for ICUAW.
“Inflammation and sepsis are major risk factors for ICUAW.”
From Sepsis induces interleukin 6, gp130/JAK2/STAT3, and muscle wasting (2022) · cites this paper as [9]
The Abstract says systemic inflammatory pathology is suggested to be the most significant risk factor for ICU-acquired weakness, but calls that finding equivocal. It also notes differences in septic shock between patient groups; it does not establish sepsis itself as a major risk factor. (LLM, conf=0.86)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Weber-Carstens, S., Deja, M., Koch, S., Spranger, J., Bubser, F., Wernecke, K. D., Spies, C. D., Spuler, S., & Keh, D. (2010) · Critical Care · doi:10.1186/cc9074 · Cited by 132 · see citing works
Flagged first, then by citations
Research works printed but not linked: 14
- Weber-Carstens S Koch S Spuler S Spies CD Bubser F Wernecke KD Deja M Nonexcitable muscle membrane predicts intensive care unit-acquired paresis in mechanically ventilated, sedated patients Crit Care Med 2009 37 2632 2637 10.1097/CCM.0b013e3181a92f28 19623045 · DOI
- Friedrich O Critical illness myopathy: What is happening? Curr Opin Clin Nutr Metab Care 2006 9 403 409 10.1097/01.mco.0000232900.59168.a0 16778569 · DOI
- Fan E Zanni JM Dennison CR Lepre SJ Needham DM Critical illness neuromyopathy and muscle weakness in patients in the intensive care unit AACN Adv Crit Care 2009 20 243 253 19638746
- Reid MB Andrade FH Balke CW Esser KA Redox mechanisms of muscle dysfunction in inflammatory disease Phys Med Rehabil Clin N Am 2005 16 925 949 16214052
- Griffiths RD Hall JB Intensive care unit-acquired weakness Crit Care Med 2010 38 779 787 10.1097/CCM.0b013e3181cc4b53 20048676 · DOI
- Kahn JM Benson NM Appleby D Carson SS Iwashyna TJ Long-term acute care hospital utilization after critical illness JAMA 2010 303 2253 2259 10.1001/jama.2010.761 20530778 PMC3094575 · DOI
- Boyd CM Landfeld CS Counsell SR Palmer RM Fortinsky RH Kresevic D Burant C Covinsky KE Recovery of activities of daily living in older adults after hospitalization for acute medical illness J Am Geriatr Soc 2008 56 2171 2179 19093915 10.1111/j.1532-5415.2008.02023.x PMC2717728 · DOI
- Vincent J-L Norrenberg M Intensive care unit-acquired weakness: Framing the topic Crit Care Med 2009 37 S296 287 10.1097/CCM.0b013e3181b6f1e1 20046113 · DOI
- Nielsen S Pedersen BK Skeletal muscle as an immunogenic organ Curr Opin Pharmacol 2008 8 346 351 10.1016/j.coph.2008.02.005 18417420 · DOI
- Truong AD Fan E Brower RG Needham DM Bench-to-bedside review: Mobilizing patients in the intensive care unit - from pathophysiology to clinical trials Crit Care 2009 13 216 224 19664166 10.1186/cc7885 PMC2750129 · DOI
- Morley JE Thomas DR Wilson M-MG Cachexia: pathophysiology and clinical relevance Am J Clin Nutr 2006 83 735 743 16600922
- Levitt JE Gould MK Ware LB Matthay MA The pathogenetic and prognostic value of biologic markers in acute lung injury J Intensive Care Med 2009 24 151 167 10.1177/0885066609332603 19282296 · DOI
- Kellum JA Kong L Fink MP Weissfeld LA Yealy DM Pinsky MR Fine J Kirchevsky A Delude RL Angus DC Understanding the inflammatory cytokine response in pneumonia and sepsis Arch Intern Med 2007 167 1655 1663 10.1001/archinte.167.15.1655 17698689 PMC4495652 · DOI
- Grimaldi D Claessens YE Mira JP Chiche JD Beyond clinical phenotype: the biologic integratome Crit Care Med 2009 37 S38 49 19104224 10.1097/CCM.0b013e3181920cca · DOI
Cited by
Sorted by citations
Sepsis induces interleukin 6, gp130/JAK2/STAT3, and muscle wasting
Zanders, L., Kny, M., Hahn, A., Schmidt, S., Wundersitz, S., Todiras, M., Lahmann, I., Bandyopadhyay, A., Wollersheim, T., Kaderali, L., et al. (2022) · Journal of Cachexia, Sarcopenia and Muscle · doi:10.1002/jcsm.12867 · Cited by 225 · see citing works
“Clinical data were reported previously.11 We analysed mRNA expression in biopsy specimens obtained from the vastus lateralis muscle of patients at high risk to develop ICUAW.”
BackgroundInfluentialDeletion of Nlrp3 protects from inflammation-induced skeletal muscle atrophy
Huang, N., Kny, M., Riediger, F., Busch, K., Schmidt, S., Luft, F. C., Slevogt, H., & Fielitz, J. (2017) · Intensive Care Medicine Experimental · doi:10.1186/s40635-016-0115-0 · Cited by 95 · see citing works
- Authors
- Winkelman, C.
- Affiliations
- Case Western Reserve University (US)
- Corresponding author
- Winkelman, Chris
- ORCID
- Winkelman, Chris
- Venue
- Critical Care
- Published
- 2010
- Volume
- 14
- Issue
- 4
- Pages
- 186
- ISSN
- 1364-8535 (ISSN-L)
- PMC
- PMC2945106
- OpenAlex
- W2133014873
- Cited by
- 23
- References
- 1
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 1 · 2021: 1 · 2020: 3 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 1 · 2014: 4 · 2013: 1
- FWCI
- 1.23
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Critical Care (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Intensive Care Unit Cognitive Disorders
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Health Sciences › Medicine › Epidemiology › Sepsis Diagnosis and Treatment
- Keywords
- ICU-acquired weakness, inflammation, systemic inflammation, risk factors, critical illness, small sample size
- MeSH terms
- Humans, Intensive Care Units, Interleukin-6, Systemic Inflammatory Response Syndrome, Muscle Weakness
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review