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| 1 | Sonographic muscle mass assessment in patients after cardiac surgery显示文摘BACKGROUND Patients undergoing cardiac surgery particularly those with comorbidities and frailty,experience frequently higher rates of post-operative morbidity,mortality and prolonged hospital length of stay.Muscle mass wasting seems to play important role in prolonged mechanical ventilation(MV)and consequently in intensive care unit(ICU)and hospital stay.AIM To investigate the clinical value of skeletal muscle mass assessed by ultrasound early after cardiac surgery in terms of duration of MV and ICU length of stay.METHODS In this observational study,we enrolled consecutively all patients,following their admission in the Cardiac Surgery ICU within 24 h of cardiac surgery.Bedside ultrasound scans,for the assessment of quadriceps muscle thickness,were performed at baseline and every 48 h for seven days or until ICU discharge.Muscle strength was also evaluated in parallel,using the Medical Research Council(MRC)scale.RESULTS Of the total 221 patients enrolled,ultrasound scans and muscle strength assessment were finally performed in 165 patients(patients excluded if ICU stay<24 h).The muscle thickness of rectus femoris(RF),was slightly decreased by 2.2%[(95%confidence interval(CI):-0.21 to 0.15),n=9;P=0.729]and the combined muscle thickness of the vastus intermedius(VI)and RF decreased by 3.5%[(95%CI:-0.4 to 0.22),n=9;P=0.530].Patients whose combined VI and RF muscle thickness was below the recorded median values(2.5 cm)on day 1(n=80),stayed longer in the ICU(47±74 h vs 28±45 h,P=0.02)and remained mechanically ventilated more(17±9 h vs 14±9 h,P=0.05).Moreover,patients with MRC score≤48 on day 3(n=7),required prolonged MV support compared to patients with MRC score≥49(n=33),(44±14 h vs 19±9 h,P=0.006)and had a longer duration of extracorporeal circulation was(159±91 min vs 112±71 min,P=0.025).CONCLUSION Skeletal quadriceps muscle thickness assessed by ultrasound shows a trend to a decrease in patients after cardiac surgery post-ICU admission and is associated with prolonged duration of MV and ICU length of stay. | Stavros Dimopoulos Vasiliki Raidou Dimitrios Elaiopoulos Foteini Chatzivasiloglou Despoina Markantonaki Efterpi Lyberopoulou Ioannis Vasileiadis Katerina Marathias Serafeim Nanas Andreas Karabinis | 2020 | World Journal of Cardiology2020，12，7： | 4 |
| 2 | Market reaction to and valuation of IFRS reconciliation adjustments: first evidence from the UK显示文摘 | Joanne Horton George Serafeim | 2010 | Review of Accounting Studies2010，，4： | 2 |
| 3 | Corporate Social Responsibility and Access To Finance显示文摘 | Cheng B Ioannou I Serafeim G | 2014 | Strategic Management Journal2014，35，1： | 1 |
| 4 | The immune system gets nervous显示文摘 | Adamantios Serafeim John Gordon | 2001 | Current Opinion in Pharmacology2001，1，4： | 1 |
| 5 | Information Risk and Fair Values: An Examination of Equity Betas 显示文摘 | Serafeim G | 2011 | Journal of Accounting Re- search2011，49，4： | 1 |
| 6 | A taxonomy of grid monitoring systems显示文摘 | Serafeim Zanikolas Rizos Sakellariou | 2005 | FUTURE GENER COMP SY2005，21，1： | 1 |
| 7 | Corporate Social Responsibility and Access to Finance显示文摘 | CHENG B IOANNOU I SERAFEIM G | 2014 | Stra- tegic Management Journal2014，35，1： | 1 |
| 8 | Information Risk and Fair Values: An Examination of Equity Betas 显示文摘 | Riedl E J Serafeim G | 2011 | Journal of Accounting Research2011，49，4： | 1 |
| 9 | Market reaction to and valuation of IFRS reconciliation adjust-ments:first evidence from the UK显示文摘 | Horton J Serafeim G | | 0，，04： | 1 |
| 10 | SVM- based fuzzy decision trees for classification of high spatial resolution re- mote sensing images 显示文摘 | Serafeim Moustakidis Giorgos Mallinis Nikos Koutsias | 2012 | IEEE Transactions on Geoscience and Remote Sensing2012，50，1： | 1 |
| 11 | Corporate social responsibil- ity and access to finance 显示文摘 | Cheng B Ioannou I Serafeim G | 2014 | Strategic Management Journal2014，35，1： | 1 |
| 12 | Corporate social re- sponsibility and access to finance 显示文摘 | Cheng B Ioannou I Serafeim G | 2014 | Strategic Manage- ment Journal2014，35，1： | 1 |
| 13 | A Taxonomy of Grid Monitoring Systems显示文摘 | Rizos S | 2005 | Future Generation Computer Systems2005，21，： | 1 |
| 14 | Information risk and fair values : an examination of equity betas 显示文摘 | RIEDL E J G SERAFEIM | 2011 | Journal of Accounting Research2011，49，4： | 1 |
| 15 | Unusual case of massive hemorrhage of a gastric duplication cyst in a very advanced age显示文摘 | Serafeim Klimopoulos Dimitrios Gialvalis Meletios Marougas Dionysios Zotos Nikolaos Orfanos Antonios Roussakis Pinelopi Argyriou Catherine Pantelidaki | 2009 | Langenbeck’s Archives of Surgery2009，，4： | 1 |
| 16 | 5-Hydroxytryptamine drives apoptosis in biopsylike Burkitt lymphoma cell reversal by selective serotonin reuptake inhibitors 显示文摘 | Serafeim A Grafton G Chamba A | 2002 | Blood2002，99，： | 1 |
| 17 | Selective serotonin re- uptake inhibitors directly signal for apoptosis in biopsy-like Burkitt lymphoma cells 显示文摘 | Serafeim A Holder M J Grafton G | 2003 | Blood2003，101，： | 1 |
| 18 | Corporate social responsibility and access to finance 显示文摘 | Cheng B Ioannou I Serafeim G | 2014 | Strategic Management Journal2014，35，1： | 1 |
| 19 | The use of the ALT flap and lateral femoral cutaneous nerve for the recon-struction of carpal soft tissueand ulnar nerve defects: a case re- port 显示文摘 | Athanasios K Serafeim B Konstantinos A | 2014 | J Hand Microsurg2014，10，8： | 1 |
| 20 | Market Interest in Nonfinancial Information显示文摘 | Eccles R G M P Krzus G Serafeim | 2011 | Journal of Applied Corporate Finance2011，，4： | 1 |
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