ICU sedation, delirium & recovery

Biomarkers for intensive care unit-acquired weakness: a systematic review for prediction, diagnosis and prognosis

Ann Intensive CarePublished Systematic review

Authors' conclusion

While ten biomarkers exhibit potential for ICU-AW assessment, their clinical utility remains inconsistent.

Study context

Population
Critically ill patients with or at risk of ICU-acquired weakness (intensive care unit-acquired weakness (ICU-AW))
Participants
1,176 patients · 11 studies
Outcome
Predictive, diagnostic and prognostic accuracy of biomarkers for ICU-AW
Methodological detailsSearch of PubMed, Cochrane Library, Embase, Web of Science, CNKI, Wanfang, VIP and SinoMed from inception to January 23, 2025, Quality assessed with revised Newcastle-Ottawa scale and QUADAS-2
  • Search of PubMed, Cochrane Library, Embase, Web of Science, CNKI, Wanfang, VIP and SinoMed from inception to January 23, 2025
  • Quality assessed with revised Newcastle-Ottawa scale and QUADAS-2

Pooled result

As reported in the abstract

Biomarkers identified (5 mechanisms: muscle injury, metabolic, neurological injury, stress response, inflammatory)

10

Biomarkers with strong predictive and diagnostic accuracy, AUC >0.80

6

Growth differentiation factor-15: excellent utility across diagnostic, predictive and prognostic applications, AUC

≥ 0.85

Remaining biomarkers with moderate performance (AUC 0.60 to 0.80)

4

Original publication

Biomarkers for intensive care unit-acquired weakness: a systematic review for prediction, diagnosis and prognosis. Ann Intensive Care. Published 2 July 2025. doi:10.1186/s13613-025-01500-9

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