Research Article

Early Neuromuscular Electrical Stimulation Preserves Muscle Size and Quality and Maintains Systemic Levels of Signaling Mediators of Muscle Growth and Inflammation in Patients with Traumatic Brain Injury: A Randomized Clinical Trial

Table 2

Clinical outcomes in the control and NMES groups.

Control (n = 20)NMES (n = 20)MD[95% CI] value

Sepsis, n (%)17 (85%)16 (80%)10.67
Septic shock, n (%)9 (45%)11 (55%)20.52
Multi-organ failure, n (%)4 (20%)6 (30%)20.46
Initiation of enteral nutrition, d3.25 (1.88)3.47 (2.03)−0.22[−1.49; 1.05]0.72
Cumulative fluid balance 7 days, L8.5 (6.9)8.2 (4.2)0.27[−4.1; 4.7]0.89
Days of sedation, d7.6 (4.7)8.8 (4.9)−1.2[−4.40; 1.91]0.42
Time on invasive MV, d9.9 (5.8)11.6 (5.0)−1.7[−5.24; 1.74]0.31
Ventilator-free days at 28 days, d10 (8.6)8.6 (7.9)1.35[−3.95; 6.65]0.60
ICU length of stay, d16.1 (12.6)16.5 (11.7)−0.4[−8.52; 7.60]0.90
Hospital length of stay, d26.7 (25.1)25.5 (22.4)1.1[−14.76; 17.11]0.88
7-day mortality, n (%)5 (25%)4 (20%)10.70
28-day mortality, n (%)7 (35%)8 (40%)10.74

Continuous variables are expressed as mean (standard deviation), and categorical variables are expressed as absolute and relative value = n (%). MD: mean difference between groups and [95% CI]: 95% confidence interval; NMES: neuromuscular electrical stimulation; MV: mechanical ventilation; ICU: intensive care unit. Clinical outcomes between control and NMES were compared by non-paired t-test for continuous variable and chi-square test for dichotomous variable.