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Characteristics, treatment and outcomes for all emergency department patients fulfilling criteria for septic shock

Overview of attention for article published in European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine, April 2018
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  • Above-average Attention Score compared to outputs of the same age (52nd percentile)
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Title
Characteristics, treatment and outcomes for all emergency department patients fulfilling criteria for septic shock
Published in
European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine, April 2018
DOI 10.1097/mej.0000000000000419
Pubmed ID
Authors

Julian M Williams, Jaimi H Greenslade, Chelsea A Dymond, Kevin Chu, Anthony F T Brown, Jeffrey Lipman

Abstract

Most published data on emergency department (ED) patients with septic shock have been generated from studies examining the effect of early protocolized resuscitation in selected cohorts. Consequently, these data do not generally represent patients falling outside trial inclusion criteria or judged unsuitable for aggressive treatment. Our aim was to determine the characteristics, treatment and outcomes for all ED patients fulfilling the criteria for septic shock. Septic shock patients were identified from a prospective database of consecutive ED patients admitted with infection. Descriptive data were compared with those from previous studies and associations between ED processes of care and mortality were determined. A total of 399 septic shock patients were identified, with a 30-day mortality of 19.5%. The median ED length of stay was 9.2 h. Rates of vasopressor use (22.6%) and ICU admission (37.3%) were low. Subgroups fulfilling the lactate criteria alone, hypotension criteria alone and both criteria represented distinct shock phenotypes with increasing severity of illness and mortality. Mortality for patients with limitations to treatment determined in the ED was 65.6 and 6.1% for those without limitations. Greater volumes of intravenous fluid and early vasopressor therapy for appropriate patients were associated with survival. Median length of stay over 9 hours may have enhanced identification of patients with limitations to treatment and fluid responders, reducing invasive therapies and ICU admissions. Distinct shock phenotypes were apparent, with implications for revision of septic shock definitions and future trial design. Liberal fluids and early vasopressor use in appropriate patients were associated with survival.

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The data shown below were collected from the profiles of 6 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 33 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 33 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 5 15%
Researcher 4 12%
Student > Ph. D. Student 3 9%
Student > Master 3 9%
Student > Doctoral Student 2 6%
Other 8 24%
Unknown 8 24%
Readers by discipline Count As %
Medicine and Dentistry 17 52%
Social Sciences 2 6%
Nursing and Health Professions 2 6%
Veterinary Science and Veterinary Medicine 1 3%
Unspecified 1 3%
Other 2 6%
Unknown 8 24%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 02 March 2018.
All research outputs
#8,535,472
of 25,374,917 outputs
Outputs from European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
#522
of 1,416 outputs
Outputs of similar age
#139,115
of 343,772 outputs
Outputs of similar age from European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
#7
of 12 outputs
Altmetric has tracked 25,374,917 research outputs across all sources so far. This one is in the 43rd percentile – i.e., 43% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,416 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.2. This one has gotten more attention than average, scoring higher than 55% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 343,772 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 52% of its contemporaries.
We're also able to compare this research output to 12 others from the same source and published within six weeks on either side of this one. This one is in the 41st percentile – i.e., 41% of its contemporaries scored the same or lower than it.