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Analysis of 203 Patients with Penetrating Neck Injuries

Overview of attention for article published in World Journal of Surgery, October 2008
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About this Attention Score

  • Good Attention Score compared to outputs of the same age (69th percentile)
  • Above-average Attention Score compared to outputs of the same age and source (52nd percentile)

Mentioned by

blogs
1 blog

Citations

dimensions_citation
57 Dimensions

Readers on

mendeley
48 Mendeley
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Title
Analysis of 203 Patients with Penetrating Neck Injuries
Published in
World Journal of Surgery, October 2008
DOI 10.1007/s00268-008-9766-7
Pubmed ID
Authors

Max Thoma, Pradeep H. Navsaria, Sorin Edu, Andrew J. Nicol

Abstract

Selective nonoperative management (SNOM) of penetrating neck injuries (PNI) has steadily gained favor, but indications for surgery and adjunctive diagnostic studies remain debated. The purpose of the present study is to validate a protocol of SNOM of PNI based on physical examination, which further dictates complementary investigations and management. A prospective observational study was conducted in a South African tertiary urban trauma center with a high prevalence of penetrating trauma. All consecutive patients admitted with penetrating neck injuries over a 13-month period were included. A total of 203 patients were included in the study: 159 with stab wounds and 42 with gunshot wounds. A vascular injury was identified in 27 (13.3%) patients, pharyngoesophageal injury in 18 (8.9%) patients, and an upper airway injury in 8 (3.9%) patients. Only 25 (12.3%) patients required surgical intervention. A further 8 (3.9%) patients had therapeutic endovascular procedures. The remaining 158 (77.8%) patients, either asymptomatic or with negative work-up, were managed expectantly. There were no clinically relevant missed injuries. Selective nonoperative management of neck injuries based on clinical examination and selective use of adjunctive investigational studies is safe in a high-volume trauma center.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 48 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Japan 1 2%
Russia 1 2%
Unknown 46 96%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 6 13%
Student > Master 5 10%
Student > Bachelor 4 8%
Researcher 3 6%
Other 3 6%
Other 12 25%
Unknown 15 31%
Readers by discipline Count As %
Medicine and Dentistry 25 52%
Psychology 2 4%
Social Sciences 1 2%
Physics and Astronomy 1 2%
Neuroscience 1 2%
Other 1 2%
Unknown 17 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 5. 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 28 May 2018.
All research outputs
#5,969,152
of 23,079,238 outputs
Outputs from World Journal of Surgery
#1,068
of 4,272 outputs
Outputs of similar age
#27,578
of 91,000 outputs
Outputs of similar age from World Journal of Surgery
#9
of 19 outputs
Altmetric has tracked 23,079,238 research outputs across all sources so far. This one has received more attention than most of these and is in the 73rd percentile.
So far Altmetric has tracked 4,272 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.6. This one has gotten more attention than average, scoring higher than 74% 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 91,000 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 69% of its contemporaries.
We're also able to compare this research output to 19 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 52% of its contemporaries.