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Chronic thromboembolic pulmonary hypertension: the impact of advances in perioperative techniques in patient outcomes*

Overview of attention for article published in Jornal de Pneumologia, September 2021
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Title
Chronic thromboembolic pulmonary hypertension: the impact of advances in perioperative techniques in patient outcomes*
Published in
Jornal de Pneumologia, September 2021
DOI 10.36416/1806-3756/e20200435
Pubmed ID
Authors

Paula Gobi Scudeller, Mario Terra-Filho, Orival Freitas, Filomena Regina Barbosa Gomes Galas, Tiago Dutra de Andrade, Daniela Odnicki Nicotari, Laura Michelin Gobbo, Fabio Antonio Gaiotto, Ludhmila Abrahão Hajjar, Fabio Biscegli Jatene

Abstract

Pulmonary endarterectomy (PEA) is the gold standard treatment for chronic thromboembolic pulmonary hypertension (CTEPH). This study aimed at reporting outcomes of CTEPH patients undergoing PEA within 10 years, focusing on advances in anesthetic and surgical techniques. We evaluated 102 patients who underwent PEA between January 2007 and May 2016 at the Instituto do Coração do Hospital das Clínicas da Universidade de São Paulo. Changes in techniques included longer cardiopulmonary bypass, heating, and cooling times and mean time of deep hypothermic circulatory arrest and shortened reperfusion time. Patients were stratified according to temporal changes in anesthetic and surgical techniques: group 1 (January 2007-December 2012), group 2 (January 2013-March 2015), and group 3 (April 2015-May 2016). Clinical outcomes were any occurrence of complications during hospitalization. Groups 1, 2, and 3 included 38, 35, and 29 patients, respectively. Overall, 62.8% were women (mean age, 49.1 years), and 65.7% were in New York Heart Association functional class III-IV. Postoperative complications were less frequent in group 3 than in groups 1 and 2: surgical complications (10.3% vs. 34.2% vs. 31.4%, p=0.035), bleeding (10.3% vs. 31.5% vs. 25.7%, p=0.047), and stroke (0 vs. 13.2% vs. 0, p=0.01). Between 3 and 6 months post-discharge, 85% were in NYHA class I-II. Improvements in anesthetic and surgical procedures were associated with better outcomes in CTEPH patients undergoing PEA during the 10-year period.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 17 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 17 100%

Demographic breakdown

Readers by professional status Count As %
Professor 2 12%
Student > Master 2 12%
Student > Bachelor 2 12%
Librarian 1 6%
Other 1 6%
Other 1 6%
Unknown 8 47%
Readers by discipline Count As %
Medicine and Dentistry 5 29%
Nursing and Health Professions 1 6%
Business, Management and Accounting 1 6%
Psychology 1 6%
Chemistry 1 6%
Other 0 0%
Unknown 8 47%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. 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 09 September 2021.
All research outputs
#17,579,816
of 25,774,185 outputs
Outputs from Jornal de Pneumologia
#327
of 718 outputs
Outputs of similar age
#265,776
of 437,735 outputs
Outputs of similar age from Jornal de Pneumologia
#7
of 13 outputs
Altmetric has tracked 25,774,185 research outputs across all sources so far. This one is in the 21st percentile – i.e., 21% of other outputs scored the same or lower than it.
So far Altmetric has tracked 718 research outputs from this source. They receive a mean Attention Score of 3.8. This one is in the 38th percentile – i.e., 38% of its peers scored the same or lower than it.
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 437,735 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 28th percentile – i.e., 28% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 13 others from the same source and published within six weeks on either side of this one. This one is in the 46th percentile – i.e., 46% of its contemporaries scored the same or lower than it.