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Mechanical ventilation withdrawal as a palliative procedure in a Brazilian intensive care unit

Overview of attention for article published in Revista Brasileira de Terapia Intensiva, January 2020
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Title
Mechanical ventilation withdrawal as a palliative procedure in a Brazilian intensive care unit
Published in
Revista Brasileira de Terapia Intensiva, January 2020
DOI 10.5935/0103-507x.20200090
Pubmed ID
Authors

Fábio Holanda Lacerda, Pedro Garcia Checoli, Carla Marchini Dias da Silva, Carlos Eduardo Brandão, Daniel Neves Forte, Bruno Adler Maccagnan Pinheiro Besen

Abstract

To describe the characteristics and outcomes of patients undergoing mechanical ventilation withdrawal and to compare them to mechanically ventilated patients with limitations (withhold or withdrawal) of life-sustaining therapies but who did not undergo mechanical ventilation withdrawal. This was a retrospective cohort study from January 2014 to December 2018 of mechanically ventilated patients with any organ support limitation admitted to a single intensive care unit. We compared patients who underwent mechanical ventilation withdrawal and those who did not regarding intensive care unit and hospital mortality and length of stay in both an unadjusted analysis and a propensity score matched subsample. We also analyzed the time from mechanical ventilation withdrawal to death. Out of 282 patients with life-sustaining therapy limitations, 31 (11%) underwent mechanical ventilation withdrawal. There was no baseline difference between groups. Intensive care unit and hospital mortality rates were 71% versus 57% and 93% versus 80%, respectively, among patients who underwent mechanical ventilation withdrawal and those who did not. The median intensive care unit length of stay was 7 versus 8 days (p = 0.6), and the hospital length of stay was 9 versus 15 days (p = 0.015). Hospital mortality was not significantly different (25/31; 81% versus 29/31; 93%; p = 0.26) after matching. The median time from mechanical ventilation withdrawal until death was 2 days [0 - 5], and 10/31 (32%) patients died within 24 hours after mechanical ventilation withdrawal. In this Brazilian report, mechanical ventilation withdrawal represented 11% of all patients with treatment limitations and was not associated with increased hospital mortality after propensity score matching on relevant covariates.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 27 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 27 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 3 11%
Researcher 3 11%
Student > Ph. D. Student 3 11%
Professor 1 4%
Other 1 4%
Other 2 7%
Unknown 14 52%
Readers by discipline Count As %
Medicine and Dentistry 7 26%
Nursing and Health Professions 2 7%
Psychology 1 4%
Pharmacology, Toxicology and Pharmaceutical Science 1 4%
Chemistry 1 4%
Other 1 4%
Unknown 14 52%
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 21 January 2021.
All research outputs
#22,774,430
of 25,387,668 outputs
Outputs from Revista Brasileira de Terapia Intensiva
#282
of 350 outputs
Outputs of similar age
#402,956
of 473,401 outputs
Outputs of similar age from Revista Brasileira de Terapia Intensiva
#10
of 11 outputs
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So far Altmetric has tracked 350 research outputs from this source. They receive a mean Attention Score of 3.4. This one is in the 1st percentile – i.e., 1% 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 473,401 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 11 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.