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Anesthesia-related mortality in pediatric patients: a systematic review

Overview of attention for article published in Clinics, April 2012
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  • Good Attention Score compared to outputs of the same age and source (69th percentile)

Mentioned by

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1 policy source

Citations

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84 Dimensions

Readers on

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121 Mendeley
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Title
Anesthesia-related mortality in pediatric patients: a systematic review
Published in
Clinics, April 2012
DOI 10.6061/clinics/2012(04)12
Pubmed ID
Authors

Leopoldo Palheta Gonzalez, Wangles Pignaton, Priscila Sayuri Kusano, Norma Sueli Pinheiro Módolo, José Reinaldo Cerqueira Braz, Leandro Gobbo Braz

Abstract

This systematic review of the Brazilian and worldwide literature aimed to evaluate the incidence and causes of perioperative and anesthesia-related mortality in pediatric patients. Studies were identified by searching EMBASE (1951-2011), PubMed (1966-2011), LILACS (1986-2011), and SciElo (1995-2011). Each paper was revised to identify the author(s), the data source, the time period, the number of patients, the time of death, and the perioperative and anesthesia-related mortality rates. Twenty trials were assessed. Studies from Brazil and developed countries worldwide documented similar total anesthesia-related mortality rates (<1 death per 10,000 anesthetics) and declines in anesthesia-related mortality rates in the past decade. Higher anesthesia-related mortality rates (2.4-3.3 per 10,000 anesthetics) were found in studies from developing countries over the same time period. Interestingly, pediatric perioperative mortality rates have increased over the past decade, and the rates are higher in Brazil (9.8 per 10,000 anesthetics) and other developing countries (10.7-15.9 per 10,000 anesthetics) compared with developed countries (0.41-6.8 per 10,000 anesthetics), with the exception of Australia (13.4 per 10,000 anesthetics). The major risk factors are being newborn or less than 1 year old, ASA III or worse physical status, and undergoing emergency surgery, general anesthesia, or cardiac surgery. The main causes of mortality were problems with airway management and cardiocirculatory events. Our systematic review of the literature shows that the pediatric anesthesia-related mortality rates in Brazil and in developed countries are similar, whereas the pediatric perioperative mortality rates are higher in Brazil compared with developed countries. Most cases of anesthesia-related mortality are associated with airway and cardiocirculatory events. The data regarding anesthesia-related and perioperative mortality rates may be useful in developing prevention strategies.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 121 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 1 <1%
Unknown 120 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 18 15%
Other 14 12%
Professor > Associate Professor 14 12%
Student > Postgraduate 10 8%
Student > Ph. D. Student 9 7%
Other 29 24%
Unknown 27 22%
Readers by discipline Count As %
Medicine and Dentistry 70 58%
Unspecified 3 2%
Engineering 3 2%
Nursing and Health Professions 3 2%
Biochemistry, Genetics and Molecular Biology 2 2%
Other 8 7%
Unknown 32 26%
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 04 June 2015.
All research outputs
#8,534,528
of 25,371,288 outputs
Outputs from Clinics
#327
of 1,215 outputs
Outputs of similar age
#57,826
of 173,052 outputs
Outputs of similar age from Clinics
#8
of 33 outputs
Altmetric has tracked 25,371,288 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 1,215 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.2. This one has gotten more attention than average, scoring higher than 59% 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 173,052 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 45th percentile – i.e., 45% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 33 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 69% of its contemporaries.