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Functional Capacity in Congenital Heart Disease: A Systematic Review and Meta-Analysis

Overview of attention for article published in Arquivos Brasileiros de Cardiologia, September 2017
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Title
Functional Capacity in Congenital Heart Disease: A Systematic Review and Meta-Analysis
Published in
Arquivos Brasileiros de Cardiologia, September 2017
DOI 10.5935/abc.20170125
Pubmed ID
Authors

Camila Wohlgemuth Schaan, Aline Chagastelles Pinto de Macedo, Graciele Sbruzzi, Daniel Umpierre, Beatriz D. Schaan, Lucia Campos Pellanda

Abstract

Children and adolescents with congenital heart disease often have alterations in their exercise capacity that can be evaluated by various functional testing. To evaluate the functional capacity of children and adolescents with congenital heart disease (CHD) with systematic review and meta-analyses. The review included observational studies, data from the first evaluation of randomized clinical trials or observational follow-up periods after clinical trials which evaluated functional capacity by cardiopulmonary exercise test, stress testing, six-minute walk test or step test, in children and adolescents with CHD, aged between six and 18 years, and comparisons with healthy controls in the same age group. The quantitative assessment was performed by meta-analysis, by comparing the maximal oxygen consumption (VO2max) of children and adolescents with CHD and respective control groups. Twenty-five of 2.683 studies identified in the search met the inclusion criteria. The VO2max measurement showed that patients with CHD have a decrease of 9.31 ml/Kg/min (95% CI. -12.48 to -6.13; I2, 94.3%, P for heterogeneity < 0.001) compared with the control group. The meta-analysis of the data of maximum heart rate (HR) reached during cardiopulmonary test and stress testing, retrieved from 18 studies, showed a HR value of -15.14 bpm (95% CI. -20.97 to -9.31; I2, 94.3%, P for heterogeneity < 0.001) compared with the control group. Children and adolescents with CHD have lower VO2max and HR compared to controls.

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Geographical breakdown

Country Count As %
Unknown 51 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 9 18%
Other 4 8%
Student > Master 4 8%
Student > Doctoral Student 2 4%
Lecturer 1 2%
Other 2 4%
Unknown 29 57%
Readers by discipline Count As %
Nursing and Health Professions 9 18%
Medicine and Dentistry 8 16%
Environmental Science 1 2%
Immunology and Microbiology 1 2%
Mathematics 1 2%
Other 2 4%
Unknown 29 57%
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 08 September 2017.
All research outputs
#17,292,294
of 25,382,440 outputs
Outputs from Arquivos Brasileiros de Cardiologia
#524
of 1,210 outputs
Outputs of similar age
#207,472
of 323,619 outputs
Outputs of similar age from Arquivos Brasileiros de Cardiologia
#8
of 17 outputs
Altmetric has tracked 25,382,440 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 1,210 research outputs from this source. They receive a mean Attention Score of 4.0. This one is in the 39th percentile – i.e., 39% 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 323,619 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 17 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.