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Determinants of patient survival during the 2014 Ebola Virus Disease outbreak in Bong County, Liberia

Overview of attention for article published in Global Health Research and Policy, June 2016
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (93rd percentile)

Mentioned by

news
4 news outlets

Readers on

mendeley
17 Mendeley
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Title
Determinants of patient survival during the 2014 Ebola Virus Disease outbreak in Bong County, Liberia
Published in
Global Health Research and Policy, June 2016
DOI 10.1186/s41256-016-0005-8
Pubmed ID
Authors

Thomas A. Weppelmann, Bangure Donewell, Ubydul Haque, Wenbiao Hu, Ricardo J. Soares Magalhaes, Mutaawe Lubogo, Lucas Godbless, Sasita Shabani, Justin Maeda, Herilinda Temba, Theophil C. Malibiche, Naod Berhanu, Wenyi Zhang, Luke Bawo

Abstract

The unprecedented size of the 2014 Ebola Virus Disease (EVD) outbreak in West Africa has allowed for a more extensive characterization of the clinical presentation and management of this disease. In this study, we report the trends in morbidity, mortality, and determinants of patient survival as EVD spread into Bong County, Liberia. An analysis of suspected, probable, or confirmed cases of EVD (n = 607) reported to the Liberian Ministry of Health and Social Welfare (MOHSW) between March 23rd and December 31st 2014 was conducted. The likelihood of infection given exposure factors was determined using logistic regression in individuals with a definitive diagnosis by RT-PCR (n = 321). The risk of short-term mortality (30 days) given demographic factors, clinical symptoms, and highest level of treatment received was assessed with Cox regression and survival analyses (n = 391). The overall mortality rate was 53.5 % (95 % CI: 49 %, 58 %) and decreased as access to medical treatment increased. Those who reported contact with another EVD case were more likely to be infected (OR: 5.7), as were those who attended a funeral (OR: 3.9). Mortality increased with age (P < 0.001) and was higher in males compared to females (P =0.006). Fever (HR: 6.63), vomiting (HR: 1.93), diarrhea (HR: 1.99), and unexplained bleeding (HR: 2.17) were associated with increased mortality. After adjusting for age, hospitalized patients had a 74 % reduction in the risk of short term mortality (P < 0.001 AHR: 0.26; 95 % CI AHR: 0.18, 0.37), compared to those not given medical intervention. Even treatment with only basic supportive care such as intravenous rehydration therapy was able to significantly improve patient survival in suspected, probable, or confirmed EVD cases.

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 %
Student > Bachelor 4 24%
Student > Master 4 24%
Lecturer 2 12%
Lecturer > Senior Lecturer 1 6%
Student > Ph. D. Student 1 6%
Other 1 6%
Unknown 4 24%
Readers by discipline Count As %
Medicine and Dentistry 3 18%
Nursing and Health Professions 2 12%
Immunology and Microbiology 2 12%
Computer Science 1 6%
Agricultural and Biological Sciences 1 6%
Other 2 12%
Unknown 6 35%

Attention Score in Context

This research output has an Altmetric Attention Score of 32. 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 17 October 2016.
All research outputs
#351,769
of 9,727,301 outputs
Outputs from Global Health Research and Policy
#1
of 25 outputs
Outputs of similar age
#17,148
of 256,401 outputs
Outputs of similar age from Global Health Research and Policy
#1
of 3 outputs
Altmetric has tracked 9,727,301 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 96th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 25 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.9. This one scored the same or higher as 24 of them.
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 256,401 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 93% of its contemporaries.
We're also able to compare this research output to 3 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them