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Treatment-limiting decisions in patients with severe traumatic brain injury in a Norwegian regional trauma center

Overview of attention for article published in Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, April 2017
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About this Attention Score

  • Above-average Attention Score compared to outputs of the same age (53rd percentile)

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4 tweeters

Citations

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12 Dimensions

Readers on

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35 Mendeley
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Title
Treatment-limiting decisions in patients with severe traumatic brain injury in a Norwegian regional trauma center
Published in
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, April 2017
DOI 10.1186/s13049-017-0385-x
Pubmed ID
Authors

Annette Robertsen, Reidun Førde, Nils Oddvar Skaga, Eirik Helseth

Abstract

Treatment-limiting decisions (TLD) for severe traumatic brain injury (sTBI) have been sparsely studied. This study determine prevalence, main reason for, categories and timing of TLDs in a Norwegian regional trauma setting. A retrospective study of a 2-year cohort of 579 sTBI patients admitted to Oslo University Hospital (OUH). Prospectively collected data in the OUH Trauma Registry were combined with retrospective data from a chart review regarding TLDs. TLDs were documented for 101/579 sTBI patients (17%). The situation was evaluated as futile in 59 cases and as potentially inappropriate in 42 cases. The three most frequent types of TLDs were withholding of neurosurgery, do not resuscitate orders and withdrawing of organ support. In 70% of cases, the first TLD was made within 2 days after injury, while in 14%, the first TLD was made later than day 7. Twenty percent (20/101) of the first TLDs were later adjusted, revoked in 4 patients and broadening of TLDs in 16 patients. The median time from the decision to death was 2 days (range 1-652). TLDs were documented in 93% of in-hospital death cases (n = 79). In-hospital deaths occurred in 73% of TLD group cases and 1% of non-TLD group cases. Family interaction and multi-team discussions were documented in >88% of cases, but no advanced directives were found, and notifications of patients' preferences were found in only 7% of cases. Clinicians should consider limiting treatment if continued treatment is not in the patients best interest. A range of different types of TLDs were applied for patients after sTBI in the trauma hospital setting. TLDs were found in 17% of sTBI patients. Value considerations behind TLDs in this care context need to be further explored.

Twitter Demographics

The data shown below were collected from the profiles of 4 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 35 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 35 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 7 20%
Other 4 11%
Student > Postgraduate 4 11%
Student > Ph. D. Student 4 11%
Researcher 4 11%
Other 10 29%
Unknown 2 6%
Readers by discipline Count As %
Medicine and Dentistry 21 60%
Nursing and Health Professions 3 9%
Neuroscience 2 6%
Social Sciences 2 6%
Psychology 2 6%
Other 3 9%
Unknown 2 6%

Attention Score in Context

This research output has an Altmetric Attention Score of 2. 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 05 September 2017.
All research outputs
#6,551,616
of 11,707,803 outputs
Outputs from Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
#444
of 728 outputs
Outputs of similar age
#120,675
of 267,457 outputs
Outputs of similar age from Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
#19
of 23 outputs
Altmetric has tracked 11,707,803 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 728 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.2. This one is in the 37th percentile – i.e., 37% 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 267,457 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 53% of its contemporaries.
We're also able to compare this research output to 23 others from the same source and published within six weeks on either side of this one. This one is in the 17th percentile – i.e., 17% of its contemporaries scored the same or lower than it.