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A positive fluid balance is an independent prognostic factor in patients with sepsis

Overview of attention for article published in Critical Care, June 2015
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • Among the highest-scoring outputs from this source (#28 of 5,008)
  • High Attention Score compared to outputs of the same age (99th percentile)

Mentioned by

blogs
1 blog
twitter
312 tweeters
facebook
3 Facebook pages
googleplus
1 Google+ user
reddit
1 Redditor

Citations

dimensions_citation
168 Dimensions

Readers on

mendeley
289 Mendeley
citeulike
1 CiteULike
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Title
A positive fluid balance is an independent prognostic factor in patients with sepsis
Published in
Critical Care, June 2015
DOI 10.1186/s13054-015-0970-1
Pubmed ID
Authors

Angela Acheampong, Jean-Louis Vincent

Abstract

Intravenous fluid administration is an essential component of sepsis management, but a positive fluid balance has been associated with worse prognosis. We analyzed whether a positive fluid balance and its persistence over time was an independent prognostic factor in septic patients. We prospectively studied fluid intake and output for 7 days in 173 consecutive adult patients treated for sepsis in our Department of Intensive Care. Of the 173 patients, 59 died (34 %). Mean daily fluid intake was higher in non-survivors than in survivors (59 ± 24 ml/kg vs. 48 ± 23 ml/kg, p = 0.03), but output volumes were similar. As a result, the daily fluid balance was more than twice as large in the non-survivors as in the survivors (29 ± 22 vs. 13 ± 19 ml/kg, p < 0.001). Persistence of a positive fluid balance over time was associated with increased mortality. Using a multivariable time-dependent Cox model, a positive fluid balance was independently associated with higher mortality (adjusted hazard ratio 1.014 [1.007-1.022] per ml/kg increase, p < 0.001). Persistence of a positive daily fluid balance over time was quite strongly associated with a higher mortality rate in septic patients.

Twitter Demographics

The data shown below were collected from the profiles of 312 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 289 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 2 <1%
Brazil 2 <1%
Egypt 1 <1%
Mexico 1 <1%
Japan 1 <1%
Turkey 1 <1%
Unknown 281 97%

Demographic breakdown

Readers by professional status Count As %
Other 45 16%
Student > Postgraduate 40 14%
Student > Master 34 12%
Researcher 29 10%
Student > Ph. D. Student 24 8%
Other 83 29%
Unknown 34 12%
Readers by discipline Count As %
Medicine and Dentistry 207 72%
Nursing and Health Professions 12 4%
Pharmacology, Toxicology and Pharmaceutical Science 9 3%
Agricultural and Biological Sciences 5 2%
Neuroscience 2 <1%
Other 11 4%
Unknown 43 15%

Attention Score in Context

This research output has an Altmetric Attention Score of 208. 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 19 October 2019.
All research outputs
#86,740
of 15,854,232 outputs
Outputs from Critical Care
#28
of 5,008 outputs
Outputs of similar age
#1,402
of 237,821 outputs
Outputs of similar age from Critical Care
#1
of 4 outputs
Altmetric has tracked 15,854,232 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 5,008 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 15.5. This one has done particularly well, scoring higher than 99% 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 237,821 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 99% of its contemporaries.
We're also able to compare this research output to 4 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