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Complications of otitis media – a potentially lethal problem still present

Overview of attention for article published in Brazilian Journal of Otorhinolaryngology, May 2016
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  • High Attention Score compared to outputs of the same age and source (83rd percentile)

Mentioned by

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2 tweeters

Citations

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28 Dimensions

Readers on

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108 Mendeley
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Title
Complications of otitis media – a potentially lethal problem still present
Published in
Brazilian Journal of Otorhinolaryngology, May 2016
DOI 10.1016/j.bjorl.2015.04.007
Pubmed ID
Authors

Norma de Oliveira Penido, Sujana Sreedevi Chandrasekhar, Andrei Borin, André Souza de Albuquerque Maranhão, José Ricardo Gurgel Testa

Abstract

It is an erroneous but commonly held belief that intracranial complications (ICCs) of chronic and acute otitis media (COM and AOM) are past diseases or from developing countries. These problems remain, despite improvements in antibiotic care. This paper analyzes the occurrence and clinical characteristics and course of the main ICCs of otitis media (OM). Retrospective cohort study of 51 patients with ICCs from OM, drawn from all patients presenting with OM to the emergency room of a large inner-city tertiary care hospital over a 22-year period. 80% of cases were secondary to COM of which the incidence of ICC was 0.8%; 20% were due to AOM. The death occurrence was 7.8%, hearing loss in 90%, and permanent neurological sequelae in 29%. Patients were 61% male. In the majority, onset of ear disease had occurred during childhood. Delay of diagnosis of both the initial infection as well as the secondary ICC was significant. ICCs included brain abscess and meningitis in 78%, and lateral sinus thrombosis, empyema and otitic hydrocephalus in 13%, 8% and 1% of cases, respectively. Twenty-seven neurosurgical procedures and 43 otologic surgery procedures were performed. Two patients were too ill for surgical intervention. ICCs of OM, although uncommon, still occur. These cases require expensive, complex and long-term inpatient treatment and frequently result in hearing loss, neurological sequelae and mortality. It is important to be aware of this potentiality in children with COM, especially, and maintain a high index of suspicion in order to refer for otologic specialty care before such complications occur.

Twitter Demographics

The data shown below were collected from the profiles of 2 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 108 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 1 <1%
Unknown 107 99%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 22 20%
Student > Postgraduate 19 18%
Student > Master 11 10%
Other 8 7%
Student > Ph. D. Student 7 6%
Other 16 15%
Unknown 25 23%
Readers by discipline Count As %
Medicine and Dentistry 59 55%
Nursing and Health Professions 5 5%
Agricultural and Biological Sciences 4 4%
Immunology and Microbiology 3 3%
Neuroscience 2 2%
Other 7 6%
Unknown 28 26%

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 08 June 2019.
All research outputs
#8,905,041
of 15,184,829 outputs
Outputs from Brazilian Journal of Otorhinolaryngology
#108
of 369 outputs
Outputs of similar age
#127,539
of 265,252 outputs
Outputs of similar age from Brazilian Journal of Otorhinolaryngology
#3
of 18 outputs
Altmetric has tracked 15,184,829 research outputs across all sources so far. This one is in the 39th percentile – i.e., 39% of other outputs scored the same or lower than it.
So far Altmetric has tracked 369 research outputs from this source. They receive a mean Attention Score of 2.3. This one has gotten more attention than average, scoring higher than 68% 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 265,252 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 48th percentile – i.e., 48% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 18 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 83% of its contemporaries.