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Right heart in septic shock: prospective observational study

Overview of attention for article published in Journal of Intensive Care, June 2016
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Title
Right heart in septic shock: prospective observational study
Published in
Journal of Intensive Care, June 2016
DOI 10.1186/s40560-016-0159-y
Pubmed ID
Authors

Ratender Kumar Singh, Sudeep Kumar, Sreevatsa Nadig, Arvind Kumar Baronia, Banani Poddar, Afzal Azim, Mohan Gurjar

Abstract

The right heart often receives less attention during echocardiography. The situation is no different in septic shock. We prospectively investigated the echocardiographic indices of the right heart in septic shock adult patients. Septic shock ICU patients within 24 h of admission were subjected to transthoracic echocardiography (TTE) as per the 2005 guidelines from the American Society of Echocardiography. Eighty-eight septic shock patients (M:F = 52:36) underwent TTE. Thirty-six patients survived. Significant differences in demographic and biochemical (laboratory and metabolic) parameters, severity scores, life-support therapies (vasopressors, ventilation), and length of ICU stay were observed between survivors and non-survivors. Right heart abnormalities of chamber dimension and systolic and diastolic function existed in 79, 25, and 86 % of patients, respectively. Right ventricle subcostal wall thickness (91 %), pulse Doppler myocardial performance index (73 %), and E/E' (63 %) were the predominant abnormalities in chamber dimension, systolic function, and diastolic function of the right heart, respectively. However, the presence of these abnormalities did not signify poor survival in our study. Right heart dimensional and functional abnormalities exist in high proportions in septic shock. However, their predictability of poor outcomes remains questionable.

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Mendeley readers

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 %
Japan 1 3%
Unknown 34 97%

Demographic breakdown

Readers by professional status Count As %
Researcher 7 20%
Student > Postgraduate 5 14%
Other 5 14%
Student > Master 3 9%
Student > Bachelor 2 6%
Other 8 23%
Unknown 5 14%
Readers by discipline Count As %
Medicine and Dentistry 25 71%
Agricultural and Biological Sciences 2 6%
Psychology 2 6%
Nursing and Health Professions 1 3%
Chemistry 1 3%
Other 0 0%
Unknown 4 11%
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 10 September 2017.
All research outputs
#17,807,987
of 22,876,619 outputs
Outputs from Journal of Intensive Care
#419
of 516 outputs
Outputs of similar age
#241,949
of 341,017 outputs
Outputs of similar age from Journal of Intensive Care
#19
of 21 outputs
Altmetric has tracked 22,876,619 research outputs across all sources so far. This one is in the 19th percentile – i.e., 19% of other outputs scored the same or lower than it.
So far Altmetric has tracked 516 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 11.7. This one is in the 14th percentile – i.e., 14% 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 341,017 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 24th percentile – i.e., 24% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 21 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.