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To wake-up, or not to wake-up: that is the Hamletic neurocritical care question!

Overview of attention for article published in Critical Care, December 2012
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  • Above-average Attention Score compared to outputs of the same age and source (54th percentile)

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3 X users

Citations

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10 Dimensions

Readers on

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27 Mendeley
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Title
To wake-up, or not to wake-up: that is the Hamletic neurocritical care question!
Published in
Critical Care, December 2012
DOI 10.1186/cc11891
Pubmed ID
Authors

Lara Prisco, Giuseppe Citerio

Abstract

ABSTRACT: The need for a reliable neurological evaluation in severely brain-injured patients conflicts with sedation, which is routinely administered. Helbok and colleagues prospectively evaluated in a small cohort of 20 sedated severely brain-injured patients the effects of a wakeup test on intracranial pressure (ICP), brain tissue oxygen tension and brain metabolism. The test has been considered potentially risky on 34% of the study days. When the test is performed, ICP and cerebral perfusion pressure increase, usually slightly, except in a subgroup of patients with lower cerebral compliance where marked ICP and cerebral perfusion pressure changes were recorded. In this cohort, the information gained with the wake-up test has been negligible. Given the current little knowledge about the benefits of interruption of continuous sedation in brain-injured patients, it is extremely important to adopt multiple monitoring modalities in neurocritical care in order to escape wake-up tests in those patients who will potentially be harmed by this procedure. Once the clinical condition will improve, sedation needs to be tapered and suspended as soon as possible.

X Demographics

X Demographics

The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 27 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 4%
Czechia 1 4%
Germany 1 4%
Brazil 1 4%
Unknown 23 85%

Demographic breakdown

Readers by professional status Count As %
Researcher 5 19%
Other 2 7%
Student > Doctoral Student 2 7%
Student > Bachelor 2 7%
Professor 2 7%
Other 6 22%
Unknown 8 30%
Readers by discipline Count As %
Medicine and Dentistry 13 48%
Neuroscience 2 7%
Nursing and Health Professions 1 4%
Engineering 1 4%
Unknown 10 37%
Attention Score in Context

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 02 January 2013.
All research outputs
#15,168,964
of 25,373,627 outputs
Outputs from Critical Care
#4,986
of 6,554 outputs
Outputs of similar age
#171,389
of 288,404 outputs
Outputs of similar age from Critical Care
#50
of 119 outputs
Altmetric has tracked 25,373,627 research outputs across all sources so far. This one is in the 38th percentile – i.e., 38% of other outputs scored the same or lower than it.
So far Altmetric has tracked 6,554 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 20.8. This one is in the 22nd percentile – i.e., 22% 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 288,404 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 39th percentile – i.e., 39% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 119 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 54% of its contemporaries.