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Mendeley readers
Attention Score in Context
| Title |
Life-threatening massive pulmonary embolism rescued by venoarterial-extracorporeal membrane oxygenation
|
|---|---|
| Published in |
Critical Care, March 2017
|
| DOI | 10.1186/s13054-017-1655-8 |
| Pubmed ID | |
| Authors |
Fillipo Corsi, Guillaume Lebreton, Nicolas Bréchot, Guillaume Hekimian, Ania Nieszkowska, Jean-Louis Trouillet, Charles-Edouard Luyt, Pascal Leprince, Jean Chastre, Alain Combes, Matthieu Schmidt |
| Abstract |
Despite quick implementation of reperfusion therapies, a few patients with high-risk, acute, massive, pulmonary embolism (PE) remain highly hemodynamically unstable. Others have absolute contraindication to receive reperfusion therapies. Venoarterial-extracorporeal membrane oxygenation (VA-ECMO) might lower their right ventricular overload, improve hemodynamic status, and restore tissue oxygenation. ECMO-related complications and 90-day mortality were analyzed for 17 highly unstable, ECMO-treated, massive PE patients admitted to a tertiary-care center (2006-2015). Hospital- discharge survivors were assessed for long-term health-related quality of life. A systematic review of this topic was also conducted. Seventeen high-risk PE patients [median age 51 (range 18-70) years, Simplified Acute Physiology Score II (SAPS II) 78 (45-95)] were placed on VA-ECMO for 4 (1-12) days. Among 15 (82%) patients with pre-ECMO cardiac arrest, seven (41%) were cannulated during cardiopulmonary resuscitation, and eight (47%) underwent pre-ECMO thrombolysis. Pre-ECMO median blood pressure, pH, and blood lactate were, respectively: 42 (0-106) mmHg, 6.99 (6.54-7.37) and 13 (4-19) mmol/L. Ninety-day survival was 47%. Fifteen (88%) patients suffered in-ICU severe hemorrhages with no impact on survival. Like other ECMO-treated patients, ours reported limitations of all physical domains but preserved mental health 19 (4-69) months post-ICU discharge. VA-ECMO could be a lifesaving rescue therapy for patients with high-risk, acute, massive PE when thrombolytic therapy fails or the patient is too sick to benefit from surgical thrombectomy. Because heparin-induced clot dissolution and spontaneous fibrinolysis allows ECMO weaning within several days, future studies should investigate whether VA-ECMO should be the sole therapy or completed by additional mechanical clot-removal therapies in this setting. |
X Demographics
The data shown below were collected from the profiles of 74 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 12 | 16% |
| Spain | 8 | 11% |
| United Kingdom | 7 | 9% |
| Australia | 5 | 7% |
| Chile | 4 | 5% |
| Singapore | 2 | 3% |
| Italy | 2 | 3% |
| France | 2 | 3% |
| Germany | 1 | 1% |
| Other | 9 | 12% |
| Unknown | 22 | 30% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 52 | 70% |
| Practitioners (doctors, other healthcare professionals) | 11 | 15% |
| Science communicators (journalists, bloggers, editors) | 6 | 8% |
| Scientists | 5 | 7% |
Mendeley readers
The data shown below were compiled from readership statistics for 191 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 191 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 30 | 16% |
| Student > Doctoral Student | 18 | 9% |
| Student > Ph. D. Student | 17 | 9% |
| Other | 16 | 8% |
| Student > Bachelor | 15 | 8% |
| Other | 42 | 22% |
| Unknown | 53 | 28% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 102 | 53% |
| Nursing and Health Professions | 10 | 5% |
| Biochemistry, Genetics and Molecular Biology | 5 | 3% |
| Immunology and Microbiology | 2 | 1% |
| Social Sciences | 2 | 1% |
| Other | 10 | 5% |
| Unknown | 60 | 31% |
Attention Score in Context
This research output has an Altmetric Attention Score of 83. 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 22 March 2018.
All research outputs
#501,620
of 25,137,221 outputs
Outputs from Critical Care
#322
of 6,513 outputs
Outputs of similar age
#10,491
of 314,250 outputs
Outputs of similar age from Critical Care
#7
of 69 outputs
Altmetric has tracked 25,137,221 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 98th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 6,513 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 20.8. This one has done particularly well, scoring higher than 95% 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 314,250 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 96% of its contemporaries.
We're also able to compare this research output to 69 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 91% of its contemporaries.