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"Metabolic staging" after major trauma - a guide for clinical decision making?

Overview of attention for article published in Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, June 2010
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Title
"Metabolic staging" after major trauma - a guide for clinical decision making?
Published in
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, June 2010
DOI 10.1186/1757-7241-18-34
Pubmed ID
Authors

Philip F Stahel, Michael A Flierl, Ernest E Moore

Abstract

Metabolic changes after major trauma have a complex underlying pathophysiology. The early posttraumatic stress response is associated with a state of hyperinflammation, with increased oxygen consumption and energy expenditure. This hypercatabolic state must be recognized early and mandates an early nutritional management strategy. A proactive concept of early enteral "immunonutrition" in severely injured patients, is aimed at counterbalancing the negative aspects of hyperinflammation and hypercatabolism in order to reduce the risk of late complications, including infections and posttraumatic organ failure. Recently, the concept of "metabolic staging" has been advocated, which takes into account the distinct inflammatory phases and metabolic phenotypes after major trauma, including the "ischemia/reperfusion phenotype", the "leukocytic phenotype", and the "angiogenic phenotype". The potential clinical impact of metabolic staging, and of an appropriately adapted "metabolic control" and nutritional support, remains to be determined.

X Demographics

X Demographics

The data shown below were collected from the profile of 1 X user 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 121 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Denmark 1 <1%
Tanzania, United Republic of 1 <1%
Unknown 119 98%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 16 13%
Student > Postgraduate 15 12%
Researcher 14 12%
Other 13 11%
Student > Master 13 11%
Other 28 23%
Unknown 22 18%
Readers by discipline Count As %
Medicine and Dentistry 59 49%
Nursing and Health Professions 15 12%
Biochemistry, Genetics and Molecular Biology 4 3%
Psychology 2 2%
Agricultural and Biological Sciences 2 2%
Other 9 7%
Unknown 30 25%
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 13 August 2014.
All research outputs
#20,656,161
of 25,373,627 outputs
Outputs from Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
#1,256
of 1,365 outputs
Outputs of similar age
#93,801
of 103,848 outputs
Outputs of similar age from Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
#7
of 9 outputs
Altmetric has tracked 25,373,627 research outputs across all sources so far. This one is in the 10th percentile – i.e., 10% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,365 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.6. This one is in the 3rd percentile – i.e., 3% 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 103,848 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 4th percentile – i.e., 4% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 9 others from the same source and published within six weeks on either side of this one. This one has scored higher than 2 of them.