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X Demographics
Mendeley readers
Attention Score in Context
| Title |
Initial nutritional management during noninvasive ventilation and outcomes: a retrospective cohort study
|
|---|---|
| Published in |
Critical Care, November 2017
|
| DOI | 10.1186/s13054-017-1867-y |
| Pubmed ID | |
| Authors |
Nicolas Terzi, Michael Darmon, Jean Reignier, Stéphane Ruckly, Maïté Garrouste-Orgeas, Alexandre Lautrette, Elie Azoulay, Bruno Mourvillier, Laurent Argaud, Laurent Papazian, Marc Gainnier, Dan Goldgran-Toledano, Samir Jamali, Anne-Sylvie Dumenil, Carole Schwebel, Jean-François Timsit, for the OUTCOMEREA study group |
| Abstract |
Patients starting noninvasive ventilation (NIV) to treat acute respiratory failure are often unable to eat and therefore remain in the fasting state or receive nutritional support. Maintaining a good nutritional status has been reported to improve patient outcomes. In the present study, our primary objective was to describe the nutritional management of patients starting first-line NIV, and our secondary objectives were to assess potential associations between nutritional management and outcomes. Observational retrospective cohort study of a prospective database fed by 20 French intensive care units. Adult medical patients receiving NIV for more than 2 consecutive days were included and divided into four groups on the basis of nutritional support received during the first 2 days of NIV: no nutrition, enteral nutrition, parenteral nutrition only, and oral nutrition only. Of the 16,594 patients admitted during the study period, 1075 met the inclusion criteria; of these, 622 (57.9%) received no nutrition, 28 (2.6%) received enteral nutrition, 74 (6.9%) received parenteral nutrition only, and 351 (32.7%) received oral nutrition only. After adjustment for confounders, enteral nutrition (vs. no nutrition) was associated with higher 28-day mortality (adjusted HR, 2.3; 95% CI, 1.2-4.4) and invasive mechanical ventilation needs (adjusted HR, 2.1; 95% CI, 1.1-4.2), as well as with fewer ventilator-free days by day 28 (adjusted relative risk, 0.7; 95% CI, 0.5-0.9). Nearly three-fifths of patients receiving NIV fasted for the first 2 days. Lack of feeding or underfeeding was not associated with mortality. The optimal route of nutrition for these patients needs to be investigated. |
X Demographics
The data shown below were collected from the profiles of 81 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 | 11 | 14% |
| United Kingdom | 8 | 10% |
| Colombia | 7 | 9% |
| Spain | 5 | 6% |
| Mexico | 4 | 5% |
| Australia | 2 | 2% |
| Italy | 2 | 2% |
| Sweden | 2 | 2% |
| Canada | 2 | 2% |
| Other | 8 | 10% |
| Unknown | 30 | 37% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 46 | 57% |
| Practitioners (doctors, other healthcare professionals) | 20 | 25% |
| Scientists | 11 | 14% |
| Science communicators (journalists, bloggers, editors) | 4 | 5% |
Mendeley readers
The data shown below were compiled from readership statistics for 132 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 132 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Postgraduate | 17 | 13% |
| Other | 14 | 11% |
| Student > Bachelor | 13 | 10% |
| Student > Master | 11 | 8% |
| Student > Doctoral Student | 9 | 7% |
| Other | 23 | 17% |
| Unknown | 45 | 34% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 46 | 35% |
| Nursing and Health Professions | 25 | 19% |
| Biochemistry, Genetics and Molecular Biology | 6 | 5% |
| Agricultural and Biological Sciences | 2 | 2% |
| Business, Management and Accounting | 1 | <1% |
| Other | 5 | 4% |
| Unknown | 47 | 36% |
Attention Score in Context
This research output has an Altmetric Attention Score of 45. 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 October 2018.
All research outputs
#931,015
of 25,382,440 outputs
Outputs from Critical Care
#709
of 6,555 outputs
Outputs of similar age
#21,045
of 446,404 outputs
Outputs of similar age from Critical Care
#16
of 82 outputs
Altmetric has tracked 25,382,440 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 96th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 6,555 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 well, scoring higher than 89% 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 446,404 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 95% of its contemporaries.
We're also able to compare this research output to 82 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 80% of its contemporaries.