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Bench-to-bedside review: Hypothermia in traumatic brain injury

Overview of attention for article published in Critical Care, February 2010
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57 Dimensions

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148 Mendeley
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Title
Bench-to-bedside review: Hypothermia in traumatic brain injury
Published in
Critical Care, February 2010
DOI 10.1186/cc8220
Pubmed ID
Authors

HLouise Sinclair, Peter JD Andrews

Abstract

Traumatic brain injury remains a major cause of death and severe disability throughout the world. Traumatic brain injury leads to 1,000,000 hospital admissions per annum throughout the European Union. It causes the majority of the 50,000 deaths from road traffic accidents and leaves 10,000 patients severely handicapped: three quarters of these victims are young people. Therapeutic hypothermia has been shown to improve outcome after cardiac arrest, and consequently the European Resuscitation Council and American Heart Association guidelines recommend the use of hypothermia in these patients. Hypothermia is also thought to improve neurological outcome after neonatal birth asphyxia. Cardiac arrest and neonatal asphyxia patient populations present to health care services rapidly and without posing a diagnostic dilemma; therefore, therapeutic systemic hypothermia may be implemented relatively quickly. As a result, hypothermia in these two populations is similar to the laboratory models wherein systemic therapeutic hypothermia is commenced very soon after the injury and has shown so much promise. The need for resuscitation and computerised tomography imaging to confirm the diagnosis in patients with traumatic brain injury is a factor that delays intervention with temperature reduction strategies. Treatments in traumatic brain injury have traditionally focussed on restoring and maintaining adequate brain perfusion, surgically evacuating large haematomas where necessary, and preventing or promptly treating oedema. Brain swelling can be monitored by measuring intracranial pressure (ICP), and in most centres ICP is used to guide treatments and to monitor their success. There is an absence of evidence for the five commonly used treatments for raised ICP and all are potential 'double-edged swords' with significant disadvantages. The use of hypothermia in patients with traumatic brain injury may have beneficial effects in both ICP reduction and possible neuro-protection. This review will focus on the bench-to-bedside evidence that has supported the development of the Eurotherm3235Trial protocol.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 148 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 3 2%
Chile 1 <1%
France 1 <1%
Switzerland 1 <1%
United Kingdom 1 <1%
Canada 1 <1%
Romania 1 <1%
United States 1 <1%
Unknown 138 93%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 21 14%
Student > Master 21 14%
Researcher 19 13%
Other 18 12%
Student > Bachelor 12 8%
Other 40 27%
Unknown 17 11%
Readers by discipline Count As %
Medicine and Dentistry 95 64%
Nursing and Health Professions 7 5%
Psychology 5 3%
Agricultural and Biological Sciences 4 3%
Neuroscience 4 3%
Other 13 9%
Unknown 20 14%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. 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 28 July 2012.
All research outputs
#8,534,976
of 25,373,627 outputs
Outputs from Critical Care
#4,396
of 6,554 outputs
Outputs of similar age
#55,695
of 184,766 outputs
Outputs of similar age from Critical Care
#22
of 55 outputs
Altmetric has tracked 25,373,627 research outputs across all sources so far. This one is in the 43rd percentile – i.e., 43% 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 28th percentile – i.e., 28% 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 184,766 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 21st percentile – i.e., 21% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 55 others from the same source and published within six weeks on either side of this one. This one is in the 47th percentile – i.e., 47% of its contemporaries scored the same or lower than it.