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Severely deranged vital signs as triggers for acute treatment modifications on an intensive care unit in a low-income country

Overview of attention for article published in BMC Research Notes, July 2015
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  • Good Attention Score compared to outputs of the same age (68th percentile)

Mentioned by

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7 tweeters
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1 Facebook page

Citations

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15 Dimensions

Readers on

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60 Mendeley
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Title
Severely deranged vital signs as triggers for acute treatment modifications on an intensive care unit in a low-income country
Published in
BMC Research Notes, July 2015
DOI 10.1186/s13104-015-1275-9
Pubmed ID
Authors

Carl Otto Schell, Markus Castegren, Edwin Lugazia, Jonas Blixt, Moses Mulungu, David Konrad, Tim Baker

Abstract

Critical care saves lives of the young with reversible disease. Little is known about critical care services in low-income countries. In a setting with a shortage of doctors the actions of the nurse bedside are likely to have a major impact on the outcome of critically ill patients with rapidly changing physiology. Identification of severely deranged vital signs and subsequent treatment modifications are the basis of modern routines in critical care, for example goal directed therapy and rapid response teams. This study assesses how often severely deranged vital signs trigger an acute treatment modification on an Intensive Care Unit (ICU) in Tanzania. A medical records based, observational study. Vital signs (conscious level, respiratory rate, oxygen saturation, heart rate and systolic blood pressure) were collected as repeated point prevalences three times per day in a 1-month period for all adult patients on the ICU. Severely deranged vital signs were identified and treatment modifications within 1 h were noted. Of 615 vital signs studied, 126 (18%) were severely deranged. An acute treatment modification was in total indicated in 53 situations and was carried out three times (6%) (2/32 for hypotension, 0/8 for tachypnoea, 1/6 for tachycardia, 0/4 for unconsciousness and 0/3 for hypoxia). This study suggests that severely deranged vital signs are common and infrequently lead to acute treatment modifications on an ICU in a low-income country. There may be potential to improve outcome if nurses are guided to administer acute treatment modifications by using a vital sign directed approach. A prospective study of a vital sign directed therapy protocol is underway.

Twitter Demographics

The data shown below were collected from the profiles of 7 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 60 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Sudan 1 2%
Unknown 59 98%

Demographic breakdown

Readers by professional status Count As %
Researcher 10 17%
Student > Bachelor 9 15%
Student > Doctoral Student 6 10%
Student > Master 6 10%
Student > Postgraduate 5 8%
Other 13 22%
Unknown 11 18%
Readers by discipline Count As %
Medicine and Dentistry 29 48%
Nursing and Health Professions 11 18%
Agricultural and Biological Sciences 2 3%
Social Sciences 2 3%
Computer Science 1 2%
Other 3 5%
Unknown 12 20%

Attention Score in Context

This research output has an Altmetric Attention Score of 4. 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 01 August 2015.
All research outputs
#5,368,096
of 17,356,510 outputs
Outputs from BMC Research Notes
#904
of 3,664 outputs
Outputs of similar age
#73,805
of 240,671 outputs
Outputs of similar age from BMC Research Notes
#1
of 1 outputs
Altmetric has tracked 17,356,510 research outputs across all sources so far. This one has received more attention than most of these and is in the 68th percentile.
So far Altmetric has tracked 3,664 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.0. This one has gotten more attention than average, scoring higher than 74% 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 240,671 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 68% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them