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Necrotizing fasciitis in patients with diabetes mellitus: clinical characteristics and risk factors for mortality

Overview of attention for article published in BMC Infectious Diseases, October 2015
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (87th percentile)
  • High Attention Score compared to outputs of the same age and source (91st percentile)

Mentioned by

blogs
1 blog
policy
1 policy source
twitter
5 X users

Citations

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73 Dimensions

Readers on

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110 Mendeley
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Title
Necrotizing fasciitis in patients with diabetes mellitus: clinical characteristics and risk factors for mortality
Published in
BMC Infectious Diseases, October 2015
DOI 10.1186/s12879-015-1144-0
Pubmed ID
Authors

Nai-Chen Cheng, Hao-Chih Tai, Shan-Chwen Chang, Chin-Hao Chang, Hong-Shiee Lai

Abstract

Necrotizing fasciitis (NF) is a rapidly progressive and life-threatening infection. This study aimed to investigate the clinical characteristics and mortality- associated factors in diabetic patients. Detailed clinical information of 165 NF cases was retrospectively collected and analyzed in National Taiwan University Hospital between January 1997 and February 2013. We documented and compared the clinical features according to the presence of underlying diabetes mellitus, and we identified risk factors associated with mortality. There were 84 patients (51 %) with diabetes. The overall case fatality rate was 29.7 %, and we found no significant difference between the patients with or without diabetes. Compared with the nondiabetic patients, diabetic patients were older and exhibited higher serum levels of glucose and potassium on admission. Polymicrobial infection and monomicrobial NF caused by Klebsiella pneumoniae were also more frequently associated with diabetic patients. Moreover, diabetic NF patients exhibit a significantly higher chance of limb loss during hospitalization. In the combined diabetic and nondiabetic cohort, a high serum level of potassium (odds ratio, 2.2; 95 % confidence interval, 1.2 to 4.02; P = 0.011) on admission was independently associated with mortality, whereas positive blood culture on admission was associated with mortality in the diabetic cohort (odds ratio, 7.36; 95 % confidence interval, 1.66 to 32.54; P = 0.009). Diabetic patients are more susceptible to NF caused by polymicrobial infection or K. pneumoniae, and they are more likely to receive limb amputation for infection control. Bacteraemia on admission is a significant risk factor for mortality in diabetic NF patients.

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X Demographics

The data shown below were collected from the profiles of 5 X users 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 110 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 <1%
Unknown 109 99%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 24 22%
Other 10 9%
Researcher 9 8%
Student > Master 9 8%
Student > Doctoral Student 7 6%
Other 15 14%
Unknown 36 33%
Readers by discipline Count As %
Medicine and Dentistry 41 37%
Nursing and Health Professions 7 6%
Biochemistry, Genetics and Molecular Biology 6 5%
Agricultural and Biological Sciences 3 3%
Immunology and Microbiology 3 3%
Other 7 6%
Unknown 43 39%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 13. 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 October 2023.
All research outputs
#2,596,282
of 24,532,617 outputs
Outputs from BMC Infectious Diseases
#791
of 8,203 outputs
Outputs of similar age
#35,784
of 284,448 outputs
Outputs of similar age from BMC Infectious Diseases
#14
of 157 outputs
Altmetric has tracked 24,532,617 research outputs across all sources so far. Compared to these this one has done well and is in the 89th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 8,203 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.5. This one has done particularly well, scoring higher than 90% 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 284,448 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 87% of its contemporaries.
We're also able to compare this research output to 157 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.