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X Demographics
Mendeley readers
Attention Score in Context
| Title |
End-of-life decisions in acute stroke patients: an observational cohort study
|
|---|---|
| Published in |
BMC Palliative Care, April 2016
|
| DOI | 10.1186/s12904-016-0113-8 |
| Pubmed ID | |
| Authors |
Angelika Alonso, Anne D. Ebert, Dorothee Dörr, Dieter Buchheidt, Michael G. Hennerici, Kristina Szabo |
| Abstract |
Crucial issues of modern stroke care include best practice end-of-life-decision (EOLD)-making procedures and the provision of high-quality palliative care for dying stroke patients. We retrospectively analyzed records of those patients who died over a 4-year period (2011-2014) on our Stroke Unit concerning EOLD, focusing on the factors that most probably guided decisions to induce limitation of life-sustaining therapy and subsequently end-of-life-care procedures thereafter. Of all patients treated at our Stroke Unit, 120 (2.71 %) died. In 101 (86.3 %), a do-not-resuscitate-order (DNRO) was made during early treatment. A decision to withdraw/withhold further life supportive therapy was made in 40 patients (34.2 %) after a mean of 5.0 days (range 0-29). Overall patient death occurred after a mean time of 7.0 days (range 1-30) and 2.6 days after therapy restrictions. Disturbance of consciousness at presentation, dysphagia on day 1 and large supratentorial stroke were possible indicators of decisions to therapeutic withdrawing/withholding. Proceedings of EOL care in these patients were heterogeneous; in most cases monitoring (95 %), medical procedures (90 %), oral medication (88 %), parenteral nutrition (98 %) and antibiotic therapy (86 %) were either not ordered or withdrawn, however IV fluids were continued in all patients. A high percentage of stroke patients were rated as terminally ill and died in the course of caregiving. Disturbance of consciousness at presentation, dysphagia on day 1 and large supratentorial stroke facilitated decisions to change therapeutic goals thus initiating end-of-life-care. However, there is further need to foster research on this field in order to ameliorate outcome prognostication, to understand the dynamics of EOLD-making procedures and to educate staff to provide high-quality patient-centred palliative care in stroke medicine. |
X Demographics
The data shown below were collected from the profiles of 10 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Uruguay | 1 | 10% |
| Spain | 1 | 10% |
| United States | 1 | 10% |
| United Kingdom | 1 | 10% |
| Unknown | 6 | 60% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 7 | 70% |
| Practitioners (doctors, other healthcare professionals) | 3 | 30% |
Mendeley readers
The data shown below were compiled from readership statistics for 133 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 133 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Other | 19 | 14% |
| Student > Master | 16 | 12% |
| Researcher | 15 | 11% |
| Student > Ph. D. Student | 13 | 10% |
| Student > Postgraduate | 7 | 5% |
| Other | 26 | 20% |
| Unknown | 37 | 28% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 41 | 31% |
| Nursing and Health Professions | 25 | 19% |
| Social Sciences | 9 | 7% |
| Neuroscience | 5 | 4% |
| Biochemistry, Genetics and Molecular Biology | 2 | 2% |
| Other | 12 | 9% |
| Unknown | 39 | 29% |
Attention Score in Context
This research output has an Altmetric Attention Score of 5. 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 December 2016.
All research outputs
#6,341,694
of 24,135,931 outputs
Outputs from BMC Palliative Care
#704
of 1,353 outputs
Outputs of similar age
#85,824
of 305,354 outputs
Outputs of similar age from BMC Palliative Care
#18
of 29 outputs
Altmetric has tracked 24,135,931 research outputs across all sources so far. This one has received more attention than most of these and is in the 73rd percentile.
So far Altmetric has tracked 1,353 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.5. This one is in the 47th percentile – i.e., 47% 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 305,354 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 71% of its contemporaries.
We're also able to compare this research output to 29 others from the same source and published within six weeks on either side of this one. This one is in the 41st percentile – i.e., 41% of its contemporaries scored the same or lower than it.