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Epidemiology and outcome of acute lung injury in European intensive care units

Overview of attention for article published in Intensive Care Medicine, January 2004
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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 (81st percentile)
  • High Attention Score compared to outputs of the same age and source (85th percentile)

Mentioned by

blogs
1 blog
wikipedia
1 Wikipedia page

Citations

dimensions_citation
457 Dimensions

Readers on

mendeley
168 Mendeley
Title
Epidemiology and outcome of acute lung injury in European intensive care units
Published in
Intensive Care Medicine, January 2004
DOI 10.1007/s00134-003-2022-6
Pubmed ID
Authors

Guido Bertolini, Klaus Lewandowski, Julian Bion, Jacques-Andr� Romand, Jes�s Villar, Adalbj�rn Thorsteinsson, Pierre Damas, Apostolos Armaganidis, Fran�ois Lemaire, Cosetta Minelli, Christian Brun-Buisson, Luca Brazzi, Jorge Pimentel

Abstract

To re-examine the epidemiology of acute lung injury (ALI) in European intensive care units (ICUs). A 2-month inception cohort study in 78 ICUs of 10 European countries. All patients admitted for more than 4 h were screened for ALI and followed up to 2 months. Acute lung injury occurred in 463 (7.1%) of 6,522 admissions and 16.1% of all mechanically ventilated patients; 65.4% cases occurred on ICU admission. Among 136 patients initially presenting with "mild ALI" (200< PaO2/FiO2 < or =300), 74 (55%) evolved to acute respiratory distress syndrome (ARDS) within 3 days. Sixty-two patients (13.4%) remained with mild ALI and 401 had ARDS. The crude ICU and hospital mortalities were 22.6% and 32.7% (p<0.001), and 49.4% and 57.9% (p=0.0005), respectively, for mild ALI and ARDS. ARDS patients initially received a mean tidal volume of 8.3+/-1.9 ml/kg and a mean PEEP of 7.7+/-3.6 cmH2O; air leaks occurred in 15.9%. After multivariate analysis, mortality was associated with age (odds ratio (OR) =1.2 per 10 years; 95% confidence interval (CI): 1.05-1.36), immuno-incompetence (OR: 2.88; Cl: 1.57-5.28), the severity scores SAPS II (OR: 1.16 per 10% expected mortality; Cl: 1.02-1.31) and logistic organ dysfunction (OR: 1.25 per point; Cl: 1.13-1.37), a pH less than 7.30 (OR: 1.88; Cl: 1.11-3.18) and early air leak (OR: 3.16; Cl: 1.59-6.28). Acute lung injury was frequent in our sample of European ICUs (7.1%); one third of patients presented with mild ALI, but more than half rapidly evolved to ARDS. While the mortality of ARDS remains high, that of mild ALI is twice as low, confirming the grading of severity between the two forms of the syndrome.

Mendeley readers

The data shown below were compiled from readership statistics for 168 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 4 2%
Brazil 3 2%
Germany 2 1%
Italy 2 1%
United Kingdom 2 1%
Australia 1 <1%
Iran, Islamic Republic of 1 <1%
Colombia 1 <1%
Greece 1 <1%
Other 0 0%
Unknown 151 90%

Demographic breakdown

Readers by professional status Count As %
Researcher 29 17%
Student > Ph. D. Student 23 14%
Professor > Associate Professor 23 14%
Student > Doctoral Student 21 13%
Student > Master 16 10%
Other 56 33%
Readers by discipline Count As %
Medicine and Dentistry 121 72%
Unspecified 13 8%
Agricultural and Biological Sciences 13 8%
Engineering 7 4%
Pharmacology, Toxicology and Pharmaceutical Science 4 2%
Other 10 6%

Attention Score in Context

This research output has an Altmetric Attention Score of 9. 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 30 August 2017.
All research outputs
#1,691,658
of 12,225,951 outputs
Outputs from Intensive Care Medicine
#802
of 3,134 outputs
Outputs of similar age
#49,940
of 266,546 outputs
Outputs of similar age from Intensive Care Medicine
#9
of 63 outputs
Altmetric has tracked 12,225,951 research outputs across all sources so far. Compared to these this one has done well and is in the 86th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 3,134 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.7. 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 266,546 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 81% of its contemporaries.
We're also able to compare this research output to 63 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 85% of its contemporaries.