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Management of neurological complications of infective endocarditis in ICU patients

Overview of attention for article published in Annals of Intensive Care, April 2011
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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 (84th percentile)
  • Average Attention Score compared to outputs of the same age and source

Mentioned by

twitter
13 tweeters
facebook
1 Facebook page

Citations

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53 Dimensions

Readers on

mendeley
112 Mendeley
citeulike
1 CiteULike
Title
Management of neurological complications of infective endocarditis in ICU patients
Published in
Annals of Intensive Care, April 2011
DOI 10.1186/2110-5820-1-10
Pubmed ID
Authors

Romain Sonneville, Bruno Mourvillier, Lila Bouadma, Michel Wolff

Abstract

Patients with infective endocarditis (IE) are generally referred to the intensive care unit (ICU) for one or more organ dysfunctions caused by complications of IE. Neurologic events are frequent causes of ICU admission in patients with IE. They can arise through various mechanisms consisting of stroke or transient ischemic attack, cerebral hemorrhage, mycotic aneurysm, meningitis, cerebral abscess, or encephalopathy. Most complications occur early during the course of IE and are a hallmark of left-sided abnormalities of native or prosthetic valves. Occlusion of cerebral arteries, with stroke or transient ischemic attack, accounts for 40% to 50% of the central nervous system complications of IE. CT scan is the most easily feasible neuroimaging in critically unstable patients. However, magnetic resonance imaging is more sensitive and when performed should follow a standardized protocol. In patients with ischemic stroke who are already receiving oral anticoagulant therapy, this treatment should be replaced by unfractionated heparin for at least 2 weeks with a close monitoring of coagulation tests. Mounting evidence shows that, for both complicated left-sided native valve endocarditis and Staphylococcus aureus prosthetic valve endocarditis, valve replacement combined with medical therapy is associated with a better outcome than medical treatment alone. In a recent series, approximately 50% of patients underwent valve replacement during the acute phase of IE before completion of antibiotic treatment. After a neurological event, most patients have at least one indication for cardiac surgery. Recent data from literature suggest that after a stroke, surgery indicated for heart failure, uncontrolled infection, abscess, or persisting high emboli risk should not be delayed, provided that the patient is not comatose or has no severe deficit. Neurologic complications of IE contribute to a severe prognosis in ICU patients. However, patients with only silent or transient stroke had a better prognosis than patients with symptomatic events. In addition, more than neurologic event per se, a better predictor of mortality is neurologic dysfunction, which is associated with location and extension of brain damage. Patients with severe neurological impairment and those with brain hemorrhage have the worse outcome.

Twitter Demographics

The data shown below were collected from the profiles of 13 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 112 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Japan 3 3%
Brazil 2 2%
United Kingdom 1 <1%
Egypt 1 <1%
Spain 1 <1%
Bulgaria 1 <1%
Unknown 103 92%

Demographic breakdown

Readers by professional status Count As %
Other 20 18%
Researcher 19 17%
Student > Postgraduate 12 11%
Student > Bachelor 11 10%
Student > Doctoral Student 8 7%
Other 33 29%
Unknown 9 8%
Readers by discipline Count As %
Medicine and Dentistry 83 74%
Neuroscience 4 4%
Nursing and Health Professions 3 3%
Immunology and Microbiology 2 2%
Agricultural and Biological Sciences 2 2%
Other 5 4%
Unknown 13 12%

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 18 November 2017.
All research outputs
#2,860,451
of 18,422,743 outputs
Outputs from Annals of Intensive Care
#277
of 851 outputs
Outputs of similar age
#24,751
of 162,466 outputs
Outputs of similar age from Annals of Intensive Care
#6
of 10 outputs
Altmetric has tracked 18,422,743 research outputs across all sources so far. Compared to these this one has done well and is in the 84th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 851 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.0. This one has gotten more attention than average, scoring higher than 67% 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 162,466 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 84% of its contemporaries.
We're also able to compare this research output to 10 others from the same source and published within six weeks on either side of this one. This one has scored higher than 4 of them.