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Ilio-psoas hematoma in the intensive care unit: a multicentric study

Overview of attention for article published in Annals of Intensive Care, January 2016
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Title
Ilio-psoas hematoma in the intensive care unit: a multicentric study
Published in
Annals of Intensive Care, January 2016
DOI 10.1186/s13613-016-0106-z
Pubmed ID
Authors

J. F. Llitjos, F. Daviaud, D. Grimaldi, S. Legriel, J. L. Georges, E. Guerot, J. P. Bedos, J. Y. Fagon, J. Charpentier, J. P. Mira

Abstract

Clinical features and outcomes of patients with spontaneous ilio-psoas hematoma (IPH) in intensive care units (ICUs) are poorly documented. The objectives of this study were to determine epidemiological, clinical, biological and management characteristics of ICU patients with IPH. We conducted a retrospective multicentric study in three French ICUs from January 2006 to December 2014. We included IPH diagnosed both at admission and during ICU stay. Surgery and embolization were available 24 h a day for each center, and therapeutic decisions were undertaken after pluridisciplinary discussion. All IPHs were diagnosed using CT scan. During this period, we identified 3.01 cases/1000 admissions. The mortality rate of the 77 included patients was 30 %. In multivariate analysis, we observed that mortality was independently associated with SAPS II (OR 1.1, 95 % CI [1.013-1.195], p = 0.02) and with the presence of hemorrhagic shock (OR 67.1, 95 % CI [2.6-1691], p = 0.01). We found IPH was related to anticoagulation therapy in 56 cases (72 %), with guideline-concordant reversal performed in 33 % of patients. We did not found any association between anticoagulant therapy type and outcome. We found IPH is an infrequent disease, with a high mortality rate of 30 %, mostly related to anticoagulation therapy and usually affecting the elderly. Management of anticoagulation-related IPH includes a high rate of no reversal of 38 %.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 43 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Andorra 1 2%
Unknown 42 98%

Demographic breakdown

Readers by professional status Count As %
Other 9 21%
Student > Bachelor 5 12%
Researcher 5 12%
Lecturer 3 7%
Student > Doctoral Student 2 5%
Other 7 16%
Unknown 12 28%
Readers by discipline Count As %
Medicine and Dentistry 25 58%
Biochemistry, Genetics and Molecular Biology 3 7%
Social Sciences 1 2%
Arts and Humanities 1 2%
Unknown 13 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. 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 22 January 2016.
All research outputs
#20,302,535
of 22,840,638 outputs
Outputs from Annals of Intensive Care
#955
of 1,043 outputs
Outputs of similar age
#331,477
of 394,468 outputs
Outputs of similar age from Annals of Intensive Care
#25
of 30 outputs
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