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Clinical characteristics of cytomegalovirus colitis: a 15-year experience from a tertiary reference center

Overview of attention for article published in Therapeutics and Clinical Risk Management, December 2017
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Title
Clinical characteristics of cytomegalovirus colitis: a 15-year experience from a tertiary reference center
Published in
Therapeutics and Clinical Risk Management, December 2017
DOI 10.2147/tcrm.s151180
Pubmed ID
Authors

Puo-Hsien Le, Wey-Ran Lin, Chia-Jung Kuo, Ren-Chin Wu, Jun-Te Hsu, Ming-Yao Su, Chun-Jung Lin, Cheng-Tang Chiu

Abstract

Cytomegalovirus (CMV) colitis is considered rare in immunocompetent patients. The predictors of mortality and the differences between immunocompetent and immunocompromised patients with this disease remain unknown. Thus, the aim of this retrospective cohort study was to clarify these issues. We enrolled all patients who were histologically diagnosed with CMV colitis between April 2002 and December 2016 in the Linkou Chang Gung Memorial Hospital. Patients were divided into two groups: immunocompetent and immunocompromised, and the differences between them were analyzed to develop in-hospital mortality predictors. A total of 69 patients (42, immunocompetent; 27, immunocompromised) were enrolled. The most common symptoms were melena in the immunocompetent group and diarrhea in the immunocompromised group. The in-hospital mortality rate showed no statistically significant difference between the two groups (26.2% vs 25.9%, P=0.981). Early diagnosis was the only significant independent predictor of in-hospital mortality (odds ratio [OR] 1.075, 95% CI 1.005-1.149, P=0.035). The cutoff of diagnostic timing was 9 days from admission, derived from the receiver operating characteristic curve using the Youden index. CMV colitis in immunocompetent patients is markedly more common and fatal than has generally been acknowledged. Being alert to different ways in which this disease can present itself will enable early diagnosis and significantly reduce mortality.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 19 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 19 100%

Demographic breakdown

Readers by professional status Count As %
Other 2 11%
Student > Bachelor 2 11%
Student > Postgraduate 2 11%
Professor > Associate Professor 2 11%
Student > Ph. D. Student 1 5%
Other 2 11%
Unknown 8 42%
Readers by discipline Count As %
Medicine and Dentistry 5 26%
Biochemistry, Genetics and Molecular Biology 1 5%
Immunology and Microbiology 1 5%
Agricultural and Biological Sciences 1 5%
Unknown 11 58%
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 03 January 2018.
All research outputs
#20,663,600
of 25,382,440 outputs
Outputs from Therapeutics and Clinical Risk Management
#1,070
of 1,323 outputs
Outputs of similar age
#338,762
of 444,941 outputs
Outputs of similar age from Therapeutics and Clinical Risk Management
#19
of 24 outputs
Altmetric has tracked 25,382,440 research outputs across all sources so far. This one is in the 10th percentile – i.e., 10% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,323 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.6. This one is in the 9th percentile – i.e., 9% of its peers scored the same or lower than it.
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