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Comparing withdrawal and not withdrawal of life-sustaining treatment among patients who died from stroke

Overview of attention for article published in Vascular Health and Risk Management, January 2015
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Mentioned by

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2 tweeters
facebook
1 Facebook page

Citations

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4 Dimensions

Readers on

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16 Mendeley
Title
Comparing withdrawal and not withdrawal of life-sustaining treatment among patients who died from stroke
Published in
Vascular Health and Risk Management, January 2015
DOI 10.2147/vhrm.s85814
Pubmed ID
Authors

Halvor Naess, Eirik Helvig, Ulrike Waje-Andresassen, Lars Thomassen

Abstract

In severe stroke, a decision to withdraw life-sustaining treatment is sometimes made in cooperation with the family. The aim of this study was to study the time from withdrawing life-sustaining treatment to death in patients with severe ischemic or hemorrhagic stroke. In total, 2,506 patients with stroke admitted to Haukeland University Hospital between 2006 and 2011 were prospectively registered in the Bergen NORSTROKE database. Risk factors, stroke severity, etiology, and blood analyses were registered. Retrospectively, the patients' records were examined to determine the number of days from withdrawing all life-sustaining treatment to death in patients who died from severe stroke during the hospital stay. Life-sustaining treatment was withheld in 50 patients with severe stroke. Median time to death after withdrawing life-sustaining treatment was 4 days, and a quarter lived at least 1 week (range =1-11 days). Cox regression analyses showed that short time from withdrawing life-sustaining treatment to death was associated with high age (Hazard ratio [HR] =1.05, P=0.07), male sex (HR =2.9, P=0.01), high C-reactive protein on admission (HR =1.01, P=0.001), and hemorrhagic stroke (versus ischemic stroke, HR =1.5, P=0.03). One week after withdrawing life-sustaining treatment, a quarter of our patients with severe stroke remained alive. Short time to death was associated with high age, male sex, hemorrhagic stroke, and high C-reactive protein on admittance.

Twitter Demographics

The data shown below were collected from the profiles of 2 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 16 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 16 100%

Demographic breakdown

Readers by professional status Count As %
Librarian 2 13%
Student > Bachelor 2 13%
Student > Doctoral Student 1 6%
Student > Ph. D. Student 1 6%
Student > Master 1 6%
Other 1 6%
Unknown 8 50%
Readers by discipline Count As %
Medicine and Dentistry 4 25%
Computer Science 2 13%
Neuroscience 1 6%
Biochemistry, Genetics and Molecular Biology 1 6%
Unknown 8 50%

Attention Score in Context

This research output has an Altmetric Attention Score of 2. 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 06 September 2015.
All research outputs
#14,824,070
of 22,826,360 outputs
Outputs from Vascular Health and Risk Management
#465
of 757 outputs
Outputs of similar age
#198,042
of 353,136 outputs
Outputs of similar age from Vascular Health and Risk Management
#26
of 41 outputs
Altmetric has tracked 22,826,360 research outputs across all sources so far. This one is in the 32nd percentile – i.e., 32% of other outputs scored the same or lower than it.
So far Altmetric has tracked 757 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.6. This one is in the 34th percentile – i.e., 34% 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 353,136 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 41st percentile – i.e., 41% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 41 others from the same source and published within six weeks on either side of this one. This one is in the 26th percentile – i.e., 26% of its contemporaries scored the same or lower than it.