Cardiac Complications in Patients with Community-Acquired Pneumonia: A Systematic Review and Meta-Analysis of Observational Studies
Events
Loading … Spinner

Mendeley | Further Information

{"title"=>"Cardiac complications in patients with community-acquired pneumonia: A systematic review and meta-analysis of observational studies", "type"=>"generic", "authors"=>[{"first_name"=>"Vicente F.", "last_name"=>"Corrales-Medina", "scopus_author_id"=>"8530059600"}, {"first_name"=>"Kathryn N.", "last_name"=>"Suh", "scopus_author_id"=>"7202645021"}, {"first_name"=>"Gregory", "last_name"=>"Rose", "scopus_author_id"=>"12767260100"}, {"first_name"=>"Julio A.", "last_name"=>"Chirinos", "scopus_author_id"=>"6701724789"}, {"first_name"=>"Steve", "last_name"=>"Doucette", "scopus_author_id"=>"6603317348"}, {"first_name"=>"D. William", "last_name"=>"Cameron", "scopus_author_id"=>"7402889016"}, {"first_name"=>"Dean A.", "last_name"=>"Fergusson", "scopus_author_id"=>"7102364909"}], "year"=>2011, "source"=>"PLoS Medicine", "identifiers"=>{"issn"=>"15491277", "pui"=>"362049919", "pmid"=>"21738449", "isbn"=>"1549-1277", "doi"=>"10.1371/journal.pmed.1001048", "sgr"=>"79959806330", "scopus"=>"2-s2.0-79959806330"}, "id"=>"360bf6c0-d6e7-35ef-87ec-51928fcc08ff", "abstract"=>"BACKGROUND Community-acquired pneumonia (CAP) is a leading cause of morbidity and mortality. CAP can trigger acute cardiac events. We sought to determine the incidence of major cardiac complications in CAP patients to characterize the magnitude of this problem. METHODS AND FINDINGS Two investigators searched MEDLINE, Scopus, and EMBASE for observational studies of immunocompetent adults with clinical and radiological evidence of CAP that reported any of the following: overall cardiac complications, incident heart failure, acute coronary syndromes (ACS), or incident cardiac arrhythmias occurring within 30 days of CAP diagnosis. At a minimum, studies had to establish enrolment procedures and inclusion and exclusion criteria, enroll their patients sequentially, and report the incidence of cardiac complications as a function of their entire cohorts. Studies with focus on nosocomial or health care-associated pneumonia were not included. Review of 2,176 citations yielded 25 articles that met eligibility and minimum quality criteria. Seventeen articles (68%) reported cohorts of CAP inpatients. In this group, the pooled incidence rates for overall cardiac complications (six cohorts, 2,119 patients), incident heart failure (eight cohorts, 4,215 patients), acute coronary syndromes (six cohorts, 2,657 patients), and incident cardiac arrhythmias (six cohorts, 2,596 patients), were 17.7% (confidence interval [CI] 13.9-22.2), 14.1% (9.3-20.6), 5.3% (3.2-8.6), and 4.7% (2.4-8.9), respectively. One article reported cardiac complications in CAP outpatients, four in low-risk (not severely ill) inpatients, and three in high-risk inpatients. The incidences for all outcomes except overall cardiac complications were lower in the two former groups and higher in the latter. One additional study reported on CAP outpatients and low-risk inpatients without discriminating between these groups. Twelve studies (48%) asserted the evaluation of cardiac complications in their methods but only six (24%) provided a definition for them. Only three studies, all examining ACS, carried out risk factor analysis for these events. No study analyzed the association between cardiac complications and other medical complications or their impact on other CAP outcomes. CONCLUSIONS Major cardiac complications occur in a substantial proportion of patients with CAP. Physicians and patients need to appreciate the significance of this association for timely recognition and management of these events. Strategies aimed at preventing pneumonia (i.e., influenza and pneumococcal vaccination) in high-risk populations need to be optimized. Further research is needed to understand the mechanisms underlying this association, measure the impact of cardiac complications on other CAP outcomes, identify those patients with CAP at high risk of developing cardiac complications, and design strategies to prevent their occurrence in this population.", "link"=>"http://www.mendeley.com/research/cardiac-complications-patients-communityacquired-pneumonia-systematic-review-metaanalysis-observatio-3", "reader_count"=>63, "reader_count_by_academic_status"=>{"Unspecified"=>5, "Professor > Associate Professor"=>2, "Student > Doctoral Student"=>5, "Researcher"=>5, "Student > Ph. D. Student"=>9, "Student > Postgraduate"=>8, "Other"=>8, "Student > Master"=>5, "Student > Bachelor"=>9, "Lecturer"=>3, "Lecturer > Senior Lecturer"=>2, "Professor"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>5, "Professor > Associate Professor"=>2, "Student > Doctoral Student"=>5, "Researcher"=>5, "Student > Ph. D. Student"=>9, "Student > Postgraduate"=>8, "Other"=>8, "Student > Master"=>5, "Student > Bachelor"=>9, "Lecturer"=>3, "Lecturer > Senior Lecturer"=>2, "Professor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>8, "Agricultural and Biological Sciences"=>7, "Medicine and Dentistry"=>43, "Veterinary Science and Veterinary Medicine"=>1, "Pharmacology, Toxicology and Pharmaceutical Science"=>1, "Psychology"=>1, "Computer Science"=>1, "Immunology and Microbiology"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>43}, "Psychology"=>{"Psychology"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>7}, "Computer Science"=>{"Computer Science"=>1}, "Unspecified"=>{"Unspecified"=>8}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>1}, "Veterinary Science and Veterinary Medicine"=>{"Veterinary Science and Veterinary Medicine"=>1}}, "reader_count_by_country"=>{"Denmark"=>1, "Brazil"=>2, "Italy"=>1, "Kenya"=>1, "Portugal"=>1, "Spain"=>1}, "group_count"=>6}

CrossRef

Scopus | Further Information

{"@_fa"=>"true", "link"=>[{"@_fa"=>"true", "@ref"=>"self", "@href"=>"https://api.elsevier.com/content/abstract/scopus_id/79959806330"}, {"@_fa"=>"true", "@ref"=>"author-affiliation", "@href"=>"https://api.elsevier.com/content/abstract/scopus_id/79959806330?field=author,affiliation"}, {"@_fa"=>"true", "@ref"=>"scopus", "@href"=>"https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=79959806330&origin=inward"}, {"@_fa"=>"true", "@ref"=>"scopus-citedby", "@href"=>"https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=79959806330&origin=inward"}], "prism:url"=>"https://api.elsevier.com/content/abstract/scopus_id/79959806330", "dc:identifier"=>"SCOPUS_ID:79959806330", "eid"=>"2-s2.0-79959806330", "dc:title"=>"Cardiac complications in patients with community-acquired pneumonia: A systematic review and meta-analysis of observational studies", "dc:creator"=>"Corrales-Medina V.", "prism:publicationName"=>"PLoS Medicine", "prism:issn"=>"15491277", "prism:eIssn"=>"15491676", "prism:volume"=>"8", "prism:issueIdentifier"=>"6", "prism:pageRange"=>nil, "prism:coverDate"=>"2011-06-01", "prism:coverDisplayDate"=>"June 2011", "prism:doi"=>"10.1371/journal.pmed.1001048", "citedby-count"=>"97", "pubmed-id"=>"21738449", "prism:aggregationType"=>"Journal", "subtype"=>"re", "subtypeDescription"=>"Review", "article-number"=>"e1001048", "source-id"=>"144840", "openaccess"=>"1", "openaccessFlag"=>true}

Facebook

  • {"url"=>"http%3A%2F%2Fjournals.plos.org%2Fplosmedicine%2Farticle%3Fid%3D10.1371%252Fjournal.pmed.1001048", "share_count"=>0, "like_count"=>0, "comment_count"=>0, "click_count"=>0, "total_count"=>0}

Counter

  • {"month"=>"6", "year"=>"2011", "pdf_views"=>"77", "xml_views"=>"5", "html_views"=>"464"}
  • {"month"=>"7", "year"=>"2011", "pdf_views"=>"166", "xml_views"=>"29", "html_views"=>"1304"}
  • {"month"=>"8", "year"=>"2011", "pdf_views"=>"73", "xml_views"=>"28", "html_views"=>"174"}
  • {"month"=>"9", "year"=>"2011", "pdf_views"=>"25", "xml_views"=>"2", "html_views"=>"151"}
  • {"month"=>"10", "year"=>"2011", "pdf_views"=>"32", "xml_views"=>"4", "html_views"=>"201"}
  • {"month"=>"11", "year"=>"2011", "pdf_views"=>"37", "xml_views"=>"4", "html_views"=>"139"}
  • {"month"=>"12", "year"=>"2011", "pdf_views"=>"81", "xml_views"=>"1", "html_views"=>"215"}
  • {"month"=>"1", "year"=>"2012", "pdf_views"=>"28", "xml_views"=>"2", "html_views"=>"128"}
  • {"month"=>"2", "year"=>"2012", "pdf_views"=>"43", "xml_views"=>"0", "html_views"=>"174"}
  • {"month"=>"3", "year"=>"2012", "pdf_views"=>"28", "xml_views"=>"1", "html_views"=>"138"}
  • {"month"=>"4", "year"=>"2012", "pdf_views"=>"27", "xml_views"=>"2", "html_views"=>"129"}
  • {"month"=>"5", "year"=>"2012", "pdf_views"=>"35", "xml_views"=>"0", "html_views"=>"123"}
  • {"month"=>"6", "year"=>"2012", "pdf_views"=>"22", "xml_views"=>"1", "html_views"=>"102"}
  • {"month"=>"7", "year"=>"2012", "pdf_views"=>"20", "xml_views"=>"0", "html_views"=>"139"}
  • {"month"=>"8", "year"=>"2012", "pdf_views"=>"21", "xml_views"=>"6", "html_views"=>"252"}
  • {"month"=>"9", "year"=>"2012", "pdf_views"=>"22", "xml_views"=>"1", "html_views"=>"120"}
  • {"month"=>"10", "year"=>"2012", "pdf_views"=>"23", "xml_views"=>"1", "html_views"=>"129"}
  • {"month"=>"11", "year"=>"2012", "pdf_views"=>"23", "xml_views"=>"0", "html_views"=>"124"}
  • {"month"=>"12", "year"=>"2012", "pdf_views"=>"21", "xml_views"=>"0", "html_views"=>"99"}
  • {"month"=>"1", "year"=>"2013", "pdf_views"=>"20", "xml_views"=>"0", "html_views"=>"167"}
  • {"month"=>"2", "year"=>"2013", "pdf_views"=>"20", "xml_views"=>"2", "html_views"=>"136"}
  • {"month"=>"3", "year"=>"2013", "pdf_views"=>"15", "xml_views"=>"0", "html_views"=>"114"}
  • {"month"=>"4", "year"=>"2013", "pdf_views"=>"20", "xml_views"=>"0", "html_views"=>"113"}
  • {"month"=>"5", "year"=>"2013", "pdf_views"=>"19", "xml_views"=>"0", "html_views"=>"98"}
  • {"month"=>"6", "year"=>"2013", "pdf_views"=>"14", "xml_views"=>"0", "html_views"=>"100"}
  • {"month"=>"7", "year"=>"2013", "pdf_views"=>"29", "xml_views"=>"0", "html_views"=>"120"}
  • {"month"=>"8", "year"=>"2013", "pdf_views"=>"28", "xml_views"=>"3", "html_views"=>"120"}
  • {"month"=>"9", "year"=>"2013", "pdf_views"=>"26", "xml_views"=>"3", "html_views"=>"120"}
  • {"month"=>"10", "year"=>"2013", "pdf_views"=>"17", "xml_views"=>"2", "html_views"=>"179"}
  • {"month"=>"11", "year"=>"2013", "pdf_views"=>"17", "xml_views"=>"3", "html_views"=>"126"}
  • {"month"=>"12", "year"=>"2013", "pdf_views"=>"19", "xml_views"=>"0", "html_views"=>"80"}
  • {"month"=>"1", "year"=>"2014", "pdf_views"=>"15", "xml_views"=>"0", "html_views"=>"118"}
  • {"month"=>"2", "year"=>"2014", "pdf_views"=>"15", "xml_views"=>"0", "html_views"=>"132"}
  • {"month"=>"3", "year"=>"2014", "pdf_views"=>"24", "xml_views"=>"2", "html_views"=>"130"}
  • {"month"=>"4", "year"=>"2014", "pdf_views"=>"20", "xml_views"=>"1", "html_views"=>"124"}
  • {"month"=>"5", "year"=>"2014", "pdf_views"=>"20", "xml_views"=>"0", "html_views"=>"119"}
  • {"month"=>"6", "year"=>"2014", "pdf_views"=>"17", "xml_views"=>"0", "html_views"=>"99"}
  • {"month"=>"7", "year"=>"2014", "pdf_views"=>"24", "xml_views"=>"1", "html_views"=>"116"}
  • {"month"=>"8", "year"=>"2014", "pdf_views"=>"11", "xml_views"=>"3", "html_views"=>"91"}
  • {"month"=>"9", "year"=>"2014", "pdf_views"=>"15", "xml_views"=>"0", "html_views"=>"101"}
  • {"month"=>"10", "year"=>"2014", "pdf_views"=>"24", "xml_views"=>"4", "html_views"=>"134"}
  • {"month"=>"11", "year"=>"2014", "pdf_views"=>"17", "xml_views"=>"1", "html_views"=>"115"}
  • {"month"=>"12", "year"=>"2014", "pdf_views"=>"18", "xml_views"=>"2", "html_views"=>"145"}
  • {"month"=>"1", "year"=>"2015", "pdf_views"=>"14", "xml_views"=>"1", "html_views"=>"135"}
  • {"month"=>"2", "year"=>"2015", "pdf_views"=>"13", "xml_views"=>"0", "html_views"=>"90"}
  • {"month"=>"3", "year"=>"2015", "pdf_views"=>"11", "xml_views"=>"0", "html_views"=>"72"}
  • {"month"=>"4", "year"=>"2015", "pdf_views"=>"14", "xml_views"=>"0", "html_views"=>"68"}
  • {"month"=>"5", "year"=>"2015", "pdf_views"=>"11", "xml_views"=>"1", "html_views"=>"90"}
  • {"month"=>"6", "year"=>"2015", "pdf_views"=>"10", "xml_views"=>"0", "html_views"=>"66"}
  • {"month"=>"7", "year"=>"2015", "pdf_views"=>"13", "xml_views"=>"0", "html_views"=>"76"}
  • {"month"=>"8", "year"=>"2015", "pdf_views"=>"16", "xml_views"=>"0", "html_views"=>"74"}
  • {"month"=>"9", "year"=>"2015", "pdf_views"=>"12", "xml_views"=>"0", "html_views"=>"63"}
  • {"month"=>"10", "year"=>"2015", "pdf_views"=>"15", "xml_views"=>"0", "html_views"=>"77"}
  • {"month"=>"11", "year"=>"2015", "pdf_views"=>"16", "xml_views"=>"0", "html_views"=>"72"}
  • {"month"=>"12", "year"=>"2015", "pdf_views"=>"10", "xml_views"=>"0", "html_views"=>"48"}
  • {"month"=>"1", "year"=>"2016", "pdf_views"=>"6", "xml_views"=>"1", "html_views"=>"86"}
  • {"month"=>"2", "year"=>"2016", "pdf_views"=>"12", "xml_views"=>"0", "html_views"=>"62"}
  • {"month"=>"3", "year"=>"2016", "pdf_views"=>"8", "xml_views"=>"1", "html_views"=>"79"}
  • {"month"=>"4", "year"=>"2016", "pdf_views"=>"19", "xml_views"=>"0", "html_views"=>"86"}
  • {"month"=>"5", "year"=>"2016", "pdf_views"=>"13", "xml_views"=>"0", "html_views"=>"46"}
  • {"month"=>"6", "year"=>"2016", "pdf_views"=>"19", "xml_views"=>"0", "html_views"=>"47"}
  • {"month"=>"7", "year"=>"2016", "pdf_views"=>"11", "xml_views"=>"0", "html_views"=>"60"}
  • {"month"=>"8", "year"=>"2016", "pdf_views"=>"10", "xml_views"=>"0", "html_views"=>"58"}
  • {"month"=>"9", "year"=>"2016", "pdf_views"=>"18", "xml_views"=>"0", "html_views"=>"53"}
  • {"month"=>"10", "year"=>"2016", "pdf_views"=>"14", "xml_views"=>"0", "html_views"=>"56"}
  • {"month"=>"11", "year"=>"2016", "pdf_views"=>"9", "xml_views"=>"0", "html_views"=>"67"}
  • {"month"=>"12", "year"=>"2016", "pdf_views"=>"9", "xml_views"=>"0", "html_views"=>"32"}
  • {"month"=>"1", "year"=>"2017", "pdf_views"=>"26", "xml_views"=>"1", "html_views"=>"107"}
  • {"month"=>"2", "year"=>"2017", "pdf_views"=>"11", "xml_views"=>"1", "html_views"=>"91"}
  • {"month"=>"3", "year"=>"2017", "pdf_views"=>"15", "xml_views"=>"0", "html_views"=>"85"}
  • {"month"=>"4", "year"=>"2017", "pdf_views"=>"34", "xml_views"=>"0", "html_views"=>"114"}
  • {"month"=>"5", "year"=>"2017", "pdf_views"=>"17", "xml_views"=>"1", "html_views"=>"89"}
  • {"month"=>"6", "year"=>"2017", "pdf_views"=>"17", "xml_views"=>"1", "html_views"=>"58"}
  • {"month"=>"7", "year"=>"2017", "pdf_views"=>"12", "xml_views"=>"1", "html_views"=>"58"}
  • {"month"=>"8", "year"=>"2017", "pdf_views"=>"11", "xml_views"=>"1", "html_views"=>"47"}
  • {"month"=>"9", "year"=>"2017", "pdf_views"=>"15", "xml_views"=>"0", "html_views"=>"67"}
  • {"month"=>"10", "year"=>"2017", "pdf_views"=>"9", "xml_views"=>"1", "html_views"=>"63"}
  • {"month"=>"11", "year"=>"2017", "pdf_views"=>"9", "xml_views"=>"0", "html_views"=>"78"}
  • {"month"=>"12", "year"=>"2017", "pdf_views"=>"13", "xml_views"=>"1", "html_views"=>"55"}
  • {"month"=>"1", "year"=>"2018", "pdf_views"=>"70", "xml_views"=>"0", "html_views"=>"48"}
  • {"month"=>"2", "year"=>"2018", "pdf_views"=>"69", "xml_views"=>"0", "html_views"=>"60"}
  • {"month"=>"3", "year"=>"2018", "pdf_views"=>"86", "xml_views"=>"1", "html_views"=>"34"}
  • {"month"=>"4", "year"=>"2018", "pdf_views"=>"118", "xml_views"=>"0", "html_views"=>"43"}
  • {"month"=>"5", "year"=>"2018", "pdf_views"=>"105", "xml_views"=>"0", "html_views"=>"28"}
  • {"month"=>"6", "year"=>"2018", "pdf_views"=>"129", "xml_views"=>"4", "html_views"=>"42"}
  • {"month"=>"7", "year"=>"2018", "pdf_views"=>"119", "xml_views"=>"5", "html_views"=>"34"}
  • {"month"=>"8", "year"=>"2018", "pdf_views"=>"142", "xml_views"=>"4", "html_views"=>"65"}
  • {"month"=>"9", "year"=>"2018", "pdf_views"=>"134", "xml_views"=>"1", "html_views"=>"57"}
  • {"month"=>"10", "year"=>"2018", "pdf_views"=>"147", "xml_views"=>"1", "html_views"=>"21"}
  • {"month"=>"11", "year"=>"2018", "pdf_views"=>"92", "xml_views"=>"0", "html_views"=>"58"}
  • {"month"=>"12", "year"=>"2018", "pdf_views"=>"99", "xml_views"=>"0", "html_views"=>"25"}
  • {"month"=>"1", "year"=>"2019", "pdf_views"=>"108", "xml_views"=>"1", "html_views"=>"52"}
  • {"month"=>"2", "year"=>"2019", "pdf_views"=>"75", "xml_views"=>"0", "html_views"=>"45"}
  • {"month"=>"3", "year"=>"2019", "pdf_views"=>"20", "xml_views"=>"1", "html_views"=>"33"}
  • {"month"=>"4", "year"=>"2019", "pdf_views"=>"18", "xml_views"=>"0", "html_views"=>"29"}
  • {"month"=>"5", "year"=>"2019", "pdf_views"=>"18", "xml_views"=>"0", "html_views"=>"55"}
  • {"month"=>"6", "year"=>"2019", "pdf_views"=>"19", "xml_views"=>"0", "html_views"=>"29"}

Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/382511", "https://ndownloader.figshare.com/files/382565", "https://ndownloader.figshare.com/files/382619", "https://ndownloader.figshare.com/files/382655", "https://ndownloader.figshare.com/files/382702"], "description"=>"<div><h3>Background</h3><p>Community-acquired pneumonia (CAP) is a leading cause of morbidity and mortality. CAP can trigger acute cardiac events. We sought to determine the incidence of major cardiac complications in CAP patients to characterize the magnitude of this problem.</p> <h3>Methods and Findings</h3><p>Two investigators searched MEDLINE, Scopus, and EMBASE for observational studies of immunocompetent adults with clinical and radiological evidence of CAP that reported any of the following: overall cardiac complications, incident heart failure, acute coronary syndromes (ACS), or incident cardiac arrhythmias occurring within 30 days of CAP diagnosis. At a minimum, studies had to establish enrolment procedures and inclusion and exclusion criteria, enrol their patients sequentially, and report the incidence of cardiac complications as a function of their entire cohorts. Studies with focus on nosocomial or health care–associated pneumonia were not included. Review of 2,176 citations yielded 25 articles that met eligibility and minimum quality criteria. Seventeen articles (68%) reported cohorts of CAP inpatients. In this group, the pooled incidence rates for overall cardiac complications (six cohorts, 2,119 patients), incident heart failure (eights cohorts, 4,215 patients), acute coronary syndromes (six cohorts, 2,657 patients), and incident cardiac arrhythmias (six cohorts, 2,596 patients), were 17.7% (confidence interval [CI] 13.9–22.2), 14.1% (9.3–20.6), 5.3% (3.2–8.6), and 4.7% (2.4–8.9), respectively. One article reported cardiac complications in CAP outpatients, four in low-risk (not severely ill) inpatients, and three in high-risk inpatients. The incidences for all outcomes except overall cardiac complications were lower in the two former groups and higher in the latter. One additional study reported on CAP outpatients and low-risk inpatients without discriminating between these groups. Twelve studies (48%) asserted the evaluation of cardiac complications in their methods but only six (24%) provided a definition for them. Only three studies, all examining ACS, carried out risk factor analysis for these events. No study analyzed the association between cardiac complications and other medical complications or their impact on other CAP outcomes.</p> <h3>Conclusions</h3><p>Major cardiac complications occur in a substantial proportion of patients with CAP. Physicians and patients need to appreciate the significance of this association for timely recognition and management of these events. Strategies aimed at preventing pneumonia (i.e., influenza and pneumococcal vaccination) in high-risk populations need to be optimized. Further research is needed to understand the mechanisms underlying this association, measure the impact of cardiac complications on other CAP outcomes, identify those patients with CAP at high risk of developing cardiac complications, and design strategies to prevent their occurrence in this population.</p> <h3></h3><p> <em>Please see later in the article for the Editors' Summary</em></p> </div>", "links"=>[], "tags"=>["cardiac", "complications", "patients", "community-acquired", "systematic", "meta-analysis", "observational", "studies"], "article_id"=>135552, "categories"=>["Cancer"], "users"=>["Vicente F. Corrales-Medina", "Kathryn N. Suh", "Gregory Rose", "Julio A. Chirinos", "Steve Doucette", "D. William Cameron", "Dean A. Fergusson"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001048.s001", "https://dx.doi.org/10.1371/journal.pmed.1001048.s002", "https://dx.doi.org/10.1371/journal.pmed.1001048.s003", "https://dx.doi.org/10.1371/journal.pmed.1001048.s004", "https://dx.doi.org/10.1371/journal.pmed.1001048.s005"], "stats"=>{"downloads"=>14, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Cardiac_Complications_in_Patients_with_Community_Acquired_Pneumonia_A_Systematic_Review_and_Meta_Analysis_of_Observational_Studies/135552", "title"=>"Cardiac Complications in Patients with Community-Acquired Pneumonia: A Systematic Review and Meta-Analysis of Observational Studies", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2011-06-28 01:32:32"}
  • {"files"=>["https://ndownloader.figshare.com/files/760838"], "description"=>"<p>One study reporting the incidence of ACS and incident cardiac arrhythmias on outpatients and low-risk inpatients without making distinction between them was not included in this table <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Fine2\" target=\"_blank\">[15]</a>.</p>", "links"=>[], "tags"=>["cardiac", "complications", "patients", "methodological", "considerations", "ascertainment"], "article_id"=>431202, "categories"=>["Infectious Diseases"], "users"=>["Vicente F. Corrales-Medina", "Kathryn N. Suh", "Gregory Rose", "Julio A. Chirinos", "Steve Doucette", "D. William Cameron", "Dean A. Fergusson"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001048.t002", "stats"=>{"downloads"=>0, "page_views"=>1, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Studies_of_cardiac_complications_in_patients_with_CAP_Methodological_considerations_for_the_ascertainment_of_medical_and_cardiac_complications_/431202", "title"=>"Studies of cardiac complications in patients with CAP: Methodological considerations for the ascertainment of medical and cardiac complications.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-06-28 00:20:02"}
  • {"files"=>["https://ndownloader.figshare.com/files/760665"], "description"=>"<p>One study reporting the incidence of ACS and incident cardiac arrhythmias on outpatients and low-risk inpatients without making distinction between them was not included in the calculations of pooled rates <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Fine2\" target=\"_blank\">[15]</a>. <sup>a</sup>For definitions refer to <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed-1001048-t001\" target=\"_blank\">Table 1</a>. <sup>b</sup>Low-risk inpatients included studies of inpatients with no indication for hospital admission, pneumonia severity index (PSI) risk-classes I–II, not initially admitted to intensive care units or who survived the first 48 h of hospitalization. High-risk inpatients included patients admitted to intensive care units. <sup>c</sup>When only one study was available, the reported rate represents the study event rate.</p>", "links"=>[], "tags"=>["rates", "incidence", "cardiac", "complications", "patients"], "article_id"=>431028, "categories"=>["Infectious Diseases"], "users"=>["Vicente F. Corrales-Medina", "Kathryn N. Suh", "Gregory Rose", "Julio A. Chirinos", "Steve Doucette", "D. William Cameron", "Dean A. Fergusson"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001048.g002", "stats"=>{"downloads"=>2, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Pooled_rates_of_the_incidence_of_cardiac_complications_in_patients_with_CAP_/431028", "title"=>"Pooled rates of the incidence of cardiac complications in patients with CAP.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2011-06-28 00:17:08"}
  • {"files"=>["https://ndownloader.figshare.com/files/760796"], "description"=>"a<p>Congestive heart failure, atrial fibrillation, severe angina or myocardial infarction or stroke <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Ortqvist1\" target=\"_blank\">[13]</a>; acute coronary or ventricular insufficiency <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Leroy1\" target=\"_blank\">[17]</a>; cardiovascular complications likely to necessitate continued hospitalization <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Fine4\" target=\"_blank\">[22]</a>; cardiac complications without further specification <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-MartinezMoragon1\" target=\"_blank\">[23]</a>; acute coronary syndrome and/or heart failure <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-McAlister1\" target=\"_blank\">[28]</a>; myocardial infarction, angina pectoris, revascularization by angioplasty/coronary artery bypass graft (CABG) or death secondary to coronary heart disease, cerebrovascular accident, congestive heart insufficiency or claudication <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-OMeara1\" target=\"_blank\">[29]</a>; myocardial infarction, atrial fibrillation or ventricular tachycardia or incident heart failure <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Musher2\" target=\"_blank\">[30]</a>; and myocardial infarction, atrial fibrillation, congestive heart failure or stroke <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Becker1\" target=\"_blank\">[31]</a>.</p>b<p>Incident atrial fibrillation <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Allen1\" target=\"_blank\">[10]</a>,<a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Venkatesan1\" target=\"_blank\">[14]</a>,<a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Fine2\" target=\"_blank\">[15]</a>,<a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Becker1\" target=\"_blank\">[31]</a>,<a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Cabre1\" target=\"_blank\">[32]</a>; cardiac dysrrhythmias/arrhythmias <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-The1\" target=\"_blank\">[16]</a>,<a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Diaz1\" target=\"_blank\">[26]</a>; incident atrial arrhythmia <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Fine3\" target=\"_blank\">[19]</a>; atrial flutter or fibrillation, and ventricular tachycardia, but excluding terminal arrhythmias <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Musher2\" target=\"_blank\">[30]</a>.</p>c<p>Myocardial infarction <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Fine2\" target=\"_blank\">[15]</a>,<a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Fine3\" target=\"_blank\">[19]</a>,<a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Musher1\" target=\"_blank\">[20]</a>,<a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Musher2\" target=\"_blank\">[30]</a>,<a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Becker1\" target=\"_blank\">[31]</a>,<a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Ramirez1\" target=\"_blank\">[33]</a>; unstable angina <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Marrie2\" target=\"_blank\">[27]</a>; acute coronary syndrome <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Cabre1\" target=\"_blank\">[32]</a>,<a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-CorralesMedina2\" target=\"_blank\">[34]</a>.</p>d<p>Pneumococcal pneumonia <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Esposito1\" target=\"_blank\">[11]</a>,<a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Musher1\" target=\"_blank\">[20]</a>,<a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Musher2\" target=\"_blank\">[30]</a>; pneumococcal and <i>H. influenzae</i> pneumonia <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-CorralesMedina2\" target=\"_blank\">[34]</a>.</p>e<p>Inpatients without severe vital signs or metabolic abnormalities, altered mental status, suppurative complications or coexisting medical conditions requiring hospitalization <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Fine2\" target=\"_blank\">[15]</a>; inpatients who survived the first 48 h of hospitalization <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Menendez1\" target=\"_blank\">[24]</a>, inpatients not initially admitted to the intensive care unit <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-QuerolRibelles1\" target=\"_blank\">[25]</a>,<a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-McAlister1\" target=\"_blank\">[28]</a>; inpatients with pneumonia severity index (PSI) risk classes I–II <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Marrie2\" target=\"_blank\">[27]</a>.</p>f<p>Inpatients admitted to the intensive care unit (ICU).</p>g<p>For ACS, patients from Musher et al. (2007) <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Musher2\" target=\"_blank\">[30]</a> were included in Corrales-Medina et al. (2009) <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-CorralesMedina2\" target=\"_blank\">[34]</a>.</p>", "links"=>[], "tags"=>["cardiac", "complications", "patients"], "article_id"=>431164, "categories"=>["Infectious Diseases"], "users"=>["Vicente F. Corrales-Medina", "Kathryn N. Suh", "Gregory Rose", "Julio A. Chirinos", "Steve Doucette", "D. William Cameron", "Dean A. Fergusson"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001048.t001", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Studies_of_cardiac_complications_in_patients_with_CAP_/431164", "title"=>"Studies of cardiac complications in patients with CAP.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-06-28 00:19:24"}
  • {"files"=>["https://ndownloader.figshare.com/files/760456"], "description"=>"<p>PRISMA flow diagram: selection process.</p>", "links"=>[], "tags"=>["Infectious diseases"], "article_id"=>430828, "categories"=>["Infectious Diseases"], "users"=>["Vicente F. Corrales-Medina", "Kathryn N. Suh", "Gregory Rose", "Julio A. Chirinos", "Steve Doucette", "D. William Cameron", "Dean A. Fergusson"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001048.g001", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_PRISMA_flow_diagram_selection_process_/430828", "title"=>"PRISMA flow diagram: selection process.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2011-06-28 00:13:48"}
  • {"files"=>["https://ndownloader.figshare.com/files/760915"], "description"=>"<p>One study reporting the incidence of ACS and incident cardiac arrhythmias on outpatients and low-risk inpatients without making distinction between them was not included in this table <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Fine2\" target=\"_blank\">[15]</a>.</p>", "links"=>[], "tags"=>["cardiac", "complications", "inpatients", "subgroup", "baseline", "characteristics"], "article_id"=>431282, "categories"=>["Infectious Diseases"], "users"=>["Vicente F. Corrales-Medina", "Kathryn N. Suh", "Gregory Rose", "Julio A. Chirinos", "Steve Doucette", "D. William Cameron", "Dean A. Fergusson"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001048.t004", "stats"=>{"downloads"=>1, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Studies_of_cardiac_complications_in_inpatients_with_CAP_subgroup_analysis_by_baseline_characteristics_of_the_population_/431282", "title"=>"Studies of cardiac complications in inpatients with CAP: subgroup analysis by baseline characteristics of the population.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-06-28 00:21:22"}
  • {"files"=>["https://ndownloader.figshare.com/files/760875"], "description"=>"<p>One study reporting the incidence of ACS and incident cardiac arrhythmias on outpatients and low-risk inpatients without making distinction between them was not included in this table <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001048#pmed.1001048-Fine2\" target=\"_blank\">[15]</a>.</p>", "links"=>[], "tags"=>["cardiac", "complications", "inpatients", "subgroup"], "article_id"=>431247, "categories"=>["Infectious Diseases"], "users"=>["Vicente F. Corrales-Medina", "Kathryn N. Suh", "Gregory Rose", "Julio A. Chirinos", "Steve Doucette", "D. William Cameron", "Dean A. Fergusson"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001048.t003", "stats"=>{"downloads"=>1, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Studies_of_cardiac_complications_in_inpatients_with_CAP_Subgroup_analysis_by_study_setting_and_design_/431247", "title"=>"Studies of cardiac complications in inpatients with CAP: Subgroup analysis by study setting and design.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-06-28 00:20:47"}

PMC Usage Stats | Further Information

  • {"month"=>"7", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"0", "full-text"=>"35", "year"=>"2011", "pdf"=>"30", "unique-ip"=>"39", "figure"=>"5", "scanned-summary"=>"0", "supp-data"=>"0"}
  • {"scanned-page-browse"=>"0", "month"=>"8", "cited-by"=>"0", "abstract"=>"0", "full-text"=>"61", "unique-ip"=>"57", "pdf"=>"45", "year"=>"2011", "figure"=>"5", "scanned-summary"=>"0", "supp-data"=>"3"}
  • {"month"=>"9", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"1", "full-text"=>"54", "year"=>"2011", "pdf"=>"38", "unique-ip"=>"50", "figure"=>"5", "scanned-summary"=>"0", "supp-data"=>"0"}
  • {"scanned-page-browse"=>"0", "month"=>"10", "cited-by"=>"0", "abstract"=>"2", "full-text"=>"83", "unique-ip"=>"77", "pdf"=>"51", "year"=>"2011", "figure"=>"3", "scanned-summary"=>"0", "supp-data"=>"2"}
  • {"month"=>"11", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"1", "full-text"=>"144", "year"=>"2011", "pdf"=>"123", "unique-ip"=>"136", "figure"=>"21", "scanned-summary"=>"0", "supp-data"=>"3"}
  • {"scanned-page-browse"=>"0", "month"=>"12", "cited-by"=>"0", "abstract"=>"1", "full-text"=>"75", "unique-ip"=>"73", "pdf"=>"74", "year"=>"2011", "figure"=>"7", "scanned-summary"=>"0", "supp-data"=>"0"}
  • {"scanned-page-browse"=>"0", "month"=>"1", "cited-by"=>"0", "abstract"=>"1", "full-text"=>"74", "unique-ip"=>"78", "pdf"=>"61", "year"=>"2012", "figure"=>"7", "scanned-summary"=>"0", "supp-data"=>"0"}
  • {"month"=>"2", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"2", "full-text"=>"109", "year"=>"2012", "pdf"=>"78", "unique-ip"=>"101", "figure"=>"10", "scanned-summary"=>"0", "supp-data"=>"0"}
  • {"scanned-page-browse"=>"0", "month"=>"3", "cited-by"=>"0", "abstract"=>"1", "full-text"=>"85", "unique-ip"=>"80", "pdf"=>"57", "year"=>"2012", "figure"=>"1", "scanned-summary"=>"0", "supp-data"=>"0"}
  • {"month"=>"4", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"2", "full-text"=>"65", "year"=>"2012", "pdf"=>"48", "unique-ip"=>"61", "figure"=>"9", "scanned-summary"=>"0", "supp-data"=>"7"}
  • {"scanned-page-browse"=>"0", "month"=>"5", "cited-by"=>"0", "abstract"=>"2", "full-text"=>"75", "unique-ip"=>"82", "pdf"=>"77", "year"=>"2012", "figure"=>"3", "scanned-summary"=>"0", "supp-data"=>"5"}
  • {"month"=>"6", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"2", "full-text"=>"44", "year"=>"2012", "pdf"=>"32", "unique-ip"=>"45", "figure"=>"5", "scanned-summary"=>"0", "supp-data"=>"1"}
  • {"unique-ip"=>"49", "full-text"=>"49", "pdf"=>"48", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"10", "supp-data"=>"3", "cited-by"=>"0", "year"=>"2012", "month"=>"7"}
  • {"unique-ip"=>"45", "full-text"=>"49", "pdf"=>"32", "abstract"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"8", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2012", "month"=>"8"}
  • {"unique-ip"=>"34", "full-text"=>"35", "pdf"=>"28", "abstract"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"8", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2012", "month"=>"9"}
  • {"unique-ip"=>"63", "full-text"=>"69", "pdf"=>"44", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"8", "supp-data"=>"5", "cited-by"=>"1", "year"=>"2012", "month"=>"10"}
  • {"unique-ip"=>"19", "full-text"=>"18", "pdf"=>"8", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2012", "month"=>"12"}
  • {"unique-ip"=>"43", "full-text"=>"44", "pdf"=>"28", "abstract"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"5", "supp-data"=>"5", "cited-by"=>"1", "year"=>"2013", "month"=>"1"}
  • {"unique-ip"=>"44", "full-text"=>"55", "pdf"=>"19", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"5", "supp-data"=>"1", "cited-by"=>"1", "year"=>"2013", "month"=>"2"}
  • {"unique-ip"=>"40", "full-text"=>"46", "pdf"=>"23", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"5", "supp-data"=>"4", "cited-by"=>"0", "year"=>"2013", "month"=>"3"}
  • {"unique-ip"=>"36", "full-text"=>"37", "pdf"=>"27", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2013", "month"=>"4"}
  • {"unique-ip"=>"52", "full-text"=>"51", "pdf"=>"28", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"7", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2012", "month"=>"11"}
  • {"unique-ip"=>"49", "full-text"=>"54", "pdf"=>"35", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2013", "month"=>"5"}
  • {"unique-ip"=>"17", "full-text"=>"14", "pdf"=>"13", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2013", "month"=>"6"}
  • {"unique-ip"=>"34", "full-text"=>"30", "pdf"=>"17", "abstract"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"7", "supp-data"=>"5", "cited-by"=>"0", "year"=>"2013", "month"=>"7"}
  • {"unique-ip"=>"20", "full-text"=>"18", "pdf"=>"10", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"5", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2013", "month"=>"8"}
  • {"unique-ip"=>"22", "full-text"=>"22", "pdf"=>"12", "abstract"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"5", "cited-by"=>"0", "year"=>"2013", "month"=>"9"}
  • {"unique-ip"=>"24", "full-text"=>"25", "pdf"=>"13", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2013", "month"=>"10"}
  • {"unique-ip"=>"29", "full-text"=>"29", "pdf"=>"14", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"1", "cited-by"=>"1", "year"=>"2013", "month"=>"11"}
  • {"unique-ip"=>"17", "full-text"=>"20", "pdf"=>"9", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2013", "month"=>"12"}
  • {"unique-ip"=>"26", "full-text"=>"27", "pdf"=>"11", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2014", "month"=>"1"}
  • {"unique-ip"=>"26", "full-text"=>"27", "pdf"=>"14", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"6", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2014", "month"=>"2"}
  • {"unique-ip"=>"36", "full-text"=>"36", "pdf"=>"26", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"3"}
  • {"unique-ip"=>"26", "full-text"=>"33", "pdf"=>"16", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"5"}
  • {"unique-ip"=>"30", "full-text"=>"36", "pdf"=>"15", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2014", "month"=>"6"}
  • {"unique-ip"=>"37", "full-text"=>"40", "pdf"=>"20", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"7", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"4"}
  • {"unique-ip"=>"26", "full-text"=>"25", "pdf"=>"6", "abstract"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"4", "cited-by"=>"0", "year"=>"2014", "month"=>"7"}
  • {"unique-ip"=>"27", "full-text"=>"22", "pdf"=>"13", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"8", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2014", "month"=>"8"}
  • {"unique-ip"=>"33", "full-text"=>"31", "pdf"=>"14", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2014", "month"=>"9"}
  • {"unique-ip"=>"24", "full-text"=>"20", "pdf"=>"10", "abstract"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"5", "cited-by"=>"0", "year"=>"2014", "month"=>"10"}
  • {"unique-ip"=>"23", "full-text"=>"26", "pdf"=>"9", "abstract"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2014", "month"=>"11"}
  • {"unique-ip"=>"24", "full-text"=>"31", "pdf"=>"17", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2014", "month"=>"12"}
  • {"unique-ip"=>"29", "full-text"=>"33", "pdf"=>"19", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"1"}
  • {"unique-ip"=>"19", "full-text"=>"18", "pdf"=>"15", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"2"}
  • {"unique-ip"=>"33", "full-text"=>"35", "pdf"=>"18", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"4", "cited-by"=>"0", "year"=>"2015", "month"=>"3"}
  • {"unique-ip"=>"25", "full-text"=>"29", "pdf"=>"14", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2015", "month"=>"4"}
  • {"unique-ip"=>"30", "full-text"=>"30", "pdf"=>"16", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"5"}
  • {"unique-ip"=>"21", "full-text"=>"19", "pdf"=>"12", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"6"}
  • {"unique-ip"=>"19", "full-text"=>"18", "pdf"=>"9", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2015", "month"=>"7"}
  • {"unique-ip"=>"39", "full-text"=>"33", "pdf"=>"24", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"8"}
  • {"unique-ip"=>"24", "full-text"=>"28", "pdf"=>"15", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"9", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"9"}
  • {"unique-ip"=>"32", "full-text"=>"36", "pdf"=>"12", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"10"}
  • {"unique-ip"=>"36", "full-text"=>"34", "pdf"=>"13", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"6", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2015", "month"=>"11"}
  • {"unique-ip"=>"28", "full-text"=>"24", "pdf"=>"16", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"6", "cited-by"=>"0", "year"=>"2015", "month"=>"12"}
  • {"unique-ip"=>"30", "full-text"=>"33", "pdf"=>"16", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"1"}
  • {"unique-ip"=>"33", "full-text"=>"33", "pdf"=>"12", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2016", "month"=>"2"}
  • {"unique-ip"=>"52", "full-text"=>"55", "pdf"=>"13", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"11", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2016", "month"=>"3"}
  • {"unique-ip"=>"43", "full-text"=>"45", "pdf"=>"13", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2016", "month"=>"4"}
  • {"unique-ip"=>"41", "full-text"=>"48", "pdf"=>"14", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"5"}
  • {"unique-ip"=>"35", "full-text"=>"42", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"5", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"6"}
  • {"unique-ip"=>"32", "full-text"=>"34", "pdf"=>"14", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"5", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"7"}
  • {"unique-ip"=>"32", "full-text"=>"31", "pdf"=>"9", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"8", "supp-data"=>"4", "cited-by"=>"1", "year"=>"2016", "month"=>"8"}
  • {"unique-ip"=>"48", "full-text"=>"48", "pdf"=>"12", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"2", "year"=>"2016", "month"=>"9"}
  • {"unique-ip"=>"56", "full-text"=>"68", "pdf"=>"9", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2016", "month"=>"10"}
  • {"unique-ip"=>"46", "full-text"=>"51", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"6", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"11"}
  • {"unique-ip"=>"35", "full-text"=>"43", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"12"}
  • {"unique-ip"=>"75", "full-text"=>"83", "pdf"=>"20", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"6", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"1"}
  • {"unique-ip"=>"55", "full-text"=>"59", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"2"}
  • {"unique-ip"=>"53", "full-text"=>"55", "pdf"=>"11", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"6", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2017", "month"=>"3"}
  • {"unique-ip"=>"67", "full-text"=>"88", "pdf"=>"8", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"4"}
  • {"unique-ip"=>"57", "full-text"=>"59", "pdf"=>"16", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"2", "year"=>"2017", "month"=>"5"}
  • {"unique-ip"=>"54", "full-text"=>"57", "pdf"=>"9", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"6"}
  • {"unique-ip"=>"59", "full-text"=>"65", "pdf"=>"9", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"7"}
  • {"unique-ip"=>"84", "full-text"=>"93", "pdf"=>"12", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"8"}
  • {"unique-ip"=>"108", "full-text"=>"129", "pdf"=>"13", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"4", "cited-by"=>"0", "year"=>"2017", "month"=>"9"}
  • {"unique-ip"=>"138", "full-text"=>"141", "pdf"=>"14", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"10"}
  • {"unique-ip"=>"100", "full-text"=>"100", "pdf"=>"9", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"9", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2017", "month"=>"11"}
  • {"unique-ip"=>"85", "full-text"=>"93", "pdf"=>"12", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"1", "cited-by"=>"1", "year"=>"2017", "month"=>"12"}
  • {"unique-ip"=>"121", "full-text"=>"124", "pdf"=>"12", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"5", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2018", "month"=>"1"}
  • {"unique-ip"=>"8", "full-text"=>"8", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"2"}
  • {"unique-ip"=>"130", "full-text"=>"151", "pdf"=>"14", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"6", "supp-data"=>"10", "cited-by"=>"1", "year"=>"2018", "month"=>"3"}
  • {"unique-ip"=>"78", "full-text"=>"88", "pdf"=>"9", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"1"}
  • {"unique-ip"=>"110", "full-text"=>"118", "pdf"=>"9", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"4"}
  • {"unique-ip"=>"85", "full-text"=>"93", "pdf"=>"13", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"5", "cited-by"=>"0", "year"=>"2018", "month"=>"5"}
  • {"unique-ip"=>"82", "full-text"=>"86", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"4", "cited-by"=>"0", "year"=>"2018", "month"=>"6"}
  • {"unique-ip"=>"55", "full-text"=>"57", "pdf"=>"9", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2018", "month"=>"7"}
  • {"unique-ip"=>"50", "full-text"=>"57", "pdf"=>"16", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2018", "month"=>"8"}
  • {"unique-ip"=>"73", "full-text"=>"78", "pdf"=>"10", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"4", "cited-by"=>"0", "year"=>"2018", "month"=>"9"}
  • {"unique-ip"=>"83", "full-text"=>"90", "pdf"=>"8", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"10"}
  • {"unique-ip"=>"90", "full-text"=>"96", "pdf"=>"14", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"8", "cited-by"=>"0", "year"=>"2018", "month"=>"11"}
  • {"unique-ip"=>"54", "full-text"=>"61", "pdf"=>"10", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"12"}
  • {"unique-ip"=>"75", "full-text"=>"80", "pdf"=>"11", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"2"}
  • {"unique-ip"=>"102", "full-text"=>"116", "pdf"=>"13", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"3"}
  • {"unique-ip"=>"110", "full-text"=>"121", "pdf"=>"18", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"4"}
  • {"unique-ip"=>"74", "full-text"=>"90", "pdf"=>"10", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2019", "month"=>"5"}

Relative Metric

{"start_date"=>"2011-01-01T00:00:00Z", "end_date"=>"2011-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Medicine and health sciences/Cardiology", "average_usage"=>[265, 555, 659, 780, 896, 1012, 1114, 1201, 1304, 1377, 1446, 1503, 1597, 1664, 1720, 1809, 1870, 1930, 2004, 2070, 2131, 2190, 2241, 2306, 2357, 2409, 2464, 2525, 2573, 2648, 2693, 2771, 2840, 2892, 2968, 3027, 3065]}, {"subject_area"=>"/Medicine and health sciences/Health care", "average_usage"=>[337, 676, 827, 964, 1066, 1171, 1267, 1396, 1503, 1580, 1663, 1758, 1822, 1887, 1968, 2037, 2107, 2173, 2246, 2357, 2419, 2488, 2576, 2637, 2724, 2815, 2887, 2956, 3034, 3111, 3174, 3245, 3294, 3357, 3404, 3464, 3529]}, {"subject_area"=>"/Medicine and health sciences/Vascular medicine", "average_usage"=>[266, 523, 648, 751, 849, 940, 1015, 1085, 1178, 1259, 1332, 1409, 1480, 1547, 1601, 1693, 1748, 1805, 1868, 1930, 1998, 2051, 2097, 2154, 2199, 2251, 2287, 2346, 2398, 2429, 2472, 2522, 2561, 2611, 2658, 2699, 2751]}]}
Loading … Spinner
There are currently no alerts