Short- and Long-Term Major Cardiovascular Adverse Events in Carotid Artery Interventions: A Nationwide Population-Based Cohort Study in Taiwan
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{"title"=>"Short- and Long-Term Major Cardiovascular Adverse Events in Carotid Artery Interventions: A Nationwide Population-Based Cohort Study in Taiwan", "type"=>"journal", "authors"=>[{"first_name"=>"Ming-Lung", "last_name"=>"Tsai"}, {"first_name"=>"Chun-Tai", "last_name"=>"Mao"}, {"first_name"=>"Dong-Yi", "last_name"=>"Chen"}, {"first_name"=>"I-Chang", "last_name"=>"Hsieh"}, {"first_name"=>"Ming-Shien", "last_name"=>"Wen"}, {"first_name"=>"Tien-Hsing", "last_name"=>"Chen"}], "year"=>2015, "source"=>"PLOS ONE", "identifiers"=>{"issn"=>"1932-6203", "pmid"=>"25803550", "doi"=>"10.1371/journal.pone.0121016"}, "id"=>"7fa229ce-a554-322e-af4c-666b026f9cd6", "abstract"=>"INTRODUCTION: Carotid artery stenosis is one of the leading causes of ischemic stroke. Carotid artery stenting has become well-established as an effective treatment option for carotid artery stenosis. For this study, we aimed to determine the efficacy and safety of carotid stenting in a population-based large cohort of patients by analyzing the Taiwan National Healthcare Insurance (NHI) database. METHODS: 2,849 patients who received carotid artery stents in the NHI database from 2004 to 2010 were identified. We analyzed the risk factors of outcomes including major adverse cardiovascular events including death, acute myocardial infarction, and cerebral vascular accidents at 30 days, 1 year, and overall period and further evaluated cause of death after carotid artery stenting. RESULTS: The periprocedural stroke rate was 2.7% and the recurrent stroke rate for the overall follow-up period was 20.3%. Male, diabetes mellitus, and heart failure were significant risk factors for overall recurrent stroke (Hazard Ratio (HR) = 1.35, p = 0.006; HR = 1.23, p = 0.014; HR = 1.61, p < 0.001, respectively). The periprocedural acute myocardial infarction rate was 0.3%. Age and Diabetes mellitus were the significant factors to predict periprocedural myocardial infarction (HR = 3.06, p = 0.019; HR = 1.68, p < 0.001, respectively). Periprocedural and overall mortality rates were 1.9% and 17.3%, respectively. The most significant periprocedural mortality risk factor was acute renal failure. Age, diabetes mellitus, acute or chronic renal failure, heart failure, liver disease, and malignancy were factors correlated to the overall period mortality. CONCLUSION: Periprocedural acute renal failure significantly increased the mortality rate and the number of major adverse cardiovascular events, and the predict power persisted more than one year after the procedure. Age and diabetes mellitus were significant risk factors to predict acute myocardial infarction after carotid artery stenting.", "link"=>"http://www.mendeley.com/research/short-longterm-major-cardiovascular-adverse-events-carotid-artery-interventions-nationwide-populatio", "reader_count"=>14, "reader_count_by_academic_status"=>{"Researcher"=>2, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>2, "Student > Master"=>2, "Student > Bachelor"=>5, "Student > Postgraduate"=>1, "Unspecified"=>1}, "reader_count_by_user_role"=>{"Researcher"=>2, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>2, "Student > Master"=>2, "Student > Bachelor"=>5, "Student > Postgraduate"=>1, "Unspecified"=>1}, "reader_count_by_subject_area"=>{"Nursing and Health Professions"=>1, "Medicine and Dentistry"=>12, "Unspecified"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>12}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Unspecified"=>{"Unspecified"=>1}}, "reader_count_by_country"=>{"United States"=>1}, "group_count"=>3}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1985130"], "description"=>"<p>ARF = acute renal failure; COPD = chronic obstructive pulmonary disease; HR = hazard ratio; CI = confidence interval;</p><p>† defined as ≥ 43 volume per year;</p><p>The model was fully adjusted for the listed variables.</p><p>Factors associated with any stroke after index carotid artery stenting (multivariate Cox regression with forward stepwise selection).</p>", "links"=>[], "tags"=>["Diabetes mellitus", "Carotid Artery Interventions", "carotid artery stents", "hr", "Heart failure", "Taiwan IntroductionCarotid artery stenosis", "Taiwan National Healthcare Insurance", "carotid artery stenting.ResultsThe periprocedural stroke rate", "carotid artery stenting", "risk factors", "carotid artery stenosis", "periprocedural mortality risk factor", "nhi", "infarction"], "article_id"=>1353088, "categories"=>["Biological Sciences"], "users"=>["Ming-Lung Tsai", "Chun-Tai Mao", "Dong-Yi Chen", "I-Chang Hsieh", "Ming-Shien Wen", "Tien-Hsing Chen"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0121016.t002", "stats"=>{"downloads"=>0, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Factors_associated_with_any_stroke_after_index_carotid_artery_stenting_multivariate_Cox_regression_with_forward_stepwise_selection_/1353088", "title"=>"Factors associated with any stroke after index carotid artery stenting (multivariate Cox regression with forward stepwise selection).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-03-24 04:16:53"}
  • {"files"=>["https://ndownloader.figshare.com/files/1985136"], "description"=>"<div><p>Introduction</p><p>Carotid artery stenosis is one of the leading causes of ischemic stroke. Carotid artery stenting has become well-established as an effective treatment option for carotid artery stenosis. For this study, we aimed to determine the efficacy and safety of carotid stenting in a population-based large cohort of patients by analyzing the Taiwan National Healthcare Insurance (NHI) database.</p><p>Methods</p><p>2,849 patients who received carotid artery stents in the NHI database from 2004 to 2010 were identified. We analyzed the risk factors of outcomes including major adverse cardiovascular events including death, acute myocardial infarction, and cerebral vascular accidents at 30 days, 1 year, and overall period and further evaluated cause of death after carotid artery stenting.</p><p>Results</p><p>The periprocedural stroke rate was 2.7% and the recurrent stroke rate for the overall follow-up period was 20.3%. Male, diabetes mellitus, and heart failure were significant risk factors for overall recurrent stroke (Hazard Ratio (<i>HR</i>) = 1.35, <i>p</i> = 0.006; <i>HR</i> = 1.23, <i>p</i> = 0.014; <i>HR</i> = 1.61, <i>p</i> < 0.001, respectively). The periprocedural acute myocardial infarction rate was 0.3%. Age and Diabetes mellitus were the significant factors to predict periprocedural myocardial infarction (<i>HR = 3.06</i>, <i>p = 0.019; HR</i> = 1.68, <i>p < </i>0.001, respectively). Periprocedural and overall mortality rates were 1.9% and 17.3%, respectively. The most significant periprocedural mortality risk factor was acute renal failure. Age, diabetes mellitus, acute or chronic renal failure, heart failure, liver disease, and malignancy were factors correlated to the overall period mortality.</p><p>Conclusion</p><p>Periprocedural acute renal failure significantly increased the mortality rate and the number of major adverse cardiovascular events, and the predict power persisted more than one year after the procedure. Age and diabetes mellitus were significant risk factors to predict acute myocardial infarction after carotid artery stenting.</p></div>", "links"=>[], "tags"=>["Diabetes mellitus", "Carotid Artery Interventions", "carotid artery stents", "hr", "Heart failure", "Taiwan IntroductionCarotid artery stenosis", "Taiwan National Healthcare Insurance", "carotid artery stenting.ResultsThe periprocedural stroke rate", "carotid artery stenting", "risk factors", "carotid artery stenosis", "periprocedural mortality risk factor", "nhi", "infarction"], "article_id"=>1353094, "categories"=>["Biological Sciences"], "users"=>["Ming-Lung Tsai", "Chun-Tai Mao", "Dong-Yi Chen", "I-Chang Hsieh", "Ming-Shien Wen", "Tien-Hsing Chen"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0121016", "stats"=>{"downloads"=>3, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Short_and_Long_Term_Major_Cardiovascular_Adverse_Events_in_Carotid_Artery_Interventions_A_Nationwide_Population_Based_Cohort_Study_in_Taiwan_/1353094", "title"=>"Short- and Long-Term Major Cardiovascular Adverse Events in Carotid Artery Interventions: A Nationwide Population-Based Cohort Study in Taiwan", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-03-24 04:16:53"}
  • {"files"=>["https://ndownloader.figshare.com/files/1985133"], "description"=>"<p>ARF = acute renal failure; COPD = chronic obstructive pulmonary disease; HR = hazard ratio; CI = confidence interval;</p><p>† defined as ≥ 43 volume per year;</p><p>The model was fully adjusted for the listed variables.</p><p>Factors associated with major adverse cardiovascular events after index carotid artery stenting (multivariate Cox regression with forward stepwise selection).</p>", "links"=>[], "tags"=>["Diabetes mellitus", "Carotid Artery Interventions", "carotid artery stents", "hr", "Heart failure", "Taiwan IntroductionCarotid artery stenosis", "Taiwan National Healthcare Insurance", "carotid artery stenting.ResultsThe periprocedural stroke rate", "carotid artery stenting", "risk factors", "carotid artery stenosis", "periprocedural mortality risk factor", "nhi", "infarction"], "article_id"=>1353091, "categories"=>["Biological Sciences"], "users"=>["Ming-Lung Tsai", "Chun-Tai Mao", "Dong-Yi Chen", "I-Chang Hsieh", "Ming-Shien Wen", "Tien-Hsing Chen"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0121016.t005", "stats"=>{"downloads"=>4, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Factors_associated_with_major_adverse_cardiovascular_events_after_index_carotid_artery_stenting_multivariate_Cox_regression_with_forward_stepwise_selection_/1353091", "title"=>"Factors associated with major adverse cardiovascular events after index carotid artery stenting (multivariate Cox regression with forward stepwise selection).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-03-24 04:16:53"}
  • {"files"=>["https://ndownloader.figshare.com/files/1985132"], "description"=>"<p>ARF = acute renal failure; COPD = chronic obstructive pulmonary disease; HR = hazard ratio; CI = confidence interval;</p><p>† defined as ≥ 43 volume per year;</p><p>The model was fully adjusted for the listed variables.</p><p>Factors associated with all cause mortality after the index carotid artery stenting (multivariate Cox regression with forward stepwise selection).</p>", "links"=>[], "tags"=>["Diabetes mellitus", "Carotid Artery Interventions", "carotid artery stents", "hr", "Heart failure", "Taiwan IntroductionCarotid artery stenosis", "Taiwan National Healthcare Insurance", "carotid artery stenting.ResultsThe periprocedural stroke rate", "carotid artery stenting", "risk factors", "carotid artery stenosis", "periprocedural mortality risk factor", "nhi", "infarction"], "article_id"=>1353090, "categories"=>["Biological Sciences"], "users"=>["Ming-Lung Tsai", "Chun-Tai Mao", "Dong-Yi Chen", "I-Chang Hsieh", "Ming-Shien Wen", "Tien-Hsing Chen"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0121016.t004", "stats"=>{"downloads"=>1, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Factors_associated_with_all_cause_mortality_after_the_index_carotid_artery_stenting_multivariate_Cox_regression_with_forward_stepwise_selection_/1353090", "title"=>"Factors associated with all cause mortality after the index carotid artery stenting (multivariate Cox regression with forward stepwise selection).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-03-24 04:16:53"}
  • {"files"=>["https://ndownloader.figshare.com/files/1985135"], "description"=>"<p>Causes of mortality (<i>n</i> = 386).</p>", "links"=>[], "tags"=>["Diabetes mellitus", "Carotid Artery Interventions", "carotid artery stents", "hr", "Heart failure", "Taiwan IntroductionCarotid artery stenosis", "Taiwan National Healthcare Insurance", "carotid artery stenting.ResultsThe periprocedural stroke rate", "carotid artery stenting", "risk factors", "carotid artery stenosis", "periprocedural mortality risk factor", "nhi", "infarction"], "article_id"=>1353093, "categories"=>["Biological Sciences"], "users"=>["Ming-Lung Tsai", "Chun-Tai Mao", "Dong-Yi Chen", "I-Chang Hsieh", "Ming-Shien Wen", "Tien-Hsing Chen"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0121016.t006", "stats"=>{"downloads"=>0, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Causes_of_mortality_n_386_/1353093", "title"=>"Causes of mortality (<i>n</i> = 386).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-03-24 04:16:53"}
  • {"files"=>["https://ndownloader.figshare.com/files/1985131"], "description"=>"<p>ARF = acute renal failure; COPD = chronic obstructive pulmonary disease; HR = hazard ratio; CI = confidence interval; NA = not applicable;</p><p>† defined as ≥43 volume per year;</p><p>The model was fully adjusted for the listed variables.</p><p>Factors associated with acute myocardial infarction after index carotid artery stenting (multivariate Cox regression with forward stepwise selection).</p>", "links"=>[], "tags"=>["Diabetes mellitus", "Carotid Artery Interventions", "carotid artery stents", "hr", "Heart failure", "Taiwan IntroductionCarotid artery stenosis", "Taiwan National Healthcare Insurance", "carotid artery stenting.ResultsThe periprocedural stroke rate", "carotid artery stenting", "risk factors", "carotid artery stenosis", "periprocedural mortality risk factor", "nhi", "infarction"], "article_id"=>1353089, "categories"=>["Biological Sciences"], "users"=>["Ming-Lung Tsai", "Chun-Tai Mao", "Dong-Yi Chen", "I-Chang Hsieh", "Ming-Shien Wen", "Tien-Hsing Chen"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0121016.t003", "stats"=>{"downloads"=>0, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Factors_associated_with_acute_myocardial_infarction_after_index_carotid_artery_stenting_multivariate_Cox_regression_with_forward_stepwise_selection_/1353089", "title"=>"Factors associated with acute myocardial infarction after index carotid artery stenting (multivariate Cox regression with forward stepwise selection).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-03-24 04:16:53"}
  • {"files"=>["https://ndownloader.figshare.com/files/1985129"], "description"=>"<p>† Patients with head and neck cancer were not included in this study;</p><p>‡ A discrepancy may exist between the sum of the subgroups and the total as a result of a single patient having had two or more strokes.</p><p>Baseline clinical characteristics at index carotid artery stenting (<i>N</i> = 2,849).</p>", "links"=>[], "tags"=>["Diabetes mellitus", "Carotid Artery Interventions", "carotid artery stents", "hr", "Heart failure", "Taiwan IntroductionCarotid artery stenosis", "Taiwan National Healthcare Insurance", "carotid artery stenting.ResultsThe periprocedural stroke rate", "carotid artery stenting", "risk factors", "carotid artery stenosis", "periprocedural mortality risk factor", "nhi", "infarction"], "article_id"=>1353087, "categories"=>["Biological Sciences"], "users"=>["Ming-Lung Tsai", "Chun-Tai Mao", "Dong-Yi Chen", "I-Chang Hsieh", "Ming-Shien Wen", "Tien-Hsing Chen"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0121016.t001", "stats"=>{"downloads"=>0, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Baseline_clinical_characteristics_at_index_carotid_artery_stenting_N_2_849_/1353087", "title"=>"Baseline clinical characteristics at index carotid artery stenting (<i>N</i> = 2,849).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-03-24 04:16:53"}

PMC Usage Stats | Further Information

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  • {"unique-ip"=>"18", "full-text"=>"23", "pdf"=>"10", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"5"}
  • {"unique-ip"=>"15", "full-text"=>"17", "pdf"=>"6", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"6"}
  • {"unique-ip"=>"18", "full-text"=>"19", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"7"}
  • {"unique-ip"=>"26", "full-text"=>"26", "pdf"=>"6", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"8"}
  • {"unique-ip"=>"11", "full-text"=>"9", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"9"}
  • {"unique-ip"=>"14", "full-text"=>"13", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"10"}
  • {"unique-ip"=>"11", "full-text"=>"13", "pdf"=>"6", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"2"}
  • {"unique-ip"=>"19", "full-text"=>"17", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"11"}
  • {"unique-ip"=>"22", "full-text"=>"14", "pdf"=>"14", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"12"}
  • {"unique-ip"=>"11", "full-text"=>"13", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"1"}
  • {"unique-ip"=>"14", "full-text"=>"15", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"3"}
  • {"unique-ip"=>"5", "full-text"=>"4", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"4"}
  • {"unique-ip"=>"6", "full-text"=>"5", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"5"}
  • {"unique-ip"=>"21", "full-text"=>"15", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"6"}
  • {"unique-ip"=>"17", "full-text"=>"34", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"7"}
  • {"unique-ip"=>"11", "full-text"=>"13", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2016", "month"=>"8"}
  • {"unique-ip"=>"5", "full-text"=>"5", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2016", "month"=>"9"}
  • {"unique-ip"=>"7", "full-text"=>"10", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"10"}
  • {"unique-ip"=>"4", "full-text"=>"5", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"11"}
  • {"unique-ip"=>"14", "full-text"=>"15", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"12"}
  • {"unique-ip"=>"30", "full-text"=>"25", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"1"}
  • {"unique-ip"=>"17", "full-text"=>"21", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"2"}
  • {"unique-ip"=>"16", "full-text"=>"18", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"3"}
  • {"unique-ip"=>"17", "full-text"=>"18", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"4"}
  • {"unique-ip"=>"25", "full-text"=>"29", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2017", "month"=>"5"}
  • {"unique-ip"=>"29", "full-text"=>"31", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"6"}
  • {"unique-ip"=>"28", "full-text"=>"29", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"7"}
  • {"unique-ip"=>"44", "full-text"=>"46", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"8"}
  • {"unique-ip"=>"68", "full-text"=>"76", "pdf"=>"9", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2017", "month"=>"9"}
  • {"unique-ip"=>"78", "full-text"=>"84", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"10"}
  • {"unique-ip"=>"71", "full-text"=>"75", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2017", "month"=>"11"}
  • {"unique-ip"=>"44", "full-text"=>"43", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"12"}
  • {"unique-ip"=>"47", "full-text"=>"47", "pdf"=>"6", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"1"}
  • {"unique-ip"=>"3", "full-text"=>"3", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"2"}
  • {"unique-ip"=>"51", "full-text"=>"55", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"3"}
  • {"unique-ip"=>"17", "full-text"=>"19", "pdf"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2019", "month"=>"1"}
  • {"unique-ip"=>"22", "full-text"=>"21", "pdf"=>"4", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2018", "month"=>"9"}
  • {"unique-ip"=>"26", "full-text"=>"26", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2018", "month"=>"12"}
  • {"unique-ip"=>"83", "full-text"=>"95", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"4"}
  • {"unique-ip"=>"27", "full-text"=>"28", "pdf"=>"4", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"10"}
  • {"unique-ip"=>"58", "full-text"=>"63", "pdf"=>"7", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"5"}
  • {"unique-ip"=>"38", "full-text"=>"37", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"3", "cited-by"=>"0", "year"=>"2018", "month"=>"6"}
  • {"unique-ip"=>"28", "full-text"=>"27", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2018", "month"=>"7"}
  • {"unique-ip"=>"36", "full-text"=>"41", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2018", "month"=>"8"}
  • {"unique-ip"=>"21", "full-text"=>"22", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2018", "month"=>"11"}
  • {"unique-ip"=>"15", "full-text"=>"16", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2019", "month"=>"2"}
  • {"unique-ip"=>"22", "full-text"=>"22", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"3"}
  • {"unique-ip"=>"33", "full-text"=>"38", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2019", "month"=>"4"}
  • {"unique-ip"=>"22", "full-text"=>"22", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2019", "month"=>"5"}

Relative Metric

{"start_date"=>"2015-01-01T00:00:00Z", "end_date"=>"2015-12-31T00:00:00Z", "subject_areas"=>[]}
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