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Analysis of institutional authors

Martin MAuthorMiró GAuthorSanchez JmAuthorZabala EAuthorCatalan RAuthor

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May 23, 2018
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Article

Limitation of life support techniques at admission to the intensive care unit: a multicenter prospective cohort study.

Publicated to:Journal Of Intensive Care. 6 (1): 24-24 - 2018-04-13 6(1), DOI: 10.1186/s40560-018-0283-y

Authors: Rubio O, Arnau A, Cano S, Subirà C, Balerdi B, Perea ME, Fernández-Vivas M, Barber M, Llamas N, Altaba S, Prieto A, Gómez V, Martin M, Paz M, Quesada B, Español V, Montejo JC, Gomez JM, Miro G, Xirgú J, Ortega A, Rascado P, Sánchez JM, Marcos A, Tizon A, Monedero P, Zabala E, Murcia C, Torrejon I, Planas K, Añon JM, Hernandez G, Fernandez MD, Guía C, Arauzo V, Perez JM, Catalan R, Gonzalez J, Poyo R, Tomas R, Saralegui I, Mancebo J, Sprung C, Fernández R

Affiliations

10Hospital Candelaria de Tenerife, Santa Cruz de Tenerife, Spain. - Author
11Hospital Clínico Universitario de Salamanca, Salamanca, Spain. - Author
12Fundación Jiménez Díaz, Madrid, Spain. - Author
13Hospital Central de Asturias, Oviedo, Spain. - Author
14Hospital Universitario Doce de Octubre, Madrid, Spain. - Author
15Hospital Gregorio Marañon, Madrid, Spain. - Author
16Hospital Mataro, Mataro, Spain. - Author
18Hospital Montecelo Pontevedra, Pontevedra, Spain. - Author
19Centro Hospitalario Universitario Santiago Compostela, Santiago de Compostela, Spain. - Author
21Hospital Virgen de la Concha, Zamora, Spain. - Author
22Hospital Xeral Cíes Vigo, Vigo, Spain. - Author
23Clínica Universitaria de Navarra, Pamplona, Spain. - Author
24Hospital Clínico Universitario de Barcelona, Barcelona, Spain. - Author
25Hospital Josep Trueta, Girona, Spain. - Author
26Hospital de Henares, Coslada, Spain. - Author
28Hospital Virgen de la Luz, Cuenca, Spain. - Author
29Hospital Infanta Sofía, San Sebastián de los Reyes, Spain. - Author
2Hospital la Fe de Valencia, Valencia, Spain. - Author
30Hospital Mútua de Terrassa, Terrassa, Spain. - Author
31Hospital Parc Tauli, Sabadell, Spain. - Author
32Hospital de Terrassa, Terrassa, Spain. - Author
33Hospital Virgen de las Nieves, Granada, Spain. - Author
34Hospital General de Vic, Vic, Spain. - Author
36Hospital Son Llátzer, Palma, Spain. - Author
37Hospital General de Catalunya, Sant Cugat del Valles, Spain. - Author
3Hospital General Yagué de Burgos, Burgos, Spain. - Author
4Hospital Virgen Arrixaca Murcia, Murcia, Spain. - Author
5Hospital de Navarra, Pamplona, Spain. - Author
8Hospital Rio Hortega, Valladolid, Spain. - Author
Hospital de Granollers, Granollers, Spain. - Author
Hospital de la Sant Creu i Sant Pau, Barcelona, Spain. - Author
Hospital la Moncloa, Madrid, Spain. - Author
Hospital Moisses Broggi, Sant Joan Despí, Spain. - Author
Hospital Morales Messeguer, Murcia, Spain. - Author
Hospital Sant Joan De Déu, Fundació Althaia Xarxa Universitaria de Manresa, C/ Dr. Joan Soler s. n., 08243 Manresa, Spain. - Author
Hospital Universitario de Castellon, Castellon de la Plana, Spain. - Author
Hospital Virgen Vega Salamanca, Salamanca, Spain. - Author
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Abstract

To determine the frequency of limitations on life support techniques (LLSTs) on admission to intensive care units (ICU), factors associated, and 30-day survival in patients with LLST on ICU admission.This prospective observational study included all patients admitted to 39 ICUs in a 45-day period in 2011. We recorded hospitals' characteristics (availability of intermediate care units, usual availability of ICU beds, and financial model) and patients' characteristics (demographics, reason for admission, functional status, risk of death, and LLST on ICU admission (withholding/withdrawing; specific techniques affected)). The primary outcome was 30-day survival for patients with LLST on ICU admission. Statistical analysis included multilevel logistic regression models.We recruited 3042 patients (age 62.5?±?16.1 years). Most ICUs (94.8%) admitted patients with LLST, but only 238 (7.8% [95% CI 7.0-8.8]) patients had LLST on ICU admission; this group had higher ICU mortality (44.5 vs. 9.4% in patients without LLST; p?

Keywords

critical careintensive care unitslimitations on life support techniquesCritical careIntensive care unitsLimitations on life support techniquesPalliative care

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Journal Of Intensive Care due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2018, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Critical Care and Intensive Care Medicine.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 7.49, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Jul 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-07-07, the following number of citations:

  • WoS: 5
  • Scopus: 7
  • Europe PMC: 6

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-07-07:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 87.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 87 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 15.25.
  • The number of mentions on the social network Facebook: 3 (Altmetric).
  • The number of mentions on the social network X (formerly Twitter): 19 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.

Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Granada.