Letter to the Editor
Reply to «Organ donor management: Common recommendations that require evidence»
En respuesta a «Mantenimiento del donante de órganos: recomendaciones generales que precisan evidencia»
Read
3421
Timeswas read the article
1736
Total PDF
1685
Total HTML
Share statistics
array:25 [ "pii" => "S2173572718301425" "issn" => "21735727" "doi" => "10.1016/j.medine.2018.03.003" "estado" => "S300" "fechaPublicacion" => "2018-11-01" "aid" => "1203" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "copyrightAnyo" => "2018" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Intensiva. 2018;42:514" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 580 "formatos" => array:3 [ "EPUB" => 121 "HTML" => 247 "PDF" => 212 ] ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0210569118301190" "issn" => "02105691" "doi" => "10.1016/j.medin.2018.03.006" "estado" => "S300" "fechaPublicacion" => "2018-11-01" "aid" => "1203" "copyright" => "Elsevier España, S.L.U. y SEMICYUC" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Intensiva. 2018;42:514" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1008 "formatos" => array:3 [ "EPUB" => 145 "HTML" => 509 "PDF" => 354 ] ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta al Editor</span>" "titulo" => "En respuesta a «Mantenimiento del donante de órganos: recomendaciones generales que precisan evidencia»" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "514" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Reply to «Organ donor management: Common recommendations that require evidence»" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "C. Chamorro-Jambrina, J.L. Martínez-Melgar" "autores" => array:2 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Chamorro-Jambrina" ] 1 => array:2 [ "nombre" => "J.L." "apellidos" => "Martínez-Melgar" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173572718301425" "doi" => "10.1016/j.medine.2018.03.003" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572718301425?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569118301190?idApp=WMIE" "url" => "/02105691/0000004200000008/v2_201811270610/S0210569118301190/v2_201811270610/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2173572718301486" "issn" => "21735727" "doi" => "10.1016/j.medine.2018.07.007" "estado" => "S300" "fechaPublicacion" => "2018-11-01" "aid" => "1192" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Intensiva. 2018;42:515-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 614 "formatos" => array:3 [ "EPUB" => 121 "HTML" => 315 "PDF" => 178 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "<span class="elsevierStyleItalic">Medicina Intensiva</span>, 29 years of Latin American scientific production" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "515" "paginaFinal" => "516" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "<span class="elsevierStyleItalic">Medicina Intensiva</span>, 29 años de producción científica latinoamericana" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1089 "Ancho" => 2124 "Tamanyo" => 92925 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Estimation of the types of publication produced by Latin American institutions, distributed by countries.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "R.M. Hernández" "autores" => array:1 [ 0 => array:2 [ "nombre" => "R.M." "apellidos" => "Hernández" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210569118300688" "doi" => "10.1016/j.medin.2018.02.014" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569118300688?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572718301486?idApp=WMIE" "url" => "/21735727/0000004200000008/v1_201810270616/S2173572718301486/v1_201810270616/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2173572718301413" "issn" => "21735727" "doi" => "10.1016/j.medine.2018.02.002" "estado" => "S300" "fechaPublicacion" => "2018-11-01" "aid" => "1189" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Intensiva. 2018;42:513" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 722 "formatos" => array:3 [ "EPUB" => 156 "HTML" => 310 "PDF" => 256 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Organ donor management: Common recommendations that deserve evidence" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "513" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Mantenimiento del donante de órganos: recomendaciones generales que precisan evidencia" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "T. Gil-Salazar, J.J. Egea-Guerrero, L. Martin-Villen, Z. Ruiz de Azua-López" "autores" => array:4 [ 0 => array:2 [ "nombre" => "T." "apellidos" => "Gil-Salazar" ] 1 => array:2 [ "nombre" => "J.J." "apellidos" => "Egea-Guerrero" ] 2 => array:2 [ "nombre" => "L." "apellidos" => "Martin-Villen" ] 3 => array:2 [ "nombre" => "Z." "apellidos" => "Ruiz de Azua-López" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210569118300652" "doi" => "10.1016/j.medin.2018.02.011" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569118300652?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572718301413?idApp=WMIE" "url" => "/21735727/0000004200000008/v1_201810270616/S2173572718301413/v1_201810270616/en/main.assets" ] "asociados" => array:1 [ 0 => array:19 [ "pii" => "S2173572718301413" "issn" => "21735727" "doi" => "10.1016/j.medine.2018.02.002" "estado" => "S300" "fechaPublicacion" => "2018-11-01" "aid" => "1189" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Intensiva. 2018;42:513" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 722 "formatos" => array:3 [ "EPUB" => 156 "HTML" => 310 "PDF" => 256 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Organ donor management: Common recommendations that deserve evidence" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "513" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Mantenimiento del donante de órganos: recomendaciones generales que precisan evidencia" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "T. Gil-Salazar, J.J. Egea-Guerrero, L. Martin-Villen, Z. Ruiz de Azua-López" "autores" => array:4 [ 0 => array:2 [ "nombre" => "T." "apellidos" => "Gil-Salazar" ] 1 => array:2 [ "nombre" => "J.J." "apellidos" => "Egea-Guerrero" ] 2 => array:2 [ "nombre" => "L." "apellidos" => "Martin-Villen" ] 3 => array:2 [ "nombre" => "Z." "apellidos" => "Ruiz de Azua-López" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210569118300652" "doi" => "10.1016/j.medin.2018.02.011" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569118300652?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572718301413?idApp=WMIE" "url" => "/21735727/0000004200000008/v1_201810270616/S2173572718301413/v1_201810270616/en/main.assets" ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn"><span class="elsevierStyleItalic">Letter to the Editor</span></span>" "titulo" => "Reply to «Organ donor management: Common recommendations that require evidence»" "tieneTextoCompleto" => true "saludo" => "<span class="elsevierStyleItalic">Dear Editor</span>," "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "514" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "C. Chamorro-Jambrina, J.L. Martínez-Melgar" "autores" => array:2 [ 0 => array:4 [ "nombre" => "C." "apellidos" => "Chamorro-Jambrina" "email" => array:1 [ 0 => "carlos.chamorroj@salud.madrid.org" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J.L." "apellidos" => "Martínez-Melgar" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Intensiva, Hospital Universitario Puerta de Hierro-Majadahonda, Majadahonda, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Medicina Intensiva, Complexo Hospitalario Universitario de Pontevedra, Pontevedra, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "En respuesta a «Mantenimiento del donante de órganos: recomendaciones generales que precisan evidencia»" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We share Gil-Salazar et al.’s point of view<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">1</span></a> on the need to conduct more studies with scientific rigor to support or refute most recommendations published on the management of organ donors. Until these studies are conducted, the management of donors should follow the actual management of any other critically ill patients, while taking into consideration the physiopathological peculiarities that are specific to a situation of brain death.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Like the authors say, no studies have been conducted so far on what the optimal hemoglobin levels are to suggest transfusion in organ donors. Our own experience is based on the actual recommendations for the management of critically ill patients, such as the management of septic patients, that is, 7<span class="elsevierStyleHsp" style=""></span>g/dL.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">3</span></a> Obviously, every specific situation of every donor needs individual assessment, and circumstances such as myocardial ischemia, uncontrolled tissue hypoxia or active bleeding may justify transfusion with higher thresholds. Except for these particular cases, we believe that in the management of organ donor we should be as restrictive as in the management of the rest of the patients. Complications such as TRALI, etc. that may be due to transfusion should not be overlooked, since they can abort donation in general or the particular donation of a given organ.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Another aspect they disagree on is in our recommendation of suspending or not initiating enteral nutrition. In order to validate their disagreement they mention the only study conducted so far on this issue.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">4</span></a> This study shows that up to 36% (13 out of 36) of the donors studied absorbed and metabolized the uracil substrate marked with carbon 13 and administered through enteral route - indicative of a normal intestinal function in this group of donors. However, and yet despite the theoretical possibility of absorption of the enteral nutrition administered, the authors find no differences whatsoever in the metabolic or nutritional parameters of those donors theoretically nourished for 12.6<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>4.4<span class="elsevierStyleHsp" style=""></span>h compared to the parameters of the donors who were not on a diet. They did not find any differences either in the progression of patients transplanted with organs coming from presumably nourished donors. It is important to emphasize here that the tracer was administered through a radiographically validated probe of post-pyloric placement (a rare procedure in donors) and sparing the stomach, whose lack of peristalsis is the most common cause of intolerance to enteral nutrition.</p><p id="par0020" class="elsevierStylePara elsevierViewall">On this particular and probably irrelevant issue due to the short period of maintenance time in the management of usual organ donors, we should follow the most pragmatic criteria here. It will be very difficult to replicate studies to confirm the theoretical benefits provided by the administration of enteral nutrition for a few hours in populations that have very few chances of assimilating it.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Chamorro-Jambrina C, Martínez-Melgar J. En respuesta a «Mantenimiento del donante de órganos: recomendaciones generales que precisan evidencia». Med Intens. 2018;42:514.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:4 [ 0 => array:3 [ "identificador" => "bib0025" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mantenimiento del donante de órganos: recomendaciones generales que precisan evidencia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "T. Gil-Salazar" 1 => "J.J. Egea-Guerrero" 2 => "L. Martin-Villen" 3 => "Z. Ruiz de Azua-López" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.medin.2018.02 011" "Revista" => array:2 [ "tituloSerie" => "Med Intensiva" "fecha" => "2018" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0030" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Organ donor management: Eight common recommendations and actions that deserve reflection" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "C. Chamorro-Jambrina" 1 => "M.R. Muñoz-Ramírez" 2 => "J.L. Martínez-Melgar" 3 => "M.S. Pérez-Cornejo" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.medin.2017.01.012" "Revista" => array:6 [ "tituloSerie" => "Med Intensiva" "fecha" => "2017" "volumen" => "41" "paginaInicial" => "559" "paginaFinal" => "568" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28318674" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0035" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2016" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A. Rhodes" 1 => "L.E. Evans" 2 => "W. Alhazzani" 3 => "M.M. Levy" 4 => "M. Antonelli" 5 => "R. Ferrer" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00134-017-4683-6" "Revista" => array:6 [ "tituloSerie" => "Intensive Care Med" "fecha" => "2017" "volumen" => "43" "paginaInicial" => "304" "paginaFinal" => "377" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28101605" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0040" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Randomized trial to evaluate nutritional status and absorption of enteral feeding after brain death" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "G.W. Hergenroeder" 1 => "N.H. Ward" 2 => "X. Yu" 3 => "A. Opekun" 4 => "A.N. Moore" 5 => "C.A. Kozinetz" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.7182/pit2013996" "Revista" => array:6 [ "tituloSerie" => "Prog Transplant" "fecha" => "2013" "volumen" => "23" "paginaInicial" => "374" "paginaFinal" => "382" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24311403" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004200000008/v1_201810270616/S2173572718301425/v1_201810270616/en/main.assets" "Apartado" => array:4 [ "identificador" => "64604" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004200000008/v1_201810270616/S2173572718301425/v1_201810270616/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572718301425?idApp=WMIE" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 4 | 8 |
| 2024 October | 38 | 41 | 79 |
| 2024 September | 36 | 25 | 61 |
| 2024 August | 40 | 48 | 88 |
| 2024 July | 27 | 23 | 50 |
| 2024 June | 31 | 36 | 67 |
| 2024 May | 30 | 29 | 59 |
| 2024 April | 26 | 30 | 56 |
| 2024 March | 31 | 22 | 53 |
| 2024 February | 27 | 36 | 63 |
| 2024 January | 18 | 34 | 52 |
| 2023 December | 24 | 29 | 53 |
| 2023 November | 24 | 28 | 52 |
| 2023 October | 22 | 26 | 48 |
| 2023 September | 22 | 36 | 58 |
| 2023 August | 12 | 12 | 24 |
| 2023 July | 23 | 21 | 44 |
| 2023 June | 15 | 14 | 29 |
| 2023 May | 26 | 31 | 57 |
| 2023 April | 18 | 16 | 34 |
| 2023 March | 31 | 23 | 54 |
| 2023 February | 26 | 28 | 54 |
| 2023 January | 14 | 15 | 29 |
| 2022 December | 35 | 36 | 71 |
| 2022 November | 27 | 25 | 52 |
| 2022 October | 37 | 24 | 61 |
| 2022 September | 18 | 34 | 52 |
| 2022 August | 26 | 38 | 64 |
| 2022 July | 18 | 31 | 49 |
| 2022 June | 12 | 23 | 35 |
| 2022 May | 24 | 30 | 54 |
| 2022 April | 20 | 38 | 58 |
| 2022 March | 28 | 44 | 72 |
| 2022 February | 21 | 19 | 40 |
| 2022 January | 26 | 37 | 63 |
| 2021 December | 33 | 42 | 75 |
| 2021 November | 22 | 32 | 54 |
| 2021 October | 35 | 69 | 104 |
| 2021 September | 27 | 38 | 65 |
| 2021 August | 22 | 25 | 47 |
| 2021 July | 11 | 24 | 35 |
| 2021 June | 16 | 17 | 33 |
| 2021 May | 29 | 41 | 70 |
| 2021 April | 47 | 43 | 90 |
| 2021 March | 53 | 30 | 83 |
| 2021 February | 53 | 24 | 77 |
| 2021 January | 36 | 13 | 49 |
| 2020 December | 25 | 9 | 34 |
| 2020 November | 16 | 20 | 36 |
| 2020 October | 26 | 34 | 60 |
| 2020 September | 14 | 14 | 28 |
| 2020 August | 15 | 12 | 27 |
| 2020 July | 27 | 15 | 42 |
| 2020 June | 11 | 12 | 23 |
| 2020 May | 14 | 6 | 20 |
| 2020 April | 26 | 5 | 31 |
| 2020 March | 14 | 8 | 22 |
| 2020 February | 38 | 20 | 58 |
| 2020 January | 16 | 22 | 38 |
| 2019 December | 13 | 13 | 26 |
| 2019 November | 17 | 20 | 37 |
| 2019 October | 12 | 20 | 32 |
| 2019 September | 25 | 13 | 38 |
| 2019 August | 20 | 12 | 32 |
| 2019 July | 31 | 18 | 49 |
| 2019 June | 18 | 5 | 23 |
| 2019 May | 36 | 28 | 64 |
| 2019 April | 14 | 10 | 24 |
| 2019 March | 14 | 22 | 36 |
| 2019 February | 1 | 8 | 9 |
| 2019 January | 0 | 5 | 5 |
| 2018 December | 1 | 0 | 1 |
| 2018 September | 0 | 1 | 1 |
Show all
