numero rivista e pagine: HSR Proceedings in Intensive Care and Cardiovascular Anesthesia 2013; 5(1): 5-8
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Ramification of indexing of medical journals

Authors: M. Chakravarthy*1, R. Hetzer2, E.M. Delmo Walter2

1Anesthesia, Critical Care and Pain Relief, Fortis Hospitals, Bangalore, India
2Deutsches Herzzentrum Berlin, Berlin, Germany

Corresponding author: * Corresponding author:
Dr. M. Chakravarthy
Chief Consultant, Anesthesia, Critical Care and Pain Relief
Fortis Hospitals Bangalore 560076, India
Past Editor in Chief of Annals of Cardiac Anaesthesia
E-mail: mailchakravarthy@gmail.com

The 154 manuscripts published by HSR Proceedings in Intensive Care and Cardiovascular Anesthesia (HSR Proc Intensive Care Cardiovasc Anesth) in the January 2009 – December 2012 period are now indexed in Pubmed. English is the language for manuscript submission in HSR Proc Intensive Care Cardiovasc Anesth. All manuscripts undergo peer review. Even if the Journal publishes several articles in the field of critical care medicine, emergency medicine cardiology, surgery and general anesthesia, 29 out of the 43 manuscripts published in 2012 dealt with cardiothoracic and vascular surgery and anesthesia.
Cardiothoracic and vascular anesthesiologists can publish their articles in a variety of Journals such as those with high impact factors (New England Journal of Medicine, The Lancet, Journal of American Association of Medicine and the British Medical Journal among others) and those journals focusing on Cardiac Surgery, Cardiology, Critical Care Medicine or Emergency Medicine. Furthermore, few journals of anesthesiology such as the British Journal of Anaesthesia, Anesthesia & Analgesia, Canadian Journal of Anaesthesia as the British Journal of Anaesthesia, Anesthesia & Analgesia, Canadian Journal of Anaesthesia, Current Opinion in Anesthesiology, European Journal of Anaesthesiology have a dedicated cardiovascular or thoracic section and only one out of the 28 “Anesthesiology” Journals with impact factor has a title that includes cardiothoracic and/or vascular anesthesia: Journal of Cardiothoracic and Vascular Anesthesia (JCVA).
To the best of our knowledge, there are only two further Journals on Pubmed that have a name attractive enough for cardiac anesthesiologists (Annals of Cardiac Anesthesia and Seminars in Cardiothoracic and Vascular Anesthesia) and one that is not yet indexed (Egyptian Journal of Cardiothoracic Anesthesia) (Table 1).



Table 1

International Journals with a title including cardiac and/or vascular and/or thoracic anesthesia and their indexing in Pubmed, Scopus and ISI web of knowledge.


Cardiac anesthesia is a fast progressing subspecialty of anesthesia. The first scientific periodical dedicated to this specialty was JCVA, first published more than twenty years ago. At that time, the Journal represented only the Society of Cardiovascular Anesthesia. Seventeen years ago, publication of Annals of Cardiac Anaesthesia commenced from India.
Annals of Cardiac Anaesthesia was indexed on the The National Library of Medicine (NLM) in the year 2008, precisely ten years after inception. Both the journals grew a rapid pace.
Subsequently, JCVA came to represent both the European and the Chinese cardiac societies. Landoni and co-workers studied the publication trend in the JCVA and showed that in the 10 year period commencing in 2001, the United States accounted for 43.8% of the total of the articles published, followed by India (8.3%), Germany (5.5%), United Kingdom (4.7%), and Italy (4.4%) [1]. It is reasonable to presume that the researchers outside the United States required more portals to publish their work.
HSR Proc Intensive Care Cardiovasc Anesth was born in 2009 and the name of the Journal comes from the name of one of the largest Italian surgical Hospital, and the most prolific one in terms of biomedical publications of the country of origin: San Raffaele Scientific Institute.
It is a common knowledge that indexing by international databases is rigorous and having ‘young journals’ such HSR Proc Intensive Care Cardiovasc Anesth indexed within a short period of time in PubMed is indeed commendable.
PubMed is by far the most used search engine to perform bibliographic researches by physicians all over the world. PubMed is a freely accessible database that gives access to over 22 million citations for biomedical literature. http://www.nlm.nih.gov/pubs/factsheets/pubmed.html PubMed has been available since 1996: it was developed and is maintained by the National Center for Biotechnology Information (http://www.ncbi.nlm.nih.gov/  NCBI), at the U.S. National Library of Medicine (http://www.nlm.nih.gov/  NLM), located at the National Institutes of Health (http://www.nih.gov/  NIH). PubMed citations and abstracts encompass not only the fields of biomedicine and health, but also portions of the life sciences, behavioral sciences, chemical sciences, and bioengineering.
Indexing in PubMed, as in the case of HSR Proc Intensive Care Cardiovasc Anesth, may include links to full-text content from the publisher web sites and PubMed Central. This means that the full text of the articles can be retrieved not only from the web site of the journal, but also from PubMed Central. PubMed Central is a free full-text archive of biomedical and life sciences journal literature designed to provide permanent access to all of its content also in a distant future. To be included in this archive, a journal must qualify on two levels: on the scientific and editorial quality of its content, and on the technical quality of its digital files. In particular, it is often a huge editorial effort to convert all the article production of the journal into digital files that meet technical requirements of PubMed Central.
As proof of the increasing interest about HSR Proc Intensive Care Cardiovasc Anesth, in January 2013 its web site was visited by more than 5,000 single users worldwide (40% from the United States, 40% from Europe and 20% from the rest of the world). More than 30% of these visits came from external links created on social media, such as Facebook, Twitter or Linkedin. This is just another demonstration of how, nowadays, use of social media, via medical blogs, expert-based community sites or other web tools, is changing the way healthcare is delivered. Social media have the capability to reach a large audience within a few seconds, providing the ideal platform for physicians and scientists to share experiences, ideas and medical journal articles.
Being a journal with a large reach, HSR Proc Intensive Care Cardiovasc Anesth will soon change its name and invite readers to suggest short, effective names to the editorial office. The aim is to have a name that will attract manuscripts from cardiothoracic and vascular surgery and anesthesia, critical care medicine, emergency medicine, cardiology, surgery and anesthesia.
Since the founding and inauguration of the Roland Hetzer International Cardiothoracic and Vascular Surgery (RHICS) in June 2011, the Journal has been the platform for expert discussions on various issues in cardiac surgeries, such as “Current Status of Coronary Artery revascularization” and “Current Status of the Allied Health Professionals Worldwide” (1st Expert Forum), “Variations of Aortic Valve Surgery” and “Long-Term Results after Correction of Congenital Heart Defects” (2nd Expert Forum), “State-of-the-Art in Cardiothoracic Surgery: Now and the Next Decade “ (3rd Expert Forum) and “Simulation-based training in cardiothoracic surgery ”and “New Surgical Treatment Concepts for Heart Failure” (4th Expert Forum). These expert discussions needed to be made public and a venue for publication was strongly demanded.
With numerous existing journals dealing with cardiothoracic surgery and cardiology, which are already PubMed- indexed and with an Impact Factor, the scientific journal HSR Proceedings in Intensive Care and Cardiovascular Anesthesia has been chosen by the RHICS Advisory Board to be the best podium to publicize most of the presentations which were written as either original articles, expert discussions or brief reports. Thus, the manuscripts transcribed from the first three expert meetings have been published in this journal, with eventual publications of manuscripts from the 4th Forum and from the next successive meetings. The members of the RHICS celebrated the successful indexing of HSR Proceedings in Intensive Care and Cardiovascular Anesthesia in PubMed. It is a great honor for the RHICS to be a part of this journal, and it is a great pleasure to work with Prof. Zangrillo and Dr. Landoni, whose great efforts and determination brought the realization of every journal’s dream: being indexed by international databases. Congratulations, and we wish you more success!



  1. Landoni G, Bignami E, Nicolotti D, et alii. Publication trends in the Journal of Cardiothoracic and Vascular Anesthesia: a 10-year analysis. J Cardiothorac Vasc Anesth 2010; 2: 969-973.

Cite as: Chakravarthy M, Hetzer R, Delmo Walter EM. Ramification of indexing of medical journals. HSR Proc Intensive Care Cardiovasc Anesth. 2013; 5 (1): 5-8


Source of Support: Nil.


Conflict of interest: None declared.