The advice below applies to Apache, but it seems generic enough to apply regardless of system. My architecture is 3 web servers behind a load balancer. My IIS servers currently have keep-alive enabled with the default connection timeout of 2 minutes. Would disabling my site's keep-alive increase performance and throughput?
First, disable keep-alive. This is the nastiest thing against performance. It was designed at a time sites were running NCSA httpd forked off inetd at every request. All those forks were killing the servers, and keep-alive was a neat solution against this.
If the keep-alive time is too short to maintain the session between two clicks, it is useless. If it is long enough, then it means that the servers will need roughly one process per simultaneous user, not counting the fact that most browsers commonly establish 4 simultaneous sessions ! Simply speaking, a site running keep-alive with an Apache-like server has no chance of ever serving more than a few hundreds users at a time.