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Barriers to Repair in Maxillofacial Trauma

Overview of attention for article published in Facial Plastic Surgery and Aesthetic Medicine, May 2016
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (93rd percentile)
  • Good Attention Score compared to outputs of the same age and source (73rd percentile)

Mentioned by

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3 news outlets
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10 X users
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3 Facebook pages
googleplus
1 Google+ user

Citations

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10 Dimensions

Readers on

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30 Mendeley
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Title
Barriers to Repair in Maxillofacial Trauma
Published in
Facial Plastic Surgery and Aesthetic Medicine, May 2016
DOI 10.1001/jamafacial.2015.2101
Pubmed ID
Authors

J. Paul Radabaugh, Paul Zhang, Duane Wang, Philip L. Y. Lin, Jared Shelton, James Y. Liau, Larry L. Cunningham, Thomas J. Gal

Abstract

Multiple factors can be associated with the delayed repair of maxillofacial injuries that may be associated with increased morbidity. To assess factors affecting timing of repair and barriers which may exist in the management of maxillofacial trauma. This retrospective cohort study at a tertiary care facility used the Current Procedural Terminology coding to identify adult patients undergoing operative repair of maxillofacial injuries between January 2010 and December 2013. Demographic information, presence and severity of concomitant injuries, as well as fracture-specific data including fracture type(s), mechanism of injury, and documented complications were recorded. Identifiable delays for medical, logistical, or other reasons were also documented. Multivariate regression modeling was used to determine factors associated with increased time to repair. A comparative analysis was used to identify association between complications and time to operative repair. Time to operative repair from date of presentation; association of known operative delay and perioperative complications. Overall, 780 patients were included in the study. Of patients meeting inclusion criteria, mean (SD) age was 36.7 (14.2) years (range, 18-88 years), and 616 patients (79%) were male. Average time to repair was 6.5 days (range, 0-43 days), and 138 patients (17.7%) were observed to have a documented reason for delay for medical reasons (n = 62 [44.9%]), operating room logistical factors (n = 17 [12.3%]), or other reasons (n = 59 patients [42.8%]) either as a function of delayed patient presentation or failure of patients to make scheduled appointments or operations. Injury severity score (ρ = 0.45; P < .001), concurrent injuries (P < .001), decreased Glasgow Coma Score (P < .001) and inpatient status at time of surgery (P < .001), were associated with increased time to repair. The observed complication rate was 13.6%. There was no statistically significant association between known operative delay and development of complications (χ21 = 2.92; P = .08). Management of maxillofacial trauma appears to occur in a timely manner. Patient injury severity appears to have the greatest effect on timing of repair. While delays in operative repair may be unavoidable in certain circumstances, streamlining and managing causes of known delay may help improve and expedite patient care. 3.

X Demographics

X Demographics

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 30 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 30 100%

Demographic breakdown

Readers by professional status Count As %
Other 7 23%
Student > Postgraduate 5 17%
Student > Master 2 7%
Researcher 2 7%
Student > Ph. D. Student 1 3%
Other 3 10%
Unknown 10 33%
Readers by discipline Count As %
Medicine and Dentistry 15 50%
Nursing and Health Professions 2 7%
Computer Science 1 3%
Neuroscience 1 3%
Engineering 1 3%
Other 0 0%
Unknown 10 33%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 31. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 June 2016.
All research outputs
#1,274,303
of 25,374,917 outputs
Outputs from Facial Plastic Surgery and Aesthetic Medicine
#126
of 1,134 outputs
Outputs of similar age
#23,067
of 349,585 outputs
Outputs of similar age from Facial Plastic Surgery and Aesthetic Medicine
#5
of 19 outputs
Altmetric has tracked 25,374,917 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 94th percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,134 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 17.4. This one has done well, scoring higher than 88% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 349,585 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 93% of its contemporaries.
We're also able to compare this research output to 19 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 73% of its contemporaries.