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Predictors of total morbidity burden on days 3, 5 and 8 after cardiac surgery

Overview of attention for article published in Perioperative Medicine, February 2017
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Title
Predictors of total morbidity burden on days 3, 5 and 8 after cardiac surgery
Published in
Perioperative Medicine, February 2017
DOI 10.1186/s13741-017-0060-9
Pubmed ID
Authors

Julie Sanders, Jackie Cooper, Michael G. Mythen, Hugh E. Montgomery

Abstract

Post-operative morbidity affects up to 36% of cardiac surgical patients. However, few countries reliably record morbidity outcome data, despite patients wanting to be informed of all the risks associated with surgery. The Cardiac Post-Operative Morbidity Score (C-POMS) is a new tool for describing and scoring (0-13) total morbidity burden after cardiac surgery, derived by noting the presence/absence of 13 morbidity domains on days 3, 5, 8 and 15. Identifying modifiable C-POMS risk factors may suggest targets for intervention to reduce morbidity and healthcare costs. Thus, we explored the association of C-POMS with previously identified predictors of post-operative morbidity. A systematic literature review of pre-operative risk assessment models for post-operative morbidity was conducted to identify variables associated with post-operative morbidity. The association of those variables with C-POMS was explored in patients drawn from the original C-POMS study (n = 444). Seventy risk factors were identified, of which 56 were available in the study and 49 were suitable for analysis. Numbers were too few to analyse associations on D15. Thirty-three (67.3%) and 20 (40.8%) variables were associated with C-POMS on at least 1 or 2 days, respectively. Pre-operative albumin concentration, left ventricular ejection fraction and New York Heart Association functional class were associated with C-POMS on all days. Of the 16 independent risk factors, pre-operative albumin and haemoglobin concentrations and weight are potentially modifiable. Different risk factors are associated with total morbidity burden on different post-operative days. Pre-operative albumin and haemoglobin concentrations and weight were independently predictive of post-operative total morbidity burden suggesting therapeutic interventions aimed at these might reduce both post-operative morbidity risk and health-care costs in patients undergoing cardiac surgery.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 9 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 9 100%

Demographic breakdown

Readers by professional status Count As %
Unspecified 3 33%
Student > Bachelor 2 22%
Student > Ph. D. Student 1 11%
Researcher 1 11%
Librarian 1 11%
Other 1 11%
Readers by discipline Count As %
Unspecified 3 33%
Nursing and Health Professions 2 22%
Computer Science 1 11%
Psychology 1 11%
Sports and Recreations 1 11%
Other 1 11%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. 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 14 February 2017.
All research outputs
#6,906,875
of 9,064,896 outputs
Outputs from Perioperative Medicine
#81
of 86 outputs
Outputs of similar age
#226,981
of 316,411 outputs
Outputs of similar age from Perioperative Medicine
#6
of 6 outputs
Altmetric has tracked 9,064,896 research outputs across all sources so far. This one is in the 13th percentile – i.e., 13% of other outputs scored the same or lower than it.
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