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Is hyperlipidemia a potential protective factor against intraoperative awareness in cardiac surgery?

Overview of attention for article published in Journal of Cardiothoracic Surgery, April 2016
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Title
Is hyperlipidemia a potential protective factor against intraoperative awareness in cardiac surgery?
Published in
Journal of Cardiothoracic Surgery, April 2016
DOI 10.1186/s13019-016-0454-7
Pubmed ID
Authors

Qingshui Zheng, Qian Wang, Chaoqun Wu, Zhifa Wang, Hushan Ao

Abstract

Intraoperative awareness is a dreaded complication that leads to psychological sequelae such as posttraumatic stress disorder, especially in patients undergoing cardiac surgery. This study investigated the incidence of awareness among patients receiving cardiac surgery and sought to identify the risk factors contributing to intraoperative awareness. Patients with informed consent undergoing cardiac surgery from June to September in 2012 were enrolled. At least one structured interview was performed postoperatively with the modified Brice Interview Questionnaire to identify intraoperative awareness as confirmed awareness, possible awareness, and no awareness. Confirmed awareness events reported by patients were classified into different categories with the Michigan Awareness Classification Instrument. The questionnaire results were combined with the patient medical records. A logistic regression model was used to analyze the risk factors that may have led to intraoperative awareness. An estimated 2136 patients were included, and 1874 patients completed at least one interview. 83 patients (4.4 %) were identified as possible or confirmed awareness, among which 46 (2.5 %) reported confirmed awareness. Patients who experienced confirmed awareness were mostly of Class 1 and 2, 15 and 24 patients respectively, which represented isolated auditory and tactile perceptions. And 11 patients reported feelings of distress intraoperatively. Hyperlipidemia was associated with intraoperative awareness (OR = 0.499, 95 % CI = 0.252-0.989, p = 0.043) and using chi-square test, however, no significance was found with logistic regression. Patients undergoing cardiac surgery are at high risk for intraoperative awareness. Distress is a common feeling in patients with intraoperative awareness. Hyperlipidemia is a potential protective factor for intraoperative awareness in cardiac surgery.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 15 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 15 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 3 20%
Student > Doctoral Student 2 13%
Librarian 1 7%
Other 1 7%
Student > Master 1 7%
Other 2 13%
Unknown 5 33%
Readers by discipline Count As %
Medicine and Dentistry 8 53%
Neuroscience 1 7%
Nursing and Health Professions 1 7%
Unknown 5 33%
Attention Score in Context

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 15 April 2016.
All research outputs
#22,759,802
of 25,374,917 outputs
Outputs from Journal of Cardiothoracic Surgery
#1,075
of 1,382 outputs
Outputs of similar age
#273,215
of 316,306 outputs
Outputs of similar age from Journal of Cardiothoracic Surgery
#14
of 20 outputs
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So far Altmetric has tracked 1,382 research outputs from this source. They receive a mean Attention Score of 2.9. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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