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Prolonged air leak following lobectomy can be predicted in lung cancer patients

Overview of attention for article published in Surgery Today, January 2017
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Title
Prolonged air leak following lobectomy can be predicted in lung cancer patients
Published in
Surgery Today, January 2017
DOI 10.1007/s00595-016-1467-5
Pubmed ID
Authors

Satoru Okada, Junichi Shimada, Daishiro Kato, Hiroaki Tsunezuka, Masayoshi Inoue

Abstract

The purpose of this study was to identify the factors associated with prolonged air leak (PAL) following pulmonary lobectomy for lung cancer. The data of 146 patients who underwent pulmonary lobectomy for lung cancer between August 2010 and July 2015 were retrospectively reviewed. Air leaks were assessed daily by a visual evaluation and were categorized as follows: forced expiratory only (Grade 1), expiratory only (Grade 2), or continuous (Grade 3). Logistic regression analyses were performed to identify the predictors of PAL (>5 days). PAL occurred in 23 patients (16%). An air leak at rest (Grade ≥ 2) was detected on postoperative day (POD) 1 in 48% of the patients with PAL and 7% of the patients without PAL. A univariate analysis demonstrated that PAL was significantly associated with male sex, a smoking history of ≥ 40 pack years, a serum albumin level of ≤4.0 mg/dL, and an air leak on POD1 (Grade ≥ 2). A multivariate analysis demonstrated that a serum albumin level of ≤4.0 mg/dL (p = 0.027) and an air leak on POD1 (p = 0.006) were independent predictors of PAL. PAL occurred in 75% of the patients with these two risk factors. The preoperative serum albumin level and the presence of a visually evaluated air leak on POD1 may be useful indicators for the perioperative management of air leaks.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 16 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 16 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 3 19%
Student > Master 2 13%
Student > Postgraduate 1 6%
Professor 1 6%
Researcher 1 6%
Other 2 13%
Unknown 6 38%
Readers by discipline Count As %
Medicine and Dentistry 6 38%
Nursing and Health Professions 1 6%
Biochemistry, Genetics and Molecular Biology 1 6%
Sports and Recreations 1 6%
Unspecified 1 6%
Other 0 0%
Unknown 6 38%

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 29 September 2017.
All research outputs
#10,495,555
of 11,843,218 outputs
Outputs from Surgery Today
#394
of 588 outputs
Outputs of similar age
#226,463
of 267,990 outputs
Outputs of similar age from Surgery Today
#3
of 6 outputs
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So far Altmetric has tracked 588 research outputs from this source. They receive a mean Attention Score of 2.1. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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