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Electrolyte disorders and aging: risk factors for delirium in patients undergoing orthopedic surgeries

Overview of attention for article published in BMC Psychiatry, November 2016
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Title
Electrolyte disorders and aging: risk factors for delirium in patients undergoing orthopedic surgeries
Published in
BMC Psychiatry, November 2016
DOI 10.1186/s12888-016-1130-0
Pubmed ID
Authors

Li-Hong Wang, Dong-Juan Xu, Xian-Jiao Wei, Hao-Teng Chang, Guo-Hong Xu

Abstract

At present, the exact mechanism of postoperative delirium has not been elucidated. The purpose of this study was to analyze the incidence of delirium in patients undergoing orthopedic surgeries and to explore possible related factors. This is a retrospective study. We used 582 patients who had undergone orthopedic surgery between January 2011 and December 2014. The surgeries consisted of 155 cases of internal fixation for intertrochanteric fracture (IFIF), 128 cases of femoral head replacement (FHR), 169 cases of total hip arthroplasty (THA) and 130 cases of total knee arthroplasty (TKA). Among the 582 patients, 75 developed postoperative delirium (an incidence of 12.9%). The demographics of the patients, which included age, gender, operation duration and blood loss, were statistically analyzed with univariate logistic regression analysis and then multivariate logistic regression. To investigate the influences of different electrolytes disorders for postoperative delirium, the Chi-square test was used. Multivariate logistic regression analysis indicated that postoperative delirium incidence in patients aged 70-79 years and in patients aged ≥80 years was higher than that in patients aged <70 years, odds ratio (OR) values were 6.33 and 26.37, respectively. In addition, the incidence of postoperative delirium in the group of patients with electrolyte disorders was higher than that in the normal group (OR, 2.38). There were statistically significant differences between the delirium group and the non-delirium group in the incidences of the sodium and calcium disorders. Aging and postoperative electrolyte disorders (hyponatremia and hypocalcemia) are risk factors for postoperative delirium in patients undergoing orthopedic surgeries.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 89 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Korea, Republic of 1 1%
Unknown 88 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 14 16%
Student > Postgraduate 12 13%
Student > Bachelor 10 11%
Researcher 7 8%
Student > Doctoral Student 5 6%
Other 16 18%
Unknown 25 28%
Readers by discipline Count As %
Medicine and Dentistry 39 44%
Nursing and Health Professions 8 9%
Engineering 3 3%
Neuroscience 3 3%
Agricultural and Biological Sciences 2 2%
Other 8 9%
Unknown 26 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. 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 17 May 2018.
All research outputs
#13,747,092
of 23,305,591 outputs
Outputs from BMC Psychiatry
#2,931
of 4,810 outputs
Outputs of similar age
#210,186
of 417,613 outputs
Outputs of similar age from BMC Psychiatry
#52
of 85 outputs
Altmetric has tracked 23,305,591 research outputs across all sources so far. This one is in the 39th percentile – i.e., 39% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,810 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 12.4. This one is in the 37th percentile – i.e., 37% of its peers scored the same or lower than it.
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 417,613 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 48th percentile – i.e., 48% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 85 others from the same source and published within six weeks on either side of this one. This one is in the 37th percentile – i.e., 37% of its contemporaries scored the same or lower than it.