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Effects of sevoflurane and propofol on the development of pneumonia after esophagectomy: a retrospective cohort study

Overview of attention for article published in BMC Anesthesiology, December 2017
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Title
Effects of sevoflurane and propofol on the development of pneumonia after esophagectomy: a retrospective cohort study
Published in
BMC Anesthesiology, December 2017
DOI 10.1186/s12871-017-0458-4
Pubmed ID
Authors

Guo-Hua Zhang, Wen Wang

Abstract

Postoperative pneumonia (PP) is one of the common complications following esophagectomy and associated with poor short- and long-term outcomes. Sevoflurane and propofol, which have inflammatory-modulating effects, are common used general anesthetics. This study aimed to compare the effects of anesthesia with sevoflurane and propofol on the development of PP after esophageal surgery for cancer. The electronic medical records of patients who underwent elective esophagectomy between July 2013 and July 2016 were reviewed. We conducted univariate and multivariate logistics analysis and propensity score matching analysis to compare the effect of sevoflurane and propofol on the incidence of PP and to identify the risk factors for PP after esophagectomy. Overall, the incidence of postoperative pneumonia was 9.5%. There was no significant difference in the rates of PP between sevoflurane group and propofol group either before or after propensity score matching (9.6% vs 8.0%, P = 0.606; 7.7% vs 6.4%, P = 0.754, respectively). Univariate and multivariate analysis revealed that alcohol use (OR 1.513; 95% CI 1.062-2.156), surgical procedure (Sweet: referent; Ivor-Lewis: OR 1.993; 95% CI 1.190-3.337; Three-incision: OR 1.878; 95% CI 1.296-2.722) and surgeon experience (high-volume: referent; low-volume: OR 1.525; 95% CI 1.090-2.135) were significant risk factors of postoperative pneumonia. Sevoflurane did not differ from propofol in terms of affecting the risk of PP development after esophagectomy.

Twitter Demographics

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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 > Ph. D. Student 4 25%
Student > Master 3 19%
Researcher 2 13%
Librarian 2 13%
Student > Doctoral Student 1 6%
Other 1 6%
Unknown 3 19%
Readers by discipline Count As %
Medicine and Dentistry 6 38%
Nursing and Health Professions 2 13%
Biochemistry, Genetics and Molecular Biology 1 6%
Computer Science 1 6%
Pharmacology, Toxicology and Pharmaceutical Science 1 6%
Other 0 0%
Unknown 5 31%

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 December 2017.
All research outputs
#9,467,964
of 12,359,775 outputs
Outputs from BMC Anesthesiology
#403
of 688 outputs
Outputs of similar age
#229,321
of 351,603 outputs
Outputs of similar age from BMC Anesthesiology
#40
of 53 outputs
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So far Altmetric has tracked 688 research outputs from this source. They receive a mean Attention Score of 3.2. This one is in the 32nd percentile – i.e., 32% of its peers scored the same or lower than it.
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