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Correlation between modified LEMON score and intubation difficulty in adult trauma patients undergoing emergency surgery

Overview of attention for article published in World Journal of Emergency Surgery, July 2018
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Title
Correlation between modified LEMON score and intubation difficulty in adult trauma patients undergoing emergency surgery
Published in
World Journal of Emergency Surgery, July 2018
DOI 10.1186/s13017-018-0195-0
Pubmed ID
Authors

Sung-Mi Ji, Eun-Jin Moon, Tae-Jun Kim, Jae-Woo Yi, Hyungseok Seo, Bong-Jae Lee

Abstract

Prediction of difficult airway is critical in the airway management of trauma patients. A LEMON method which consists of following assessments; Look-Evaluate-Mallampati-Obstruction-Neck mobility is a fast and easy technique to evaluate patients' airways in the emergency situation. And a modified LEMON method, which excludes the Mallampati classification from the original LEMON score, also can be used clinically. We investigated the relationship between modified LEMON score and intubation difficulty score in adult trauma patients undergoing emergency surgery. We retrospectively reviewed electronic medical records of 114 adult trauma patients who underwent emergency surgery under general anesthesia. All patients' airways were evaluated according to the modified LEMON method before anesthesia induction and after tracheal intubation; the intubating doctor self-reported the intubation difficulty scale (IDS) score. A difficult intubation group was defined as patients who had IDS scores > 5. The modified LEMON score was significantly correlated with the IDS score (P < 0.001). The difficult intubation group showed higher modified LEMON score than the non-difficult intubation group (3 [2-5] vs. 2 [1-3], respectively, P = 0.017). Limited neck mobility was the only independent predictor of intubation difficulty (odds ratio, 6.15; P = 0.002). The modified LEMON score is correlated with difficult intubation in adult trauma patients undergoing emergency surgery.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 81 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 81 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 16 20%
Other 11 14%
Student > Master 4 5%
Professor 4 5%
Student > Doctoral Student 3 4%
Other 13 16%
Unknown 30 37%
Readers by discipline Count As %
Medicine and Dentistry 38 47%
Nursing and Health Professions 4 5%
Business, Management and Accounting 2 2%
Social Sciences 2 2%
Computer Science 1 1%
Other 3 4%
Unknown 31 38%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. 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 January 2019.
All research outputs
#13,386,534
of 23,096,849 outputs
Outputs from World Journal of Emergency Surgery
#238
of 557 outputs
Outputs of similar age
#164,372
of 329,806 outputs
Outputs of similar age from World Journal of Emergency Surgery
#11
of 18 outputs
Altmetric has tracked 23,096,849 research outputs across all sources so far. This one is in the 41st percentile – i.e., 41% of other outputs scored the same or lower than it.
So far Altmetric has tracked 557 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.3. This one has gotten more attention than average, scoring higher than 56% of its peers.
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 329,806 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 49th percentile – i.e., 49% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 18 others from the same source and published within six weeks on either side of this one. This one is in the 38th percentile – i.e., 38% of its contemporaries scored the same or lower than it.