发表一篇学和医学成像类SCI论文
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Abstract:
BACKGROUND:Ischemic optic neuropathy (ION) is a rare complication of anesthesia and surgery that causes vision loss in spine fusion. We sought to develop a predictive model based on known preoperative risk factors for perioperative ION to guide patient and physician preoperative decision-making. METHODS:In the National Inpatient Sample (NIS) for 1998-2012, discharges for posterior thoracic, lumbar, and sacral spine fusion were identified and classified by ION status. Variables were selected without weighting via variable clustering using Principal Component Analysis of Mixed Data (PCA-MIX). Hierarchical clustering with 4 clusters was performed, and the variable with largest squared loading in each cluster was chosen. By splitting our sample into a training and testing data set, we developed and internally validated a predictive model. The final model using variables known preoperatively was constructed to allow determination of relative and absolute risk of developing perioperative ION and was tested for calibration and discrimination. RESULTS:The final predictive model based on hierarchical clustering contained 3 preoperative factors, age, male or female sex, and the presence of obstructive sleep apnea (OSA). The predictive model based on these factors had an area under the receiver operating characteristic curve (AUC) of 0.65 and good calibration. A score cutoff of >1 had 100% sensitivity, while score of 3 had 96.5% specificity. The highest estimated absolute risk (844.5/million) and relative risk of ION (46.40) was for a man, age 40-64 years, with OSA. CONCLUSIONS:The predictive model could enable screening for patients at higher risk of ION to provide more accurate risk assessment and surgical and anesthetic planning for perioperative ION in spine fusion.
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最新影响因子:6.627 | 期刊ISSN:0003-2999 | CiteScore:2.56 |
出版周期:Monthly | 是否OA:YES | 出版年份:1957 |
期刊官方网址:http://journals.lww.com/anesthesia-analgesia/pages/default.aspx
自引率:15.40% | 研究方向:医学-麻醉学 |
出版地区:UNITED STATES |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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大类(学科) | 小类(学科) | 学科排名 |
医学 |
ANESTHESIOLOGY (麻醉学) 2区 |
7/31 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
425 | 352 | 73 |
引文计数(2018)
文献(2015-2017)
3888次引用
1519篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Anesthesiology and Pain Medicine
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#15/115
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研究方向:麻醉 疼痛 脏器保护
审稿时间: 3个月内 接受率: 比较困难(25%命中)
liting7111
接受率: 中等(50%命中)
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liting7111
研究方向:麻醉
接受率: 中等(50%命中)
liting7111
审稿时间: 2个月内 接受率: 比较困难(25%命中)
liting7111
审稿时间: 2个月内 接受率: 中等(50%命中)
liting7111
研究方向:疼痛 麻醉
审稿时间: 2个月内 接受率: 比较困难(25%命中)
liting7111
审稿时间: 3个月内 接受率: 中等(50%命中)
liting7111
审稿时间: 3个月内 接受率: 比较困难(25%命中)
影响因子:1.795
ISSN:1040-0400
研究方向:化学-化学综合
影响因子:2.975
ISSN:0277-5387
研究方向:化学-晶体学
影响因子:0.847
ISSN:0254-5861
研究方向:化学-晶体学
影响因子:0.667
ISSN:1063-7745
研究方向:化学-晶体学
影响因子:2.385
ISSN:0889-311X
研究方向:CRYSTALLOGRAPHY-
影响因子:0.672
ISSN:1542-1406
研究方向:化学-晶体学
影响因子:2.156
ISSN:1565-1339
研究方向:工程技术-工程:综合
影响因子:1.934
ISSN:0951-7715
研究方向:物理-物理:数学物理
影响因子:2.408
ISSN:0266-5611
研究方向:数学-物理:数学物理
发表一篇学和医学成像类SCI论文
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