Analysis of influencing factors of postoperative myasthenic crisis in 564 patients with myasthenia gravis in a single center Article Swipe
Peng Jiao
,
Fanjuan Wu
,
Yuxing Liu
,
Jiangyu Wu
,
Yaoguang Sun
,
Wenxin Tian
,
Hanbo Yu
,
Chuan Huang
,
Donghang Li
,
Qingjun Wu
,
Chao Ma
,
Hongfeng Tong
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1111/1759-7714.14774
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1111/1759-7714.14774
Objective To study the influencing factors of myasthenic crisis in patients with myasthenia gravis during perioperative period. Methods A total of 564 myasthenia gravis (MG) patients who underwent standard expanded resection of thymoma/thymoma in the Department of Thoracic Surgery of Beijing Hospital from January 2011 to March 2022 were retrospectively included in the study. Clinical indicators such as gender, age, thymoma, American Society of Anesthesiologists (ASA) score, operation time, intraoperative blood loss, and some others were recorded. Results Osserman‐stages IIB + III + IV (odds ratio [OR] 16.091, 95% confidence interval [CI] 5.170–50.076, p value < 0.001), the dosage of pyridostigmine bromide more than 240 mg (OR 6.462, 95% CI 3.110–13.427, p value < 0.001), ASA score 2 and 3 (OR 3.203, 95% CI 1.461–7.020, p value = 0.004), low diffusion lung capacity for carbon monoxide (DLCO%) (OR 0.981, 95% CI 0.963–1.000 p value = 0.049), and blood loss greater than 1000 ml (OR 16.590, 95% CI 1.911–144.011, p value = 0.011) were independent risk factors for myasthenic crisis. Conclusions Patients with poor Osserman stages, higher preoperative dosage of pyridostigmine bromide, higher ASA score, poor pulmonary function (low DLCO%), and more intraoperative bleeding should be highly vigilant for the occurrence of postoperative myasthenic crisis.
Related Topics
Concepts
Medicine
Myasthenia gravis
DLCO
Pyridostigmine Bromide
Thymoma
Perioperative
Confidence interval
Anesthesia
Pyridostigmine
Odds ratio
Internal medicine
Surgery
Diffusing capacity
Lung
Lung function
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/1759-7714.14774
- OA Status
- gold
- Cited By
- 15
- References
- 31
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4313437290
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4313437290Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/1759-7714.14774Digital Object Identifier
- Title
-
Analysis of influencing factors of postoperative myasthenic crisis in 564 patients with myasthenia gravis in a single centerWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-01-03Full publication date if available
- Authors
-
Peng Jiao, Fanjuan Wu, Yuxing Liu, Jiangyu Wu, Yaoguang Sun, Wenxin Tian, Hanbo Yu, Chuan Huang, Donghang Li, Qingjun Wu, Chao Ma, Hongfeng TongList of authors in order
- Landing page
-
https://doi.org/10.1111/1759-7714.14774Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1111/1759-7714.14774Direct OA link when available
- Concepts
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Medicine, Myasthenia gravis, DLCO, Pyridostigmine Bromide, Thymoma, Perioperative, Confidence interval, Anesthesia, Pyridostigmine, Odds ratio, Internal medicine, Surgery, Diffusing capacity, Lung, Lung functionTop concepts (fields/topics) attached by OpenAlex
- Cited by
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15Total citation count in OpenAlex
- Citations by year (recent)
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2025: 3, 2024: 9, 2023: 3Per-year citation counts (last 5 years)
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31Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.postoperative | 202 |
| abstract_inverted_index.1.461–7.020, | 125 |
| abstract_inverted_index.intraoperative | 70, 192 |
| abstract_inverted_index.pyridostigmine | 101, 180 |
| abstract_inverted_index.3.110–13.427, | 111 |
| abstract_inverted_index.5.170–50.076, | 93 |
| abstract_inverted_index.retrospectively | 50 |
| abstract_inverted_index.thymoma/thymoma | 33 |
| abstract_inverted_index.1.911–144.011, | 158 |
| abstract_inverted_index.Anesthesiologists | 65 |
| abstract_inverted_index.Osserman‐stages | 79 |
| cited_by_percentile_year.max | 99 |
| cited_by_percentile_year.min | 96 |
| corresponding_author_ids | https://openalex.org/A5003081657 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 12 |
| corresponding_institution_ids | https://openalex.org/I200296433 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/1 |
| sustainable_development_goals[0].score | 0.6600000262260437 |
| sustainable_development_goals[0].display_name | No poverty |
| citation_normalized_percentile.value | 0.93309991 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |