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Intraoperative real-time stress in degenerative lumbar spine surgery: simultaneous analysis of electroencephalography signals and heart rate variability: a pilot study

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dc.contributor.author문성환-
dc.contributor.author이병호-
dc.contributor.author이환모-
dc.contributor.author권지원-
dc.date.accessioned2020-12-01T18:02:12Z-
dc.date.available2020-12-01T18:02:12Z-
dc.date.issued2020-08-
dc.identifier.issn1529-9430-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/180562-
dc.description.abstractBackground context: Interest in intraoperative stress has increased due to its potentially detrimental impact on surgical performance and burnout among spine surgeons. Purpose: The purpose of this study was to analyze intraoperative stress in real time in terms of electroencephalography signals and heart rate variability using a wearable device during spine surgery. Study design: Prospective observational study. Patient sample: Five orthopedic spine surgeons with experience ranging from 1 to 30 years were included. Outcome measures: The outcome measures included stress levels among the spine surgeons and differences in stress parameters between novice and expert surgeons and between assistants and operators. Methods: From June 2018 to November 2018, 179 consecutive records of intraoperative stress measures, including intraoperative electroencephalography signals and heart rate variability, comprising beats per minute (BPM) and low frequency/high frequency ratio, for the orthopedic spine surgeons were prospectively gathered, compared, and analyzed. Results: Among all measures, sensory-motor rhythm (SMR) waves, gamma waves, and BPM differed significantly during surgery (analysis of variance; p=.040, .013, .002, respectively). Surgery duration and intraoperative bleeding were positively correlated with stress parameters, including gamma waves and tension. For operators, surgeon experience was negatively correlated with concentration, tension, and SMR, gamma, M-beta, and H-beta waves (Pearson correlation, p<.05). However, for assistants, surgeon experience was positively correlated with concentration, tension, BPM, and SMR, M-beta, H-beta, and gamma waves. Bleeding amounts were correlated positively with gamma waves and tension for both operators and assistants (Pearson correlation, p<.05). Stress among operators was higher than that among assistants in terms of low frequency/high frequency ratio. Conclusions: Operators and surgeons with low experience exhibited higher stress levels during surgery, which should be addressed when scheduling elective surgery to ensure optimal conditions among spine surgeons.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherElsevier Science Inc.-
dc.relation.isPartOfSPINE JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleIntraoperative real-time stress in degenerative lumbar spine surgery: simultaneous analysis of electroencephalography signals and heart rate variability: a pilot study-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Orthopedic Surgery (정형외과학교실)-
dc.contributor.googleauthorJi-Won Kwon-
dc.contributor.googleauthorSahyun Sung-
dc.contributor.googleauthorSoo-Bin Lee-
dc.contributor.googleauthorHwan-Mo Lee-
dc.contributor.googleauthorSeong-Hwan Moon-
dc.contributor.googleauthorByung Ho Lee-
dc.identifier.doi10.1016/j.spinee.2020.02.006-
dc.contributor.localIdA01365-
dc.contributor.localIdA02801-
dc.contributor.localIdA02801-
dc.contributor.localIdA03333-
dc.contributor.localIdA03333-
dc.relation.journalcodeJ02675-
dc.identifier.eissn1878-1632-
dc.identifier.pmid32061939-
dc.identifier.urlhttps://www.sciencedirect.com/science/article/pii/S1529943020300504-
dc.subject.keywordElectroencephalography-
dc.subject.keywordHeart rate variability-
dc.subject.keywordIntraoperative stress-
dc.subject.keywordSpine surgery-
dc.subject.keywordSurgeon-
dc.subject.keywordWearable device-
dc.contributor.alternativeNameMoon, Seong Hwan-
dc.contributor.affiliatedAuthor문성환-
dc.contributor.affiliatedAuthor이병호-
dc.contributor.affiliatedAuthor이병호-
dc.contributor.affiliatedAuthor이환모-
dc.contributor.affiliatedAuthor이환모-
dc.citation.volume20-
dc.citation.number8-
dc.citation.startPage1203-
dc.citation.endPage1210-
dc.identifier.bibliographicCitationSPINE JOURNAL, Vol.20(8) : 1203-1210, 2020-08-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers

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