Cited 7 times in
Intraoperative real-time stress in degenerative lumbar spine surgery: simultaneous analysis of electroencephalography signals and heart rate variability: a pilot study
DC Field | Value | Language |
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dc.contributor.author | 문성환 | - |
dc.contributor.author | 이병호 | - |
dc.contributor.author | 이환모 | - |
dc.contributor.author | 권지원 | - |
dc.date.accessioned | 2020-12-01T18:02:12Z | - |
dc.date.available | 2020-12-01T18:02:12Z | - |
dc.date.issued | 2020-08 | - |
dc.identifier.issn | 1529-9430 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/180562 | - |
dc.description.abstract | Background 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.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Elsevier Science Inc. | - |
dc.relation.isPartOf | SPINE JOURNAL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Intraoperative real-time stress in degenerative lumbar spine surgery: simultaneous analysis of electroencephalography signals and heart rate variability: a pilot study | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Orthopedic Surgery (정형외과학교실) | - |
dc.contributor.googleauthor | Ji-Won Kwon | - |
dc.contributor.googleauthor | Sahyun Sung | - |
dc.contributor.googleauthor | Soo-Bin Lee | - |
dc.contributor.googleauthor | Hwan-Mo Lee | - |
dc.contributor.googleauthor | Seong-Hwan Moon | - |
dc.contributor.googleauthor | Byung Ho Lee | - |
dc.identifier.doi | 10.1016/j.spinee.2020.02.006 | - |
dc.contributor.localId | A01365 | - |
dc.contributor.localId | A02801 | - |
dc.contributor.localId | A03333 | - |
dc.relation.journalcode | J02675 | - |
dc.identifier.eissn | 1878-1632 | - |
dc.identifier.pmid | 32061939 | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S1529943020300504 | - |
dc.subject.keyword | Electroencephalography | - |
dc.subject.keyword | Heart rate variability | - |
dc.subject.keyword | Intraoperative stress | - |
dc.subject.keyword | Spine surgery | - |
dc.subject.keyword | Surgeon | - |
dc.subject.keyword | Wearable device | - |
dc.contributor.alternativeName | Moon, Seong Hwan | - |
dc.contributor.affiliatedAuthor | 문성환 | - |
dc.contributor.affiliatedAuthor | 이병호 | - |
dc.contributor.affiliatedAuthor | 이환모 | - |
dc.citation.volume | 20 | - |
dc.citation.number | 8 | - |
dc.citation.startPage | 1203 | - |
dc.citation.endPage | 1210 | - |
dc.identifier.bibliographicCitation | SPINE JOURNAL, Vol.20(8) : 1203-1210, 2020-08 | - |
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