Peri-operative SARS-CoV-2 infection increases postoperative mortality. The aim of this study was to determine the optimal duration of planned delay before surgery in patients who have had SARS-CoV-2 infection. This international, multicentre, prospective cohort study included patients undergoing elective or emergency surgery during October 2020. Surgical patients with pre-operative SARS-CoV-2 infection were compared with those without previous SARS-CoV-2 infection. The primary outcome measure was 30-day postoperative mortality. Logistic regression models were used to calculate adjusted 30-day mortality rates stratified by time from diagnosis of SARS-CoV-2 infection to surgery. Among 140,231 patients (116 countries), 3127 patients (2.2%) had a pre-operative SARS-CoV-2 diagnosis. Adjusted 30-day mortality in patients without SARS-CoV-2 infection was 1.5% (95%CI 1.4-1.5). In patients with a pre-operative SARS-CoV-2 diagnosis, mortality was increased in patients having surgery within 0-2 weeks, 3-4 weeks and 5-6 weeks of the diagnosis (odds ratio (95%CI) 4.1 (3.3-4.8), 3.9 (2.6-5.1) and 3.6 (2.0-5.2), respectively). Surgery performed ≥ 7 weeks after SARS-CoV-2 diagnosis was associated with a similar mortality risk to baseline (odds ratio (95%CI) 1.5 (0.9-2.1)). After a ≥ 7 week delay in undertaking surgery following SARS-CoV-2 infection, patients with ongoing symptoms had a higher mortality than patients whose symptoms had resolved or who had been asymptomatic (6.0% (95%CI 3.2-8.7) vs. 2.4% (95%CI 1.4-3.4) vs. 1.3% (95%CI 0.6-2.0), respectively). Where possible, surgery should be delayed for at least 7 weeks following SARS-CoV-2 infection. Patients with ongoing symptoms ≥ 7 weeks from diagnosis may benefit from further delay.
Using social media for political discourse is increasingly becoming common practice, especially around election time. Arguably, one of the most interesting aspects of this trend is the possibility of "pulsing" the public's opinion in near real-time and, thus, it has attracted the interest of many researchers as well as news organizations. Recently, it has been reported that predicting electoral outcomes from social media data is feasible, in fact it is quite simple to compute. Positive results have been reported in a few occasions, but without an analysis on what principle enables them. This, however, should be surprising given the significant differences in the demographics between likely voters and users of online social networks. This work aims to test the predictive power of social media metrics against several Senate races of the two recent US Congressional elections. We review the findings of other researchers and we try to duplicate their findings both in terms of data volume and sentiment analysis. Our research aim is to shed light on why predictions of electoral (or other social events) using social media might or might not be feasible. In this paper, we offer two conclusions and a proposal: First, we find that electoral predictions using the published research methods on Twitter data are not better than chance. Second, we reveal some major challenges that limit the predictability of election results through data from social media. We propose a set of standards that any theory aiming to predict elections (or other social events) using social media should follow.
Social media today provide an impressive amount of data about users and their societal interactions, thereby offering computer and social scientists, economists, and statisticiansamong others-many new opportunities for research exploration. Arguably, one of the most interesting lines of work is that of predicting future events and developments based on social media data, as we have recently seen in the areas of politics, finance, entertainment, market demands, health, etc. In fact, an average of one in seven research papers presented at the WWW, But what can be successfully predicted and why? Since the first algorithms and techniques emerged rather recently, little is known about their overall potential, limitations and general applicability to different domains.Better understanding the predictive power and limitations of social media is therefore of utmost importance, in order to be successful and avoid false expectations, misinformation or unintended consequences. Today, current methods and techniques are far from being well understood, and it is mostly unclear to what extent or under what conditions the different methods for prediction can be applied to social media. While there exists a respectable and growing amount of literature in this area, current work is fragmented, characterized by a lack of commonly accepted evaluation approaches. Yet, this research seems to have reached a sufficient level of interest and relevance to justify a dedicated section.This special section aims to shape a frame of important questions to be addressed in this field, and fill the gaps in current research with presentations of early research on algorithms, techniques, methods and empirical studies aimed at the prediction of future or current events based on user-generated content in social media.2
Manipulation of social media affects perceptions of candidates and compromises decision-making.
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