&lt;p&gt;Risk factors of postoperative pulmonary complications after minimally invasive anatomic resection for lung cancer&lt;/p&gt;

Yang, Rong; Wu, Yihe; Yao, Lin; Xu, Jun; Zhang, Siying; Du, Chengli; Chen, Feng

doi:10.2147/tcrm.s195010

Cited by 22 publications

(17 citation statements)

References 21 publications

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“…[8][9][10] Obesity, as a risk factor for pulmonary complications after spinal surgery, was also revealed to be a risk factor of PE after spinal surgery. 6,[28][29][30][31] Besides, hypertension and cardiovascular diseases were also identified as the risk factors of complication after spinal surgery. 8,[32][33][34][35] In the present study, we retrospectively evaluated elderly patients (≥ 65 years) diagnosed with VCFs who underwent PVP or PKP surgery.…”

Section: Discussionmentioning

confidence: 99%

<p>Risk Factors of Pulmonary Complications After Minimally Invasive Surgery for Elderly Patients with Vertebral Compression Fractures</p>

Zhang¹,

Shen²,

Chen³

et al. 2020

TCRM

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Purpose: To determine the risk factors for pulmonary complications after minimally invasive surgery in elderly patients with vertebral compression fractures (VCFs). Methods: A total of 233 elderly patients (age ≥ 65 years) with VCFs, who underwent percutaneous vertebroplasty (PVP) or percutaneous kyphoplasty (PKP) surgery at Hebei General Hospital from January 2011 to December 2016, were retrospectively analyzed. Risk factors and the effects of the model were determined by univariate logistic regression analyses and the receiver operating characteristic (ROC) curve, respectively. A risk assessment scale was established based on the risk factors, as well as physiological and surgical scores for mortality and morbidity. The risk assessment scale prospectively evaluated risk factors of pulmonary complications after minimally invasive surgery for elderly patients with VCFs from January to June 2017. Results: 27 patients were diagnosed with pulmonary complications (27/233, 11.59%). There were statistically significant differences between patients with and without pulmonary complications in terms of age, body mass index (BMI), smoking, cardiovascular diseases and old fractures between patients with and without pulmonary complications (P < 0.05). Logistic regression analysis showed that smoking, cardiovascular diseases and old fractures were risk factors (P < 0.05) and area under the curve was 0.738 (95% confidence intervals (CI): 0.648-0.828). 53 elderly patients with VCFs were assessed, 5 of them occurred pulmonary complications. Areas under the curve of preoperative and total risk assessment values were all 0.925. Conclusion: Significant risk factors of pulmonary complications were BMI, cardiovascular diseases and old fractures for patients aged 65 years or elderly with VCFs after minimally invasive surgery. The risk assessment scale gained high accuracy.

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Section: Discussionmentioning

confidence: 99%

<p>Risk Factors of Pulmonary Complications After Minimally Invasive Surgery for Elderly Patients with Vertebral Compression Fractures</p>

Zhang¹,

Shen²,

Chen³

et al. 2020

TCRM

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“…Complications such as pulmonary complications after minimally invasive surgery could lead to a straight decline in the survival rate of elderly patients with VCFs [15][16][17]. Previous studies have showed that obesity was considered as risk factor for pulmonary complications after spinal surgery [2,29,30]. Obesity has been illustrated to reduce lung volume and change ventilation pattern, which is more likely to occur in the elderly patients [31].…”

Section: Discussionmentioning

confidence: 99%

Risk factors of pulmonary complications after minimally invasive surgery for elderly patients with vertebral compression fractures

Zhang

Shen

Chen

et al. 2019

Preprint

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Purpose: To determine the risk factors for pulmonary complications after minimally invasive surgery in elderly patients with vertebral compression fractures (VCFs). Methods: We retrospectively analyzed 233 elderly patients (age ≥ 65 years) with VCFs who underwent percutaneous vertebroplasty (PVP) or percutaneous kyphoplasty (PKP) surgery at Hebei General Hospital from January 2011 to December 2016 . Risk factors and the effects of the model were determined by univariate logistic regression analyses and the receiver operating characteristic (ROC) curve, respectively. A risk assessment scale was established based on the risk factors and physiological and surgical scores for mortality and morbidity. The risk assessment scale prospectively evaluated risk factors of pulmonary complications after minimally invasive surgery for elderly patients with VCFs from January to June 2017. Results: A total of 27 patients diagnosed with pulmonary complications (11.59%) among 233 detected patients. There were statistically significant differences in age, body mass index (BMI), smoking, cardiovascular diseases and old fractures between patients with and without pulmonary complications (P<0.05). Logistic regression analysis showed that smoking, cardiovascular diseases and old fractures were risk factors of pulmonary complications after PVP or PKP for elderly patients with VCFs (P<0.05) and area under the curve was 0.738 (95% confidence intervals (CI): 0.648-0.828). We assessed 53 elderly patients with VCFs, 5 of whom occurred pulmonary complications after PVP or PKP. Areas under the curve of preoperative and total risk assessment values were all 0.925. Conclusions: Significant risk factors of pulmonary complications were BMI, cardiovascular diseases and old fractures for patients aged 65 years or elderly with VCFs after minimally invasive surgery. The risk assessment scale established by us gaining high accuracy.

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“…Postoperative pulmonary complications are still present in ~25% of patients. These occur, especially in smokers, patients with COPD, obese, male gender, and those aged over 50 years (29). Pneumonia and atelectasis were the most common complications, with an incidence of ~13%.…”

Section: Complicationsmentioning

confidence: 99%

Lung cancer and chronic obstructive pulmonary disease association: epidemiology, diagnostic and treatment aspects

Bădescu

2020

Pneumologia

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Chronic obstructive pulmonary disease (COPD) and lung cancer (LC) occupy first place among diseases with high incidence and mortality and become a genuine health problem through costs for the medical system. COPD is considered an independent risk factor for LC, in addition to smoking and occupational exposure. Prevention policies and early diagnosis and treatment may contribute to the decrease in the incidence of both diseases. This article reviews the epidemiological overlaps between the two diseases and the particular features of the diagnosis and treatment of LC in COPD patients.

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<p>Risk factors of postoperative pulmonary complications after minimally invasive anatomic resection for lung cancer</p>

Cited by 22 publications

References 21 publications

<p>Risk Factors of Pulmonary Complications After Minimally Invasive Surgery for Elderly Patients with Vertebral Compression Fractures</p>

<p>Risk Factors of Pulmonary Complications After Minimally Invasive Surgery for Elderly Patients with Vertebral Compression Fractures</p>

Risk factors of pulmonary complications after minimally invasive surgery for elderly patients with vertebral compression fractures

Lung cancer and chronic obstructive pulmonary disease association: epidemiology, diagnostic and treatment aspects

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