Predictive Effects of Lung function test on Postoperative Pneumonia in Squamous Esophageal Cancer

Wei, Ran; Wang, Dong; Shen, Hongchang; Ni, Yang; Zhang, Tiehong; Wang, Yibing; Du, Jiajun

doi:10.1038/srep23636

Cited by 15 publications

(13 citation statements)

References 22 publications

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“…Similarly, lung function tests may also play a role. A retrospective review by Wei et al [ 21 ] assessed 216 esophagectomy patients, and found a postoperative pneumonia incidence rate of 10.24%. Preoperative oral care may help prevent postoperative pneumonia.…”

Section: Resultsmentioning

confidence: 99%

“…Okamura et al [ 20 ] identified higher lung age (OR: 1.02; 95% CI: 1.00 - 1.03; P = 0.010) and lower body mass index (OR: 0.89; 95% CI: 0.82 - 0.96; P = 0.006) as independent risk factors. Wei et al [ 21 ] found that low peak expiratory flow was an independent risk factor for postoperative pneumonia (HR: 0.97; 95% CI: 0.94 - 0.99; P = 0.009). Several independent risk factors identified by Soutome et al [ 22 ] included: diabetes mellitus (OR: 2.961; 95% CI: 1.159 - 7.565; P = 0.023), postoperative dysphagia (OR: 8.879; 95% CI: 4.295 - 18.352; P ≤ 0.001), and absence of preoperative oral care (OR: 0.422; 95% CI, 0.209 - 0.851; P = 0.016).…”

Section: Resultsmentioning

confidence: 99%

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The Epidemiology and Risk Factors for Postoperative Pneumonia

et al. 2017

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Postoperative pneumonia is a common complication of surgery, and is associated with marked morbidity and mortality. Despite advances in surgical and anesthetic technique, it persists as a frequent postoperative complication. Many studies have aimed to assess its burden, as well as associated risk factors. However, this complication varies among the different surgical specialties, and there is a paucity of reports that comprehensively evaluate this complication. Therefore, the purpose of this study was to review the epidemiology and risk factors of postoperative pneumonia in the setting of: 1) general surgery; 2) cardiothoracic surgery; 3) orthopedic and spine surgery; and 4) head and neck surgery.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The Epidemiology and Risk Factors for Postoperative Pneumonia

et al. 2017

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“…Prior studies have identified numerous patient-related or procedure-related risk factors for POP after femoral neck fracture surgery. In most but not all studies, multiple variables, including older age, male sex, and the presence of several key clinical comorbidities such as chronic obstructive pulmonary disease (COPD), 5 obesity, 7,8 tobacco smoking, 9 prior stroke, 3 impaired preoperative pulmonary function, 10,11 cognitive and functional premorbid status 12 and cardiovascular disease 3 have been identified as risk factors for POP.…”

Section: Introductionmentioning

confidence: 99%

<p>Preoperative Serum Albumin Level As A Predictor Of Postoperative Pneumonia After Femoral Neck Fracture Surgery In A Geriatric Population</p>

Wang¹,

Li²,

Ji³

et al. 2019

CIA

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Purpose: Femoral neck fracture usually occurs in the geriatric population. Postoperative pneumonia (POP) is known to be devastated, and it is the most frequent complication among patients receiving surgical treatment for femoral neck fractures. However, whether patients who have hypoalbuminaemia are susceptible to the development of POP is a serious concern, although it has not been investigated. We attempted to investigate the association between newly developed POP and hypoalbuminaemia and to identify whether hypoalbuminaemia is an independent risk factor for POP after femoral neck fracture in geriatric population. Patients and methods: We retrospectively reviewed the records from the first 30 days after surgery of patients who were ≥65 years of age and who had a femoral neck fracture treated with surgery between January 2018 and December 2018 at the Honghui Hospital, Xi'an Jiaotong University. Patients were divided into two groups based on whether they did or did not experience POP, and their clinical characteristics were compared. Binomial logistic regression was used to identify potential risk factors of POP by analysing demographic factors, preoperative comorbidities, laboratory results, and surgical factors. Results: A total of 720 patients were included in the analysis, and 54 patients experienced POP. The incidence of POP after surgical treatment for a femoral neck fracture in this geriatric population was 7.5%. In addition, patients with POP had significantly longer hospital stays than patients without POP. The binary logistic regression analysis revealed that preoperative hypoalbuminaemia [odds ratio =5.187, 95% confidence interval (CI): 2.561-10.506, P<0.0001], COPD (OR =3.819, 95% CI: 1.247-11.701, P=0.019), prior stroke (OR =3.107, 95% CI: 1.470-6.568, P=0.003) and the time from injury to surgery (OR =1.076, 95% CI: 1.034-1.119, P<0.0001) were predominant and independent risk factors associated with POP after femoral neck fracture in this geriatric population. Conclusion: The current study revealed that among a geriatric population admitted for femoral neck fracture surgery, preoperative hypoalbuminaemia was a predictor of POP, followed by COPD, prior stroke and the time from injury to surgery. Thus, patients who undergo femoral neck fracture surgery and have preoperative hypoalbuminaemia should receive additional monitoring and perioperative care.

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“…22 Preoperative pulmonary function (reflected in the forced expiratory volume in 1 second expressed as a percentage of the forced vital capacity and peak expiratory flow) is also associated with major complications after esophagectomy. 23,24 Pulmonary complications can be reduced by minimally invasive surgery, thoracic epidural analgesia, and early enteral nutrition. 25 Other strategies to improve preoperative condition of the patient include physical therapy to increase cardiorespiratory function.…”

Section: Patient Selection For Surgerymentioning

confidence: 99%

Surgical treatment of esophageal cancer in the era of multimodality management

Borggreve

Kingma

Домрачев

et al. 2018

Annals of the New York Academy of Sciences

110

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Over the last decades, the treatment of resectable esophageal cancer has evolved into a multidisciplinary process in which all players are essential for treatment to be successful. Medical oncologists and radiation oncologists have been increasingly involved since the implementation of neoadjuvant therapy, which has been shown to improve survival. Although esophagectomy is still considered the cornerstone of curative treatment for locally advanced esophageal cancer, it remains associated with considerable postoperative morbidity, despite promising results of minimally invasive techniques. In this light, both physical status and response to neoadjuvant therapy may be important factors for selecting patients who will benefit from surgery. Furthermore, it is important to optimize the entire perioperative trajectory: from the initial outpatient clinic visit to postoperative discharge. Enhanced recovery after surgery is increasingly recognized for esophagectomy and emphasizes perioperative aspects, such as nutrition, physiotherapy, and pain management. To date, several facets of esophageal cancer treatment remain topics of debate, such as the preferred neoadjuvant treatment, anastomotic technique, extent of lymphadenectomy, organization of postoperative care, and the role of surgery beyond locally advanced disease. Here, we describe the current and future perspectives in the surgical treatment of patients with esophageal cancer in the context of the available literature.

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Predictive Effects of Lung function test on Postoperative Pneumonia in Squamous Esophageal Cancer

Cited by 15 publications

References 22 publications

The Epidemiology and Risk Factors for Postoperative Pneumonia

The Epidemiology and Risk Factors for Postoperative Pneumonia

<p>Preoperative Serum Albumin Level As A Predictor Of Postoperative Pneumonia After Femoral Neck Fracture Surgery In A Geriatric Population</p>

Surgical treatment of esophageal cancer in the era of multimodality management

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