Risk factors for early mortality and morbidity after pneumonectomy

Sagiroglu, Gonul

doi:10.5606/tgkdc.dergisi.2014.8696

Cited by 2 publications

(2 citation statements)

References 22 publications

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“…[4,5] In our study, preoperative ASA scores were found to be a significant indicator for long-term morbidity. Poor respiratory-function test results were also found to be a risk factor for poorer long-term quality of life for patients who underwent lung excision.…”

Section: Discussionmentioning

confidence: 48%

“…[3,4] Many studies have focused on short-term morbidity and mortality of pneumonectomy, and the complication rates are still high. [1,4,5] In addition, a number of studies have examined the factors related to long-term survival. [6][7][8] However, the incidence and the mechanism of circulatory and respiratory failure in the long-term is unclear.…”

Section: Resultsmentioning

confidence: 99%

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Risk factors for malignancy-unrelated long-term respiratory events after pneumonectomy

Aydoğmuş¹

2017

Turk Gogus Kalp Dama

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ÖZAmaç: Bu çalışmada pnömonektomi sonrası geç başlangıçlı maligniteden bağımsız solunum olayları değerlendirildi.Ça lış mapla nı:Ocak 2009 -Eylül 2014 tarihleri arasında kliniğimizde pnömonektomi geçirmiş 78 hastanın (73 erkek, 5 kadın; ort. yaş 55.6±9.6 yıl; dağılım 32-79 yıl) tıbbi verileri retrospektif olarak incelendi. Ameliyat öncesinde sigara içme alışkanlıkları, eşlik eden hastalıklar, Amerikan Anesteziyoloji Derneği risk skoru, EuroSCORE, neoadjuvan kemoterapi ihtiyacı, kanser hücre tipi ve klinik evre kaydedildi. Ameliyat sonrasında komplikasyonlar ve uygulanan tedavi yöntemlerine ilişkin veriler kaydedildi. Bul gu lar:Ortalama takip süresi 35.2±22.0 ay (dağılım 9-104 ay) idi. Hastaların 21'inde (%35.0) lokal nüks ve ikinci primer akciğer tümörü gibi malignite ile ilişkili solunum olayı gelişti. Malignite ile ilişkisiz solunum olayları 18 hastada (%31.6) görüldü. Amerikan Anesteziyoloji Derneği skoru yüksek olan (p= 0.01), ameliyat öncesi birinci saniyedeki zorlu ekspiratuvar volüm <%60 olan (p= 0.05) ve EuroSCORE'u yüksek olan (p= 0.04) hastalarda uzun dönem, malignite ile ilişkisiz morbidite daha yaygın idi. Çok değişkenli analizde, Amerikan Anesteziyoloji Derneği skoru yüksek olan (p= 0.01) ve ameliyat öncesi birinci saniyedeki zorlu ekspiratuvar volüm <%60 olan (p= 0.03) hastalarda malignite ile ilişkisiz solunum olayları istatistiksel olarak anlamlı düzeyde daha sık idi.So nuç:Çalışma sonuçlarımız pnömonektomi yapılan hastalarda hem kısa dönem hem de uzun dönem solunum morbiditelerinin gelişebileceğini ve Amerikan Anesteziyoloji Derneği skoru yüksek olan ve ameliyat öncesi birinci saniyedeki zorlu ekspiratuvar volümü düşük olan hastalarda malignite ile ilişkisiz morbidite riskinin artmış olduğunu göstermektedir.Anah tarsöz cük ler: Kanser; uzun dönem bakım; akciğer; pnömonektomi. ABSTRACTBackground:In this study, we aimed to evaluate late-onset, malignancyunrelated respiratory events following pneumonectomy.

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Section: Discussionmentioning

confidence: 48%

Section: Resultsmentioning

confidence: 99%

Risk factors for malignancy-unrelated long-term respiratory events after pneumonectomy

Aydoğmuş¹

2017

Turk Gogus Kalp Dama

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Is intensive care necessary after major thoracic surgery? A propensity score-matched study

Dogruyol

Kahraman

Doğruyol

et al. 2023

Turk Gogus Kalp Dama

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Background: This study aims to compare the surgical results, complications, mortality rates, and inpatient costs in two patient groups followed, whether in the intensive care unit or general ward after a major thoracic procedure and to examine clinical and surgical factors related to the development of complications. Methods: Between January 2018 and June 2021, a total of 485 patients (150 males, 335 females; mean age: 58.3±13.2 years; range, 22 to 86 years) who underwent a major thoracic surgery in our clinic were retrospectively analyzed. The patients were divided into two groups as the intensive care unit patients (n=254) and general ward patients (n=231). In the former group, the patients were followed in the intensive care unit for a day, while in the general ward group, the patients were taken directly to the ward. The groups were compared after propensity score matching. All patients were analyzed for risk factors of morbidity development. Results: After propensity score matching, 246 patients were enrolled including 123 patients in each group. There was no statistically significant difference between the groups in any features except for late morbidity, and inpatient costs were higher in the intensive care unit group (p<0.05). In the multivariate analysis, age, American Society of Anesthesiologists Class 3, and secondary malignancy were found to be associated with morbidity (p<0.05). Conclusion: In experienced centers, it is both safe and costeffective to follow almost all of the major thoracic surgery patients postoperatively in the general ward.

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Risk factors for early mortality and morbidity after pneumonectomy

Abstract: Bu çalışmada küçük hücreli dışı akciğer kanseri (KHDAK) nedeni ile pnömonektomi yapılan hastalarda mortalite ve morbiditeyi etkileyen muhtemel risk faktörleri araştırıldı.

Cited by 2 publications

References 22 publications

Risk factors for malignancy-unrelated long-term respiratory events after pneumonectomy

Risk factors for malignancy-unrelated long-term respiratory events after pneumonectomy

Is intensive care necessary after major thoracic surgery? A propensity score-matched study

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