Artikel Jurnal :: Kembali

Artikel Jurnal :: Kembali

Risk factors for postoperative pneumonia in elderly patients with colorectal cancer: a sub-analysis of a large, multicenter, case-control study in Japan

Masatoshi Kochi, Takao Hinoi, Hiroaki Niitsu, Hideki Ohdan, Fumio Konishi, Yusuke Kinugasa, Takaya Kobatake, Masaaki Ito, Masafumi Inomata, Toshimasa Yatsuoka, Takashi Ueki, Jo Tashiro, Shigeki Yamaguchi, Masahiko Watanabe (Springer, 2018)

 Abstrak

ABSTRACT
Purpose: Postoperative pneumonia affects the length of stay and mortality after surgery in elderly patients with colorectal cancer (CRC). We aimed to determine the risk factors of postoperative pneumonia in elderly patients with CRC, and to evaluate the impact of laparoscopic surgery on elderly patients with CRC.
Methods: We retrospectively investigated 1473 patients ≥ 80 years of age who underwent surgery for stage 0-III CRC between 2003 and 2007. Using a multivariate analysis, we determined the risk factors for pneumonia occurrence from each baseline characteristic.
Results: Among all included patients, 26 (1.8%) experienced postoperative pneumonia, and restrictive respiratory impairment, obstructive respiratory impairment, history of cerebrovascular events, and open surgery were determined as risk factors (odds ratio [95% confidence interval], 2.78 [1.22-6.20], 2.71 [1.22-6.30], 3.60 [1.37-8.55], and 3.57 [1.22-15.2], respectively). Furthermore, postoperative pneumonia was more frequently accompanied by increasing cumulative numbers of these risk factors (area under the receiver operating characteristic curve = 0.763).
Conclusions: Laparoscopic surgery may be safely performed in elderly CRC patients, even those with respiratory impairment and a history of cerebrovascular events.

 Metadata

Jenis Koleksi : Artikel Jurnal
No. Panggil : 617 SUT 48:8 (2018)
Entri utama-Nama orang :
Entri tambahan-Nama orang :
Penerbitan : Tokyo: Springer, 2018
Sumber Pengatalogan : LibUI eng rda
ISSN : 09411291
Majalah/Jurnal : Surgery Today Official Journal of The Japan Surgical Society
Volume : Vol. 48 No. 8, August 2018: Hal. 756-764
Tipe Konten : text
Tipe Media : unmediated (rda media)
Tipe Carrier : volume
Akses Elektronik : https://link.springer.com/article/10.1007/s00595-018-1653-8
Institusi Pemilik : Universitas Indonesia
Lokasi : Perpustakaan UI, Lt 4, R. Koleksi Jurnal
  • Ketersediaan
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No. Panggil No. Barkod Ketersediaan
617 SUT 48:8 (2018) 03-19-510841606 TERSEDIA
Ulasan:
Tidak ada ulasan pada koleksi ini: 20496423
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