دورية أكاديمية
Risk stratification of postoperative pulmonary complications in elderly patients undergoing lung cancer resection: a propensity score-matched study.
| العنوان: | Risk stratification of postoperative pulmonary complications in elderly patients undergoing lung cancer resection: a propensity score-matched study. |
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| المؤلفون: | Huang Q; Department of Thoracic Surgery, The Third Affiliated Hospital of Kunming Medical University, Kunming, China., Rauniyar R; Department of Thoracic Surgery, The Third Affiliated Hospital of Kunming Medical University, Kunming, China., Yang J; Department of Nursing, The Third Affiliated Hospital of Kunming Medical University, Kunming, China., Zhou C; Department of Thoracic Surgery, The Third Affiliated Hospital of Kunming Medical University, Kunming, China., Cai D; Department of Thoracic Surgery, The Third Affiliated Hospital of Kunming Medical University, Kunming, China., Chen-Yoshikawa TF; Department of Thoracic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan., Yutaka Y; Department of Thoracic Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan., Orlandi R; Department of Thoracic Surgery, IRCCS San Gerardo Hospital, ASST-Monza, Monza, Italy., Geraci TC; Division of Thoracic Surgery, Department of Cardiothoracic Surgery, New York University Langone Health, New York, NY, USA., Lin J; Section of Thoracic Surgery, University of Michigan Medical School, Ann Arbor, MI, USA., Hu H; Department of Thoracic Surgery, The Third Affiliated Hospital of Kunming Medical University, Kunming, China., Jiang Z; Department of Thoracic Surgery, The Third Affiliated Hospital of Kunming Medical University, Kunming, China., Zhao G; Department of Thoracic Surgery, The Third Affiliated Hospital of Kunming Medical University, Kunming, China., Ye L; Department of Thoracic Surgery, The Third Affiliated Hospital of Kunming Medical University, Kunming, China. |
| المصدر: | Journal of thoracic disease [J Thorac Dis] 2023 Jul 31; Vol. 15 (7), pp. 3908-3918. Date of Electronic Publication: 2023 Jul 25. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: AME Publishing Company Country of Publication: China NLM ID: 101533916 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2072-1439 (Print) Linking ISSN: 20721439 NLM ISO Abbreviation: J Thorac Dis Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: Hong Kong : AME Publishing Company Original Publication: Hong Kong : Pioneer Bioscience Pub. Co. |
| مستخلص: | Background: In China, lung cancer mainly affects the elderly population. Surgery remains the standard treatment for lung cancer in elderly patients, however, postoperative pulmonary complications (PPCs) are major contributors to morbidity and mortality following lung resection. This study aimed to identify perioperative predictors of PPCs among elderly patients undergoing pulmonary resection for lung cancer to provide evidence for better prevention and intervention for PPCs. Methods: A retrospective study was conducted with 456 patients (age >65 years) undergoing pulmonary resection for lung cancer in Yunnan, China from January 2016 to March 2019. Propensity score matching (PSM) was performed to compare preoperative data and clinical characteristics between the PPC and non-PPC groups, followed by binary logistic regression to evaluate predictors of PPCs. Results: Pulmonary complications occurred in 142/456 (31.1%) patients age >65 years, with pneumonia being the most common event (21.7%). Both PSM and binary logistic regression analysis identified American Society of Anesthesiologists (ASA) class Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://jtd.amegroups.com/article/view/10.21037/jtd-23-923/coif). JL is a robotic proctor for Intuitive Surgical and site principal investigator for clinical trials funded by Genentech and Novartis. The other authors have no conflicts of interest to declare. (2023 Journal of Thoracic Disease. All rights reserved.) |
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| فهرسة مساهمة: | Keywords: American Society of Anesthesiologists classification (ASA classification); Lung cancer surgery; postoperative pulmonary complications (PPCs); thoracotomy |
| تواريخ الأحداث: | Date Created: 20230810 Latest Revision: 20230811 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC10407502 |
| DOI: | 10.21037/jtd-23-923 |
| PMID: | 37559604 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2072-1439 |
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| DOI: | 10.21037/jtd-23-923 |