| Respiratory Complications during Mid- and Long-Term Follow-Up Periods in Patients Who Underwent Pneumonectomy for Non-Small Cell Lung Cancer. | |
| | |
MedLine Citation:
|
PMID: 23237929 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Background: Pneumonectomy is associated with higher early mortality and morbidity, and it is also known to predispose the patient to respiratory complications during mid- and long-term follow-up. Therefore, the purpose of this study was to identify risk factors associated with respiratory complications during the follow-up period after pneumonectomy.Methods: We retrospectively reviewed 98 patients who underwent pneumonectomy for non-small cell lung cancer (NSCLC) between Jan 1995 and Dec 2005 Univariate and multivariate analyses were used to identify risk factors of late respiratory complications among preoperative and intraoperative data.Results: The median follow up duration of 98 patients was 33.1 months(4.2-180.0 months). The late mortality rate was 68.4% (n = 67). Causes of late death were cancer specific in 37 patients (55.2%) and respiratory specific in 25 patients(37.3%). Compared with 59 patients who had no respiratory infection after pneumonectomy during mid- or long-term follow-up, being male, a lower BMI (<22 kg/m(2)), presence of chronic obstructive pulmonary disease (COPD) and preoperative pneumonia were significant risk factors by univariate analysis. Multivariate analysis revealed that presence of preoperative pneumonia was the only independent factor associated with late mortality from respiratory complications during the mid- and long-term follow-up periods (OR = 2.41, 95% CI = 1.10-5.32, p = 0.028).Conclusion: Respiratory infection was a comparable risk factor of mortality in the mid- and long-term after pneumonectomy with cancer recurrence. The presence of preoperative pneumonia was an independent factor related to respiratory infection.Careful follow-up for these patients may be required. |
| | |
Authors:
|
Yangki Seok; Eungbae Lee; Sukki Cho |
Related Documents
:
|
12113569 - Epidemic endophthalmitis after cataract surgery. 17552389 - Extrafoveal choroidal neovascularization secondary to wet age-related macular degenerat... 15723939 - Clinical trial of photodynamic therapy with meso-tetra (hydroxyphenyl) chlorin for resp... 12095809 - Treatment of idiopathic subfoveal choroidal neovascular lesions using photodynamic ther... 19108019 - Comparison of combination posterior sub-tenon triamcinolone and modified grid laser tre... 9022099 - Surgical removal of subfoveal choroidal neovascularization in presumed ocular histoplas... 8328789 - Comparison of spiramycin and doxycycline for treatment of chlamydia trachomatis genital... 17263699 - Large infra-renal abdominal aortic aneurysms: endovascular vs. open repair--single cent... 8826099 - Ivermectin treatment of hyperreactive onchodermatitis (sowda) in liberia. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-12-13 |
Journal Detail:
|
Title: Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Volume: - ISSN: 2186-1005 ISO Abbreviation: Ann Thorac Cardiovasc Surg Publication Date: 2012 Dec |
Date Detail:
|
Created Date: 2012-12-14 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9703158 Medline TA: Ann Thorac Cardiovasc Surg Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Daegu, Korea. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Surgical Treatment for Metachronous Second Primary Lung Cancer after Radical Resection of Primary Lu...
Next Document: Risk Factors for Late Valve-Related Mortality after Aortic Valve Replacement in Elderly Patients.