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Risk Factors and Survival Outcomes for Postoperative Pulmonary Complications in Gastric Cancer Patients.
- Source :
-
Hepato-gastroenterology [Hepatogastroenterology] 2015 May; Vol. 62 (139), pp. 766-72. - Publication Year :
- 2015
-
Abstract
- Background/aims: Facing with the high incidence rate and the poor outcomes of the postoperative pulmonary complications (PPCs), we sought to evaluate potential risk factors for developing the PPCs of gastric cancer patients.<br />Methodology: Retrospective study was carried out to analyze consecutive gastric cancer patients who had a preoperative pulmonary function test and underwent gastrectomy in the West China Hospital (January, 2000 - December, 2009). Potential risk factors to the development of the PPCs and the survival outcomes of these patients were also analyzed.<br />Results: Totally, one hundred and twenty four patients (18.1%) were developed the PPCs after gastrectomy. For the development of the PPCs, univariate analysis identified the following risk factors is associated with the development of the PPCs: age ≥ 70 years (p < 0.001); male patients (p = 0.041); FEV1/FVC < 60 (p < 0.001); with the history of pulmonary disease (p < 0.001); hemoglobin < 90g/L (p = 0.025); serum albumin < 35g/L (p = 0.002); combined organoectomy (p = 0.036). Multivariate analysis identified FEV1/FVC < 60 (p = 0.004); with the history of pulmonary disease (p < 0.002); serum albumin < 35g/L (p = 0.004) were risk factors for the incidence of the PPCs.<br />Conclusions: For the early detection of the PPCs, extra attention should be paid to those gastric cancer patients with FEV1/FVC < 60; history of pulmonary disease and .serum albumin < 35g/L.
- Subjects :
- Aged
Biomarkers blood
Chi-Square Distribution
China
Early Diagnosis
Forced Expiratory Volume
Gastrectomy mortality
Humans
Kaplan-Meier Estimate
Logistic Models
Lung physiopathology
Lung Diseases diagnosis
Lung Diseases mortality
Lung Diseases physiopathology
Male
Multivariate Analysis
Odds Ratio
Predictive Value of Tests
Respiratory Function Tests
Retrospective Studies
Risk Assessment
Risk Factors
Serum Albumin analysis
Serum Albumin, Human
Stomach Neoplasms mortality
Stomach Neoplasms pathology
Time Factors
Treatment Outcome
Vital Capacity
Gastrectomy adverse effects
Lung Diseases etiology
Stomach Neoplasms surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0172-6390
- Volume :
- 62
- Issue :
- 139
- Database :
- MEDLINE
- Journal :
- Hepato-gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 26897970