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Study aims to investigate risk factors for PPCs in surgical patients with gastric cancer

 2 years ago       120 Views

The reduced physiological function and low immunity in elderly patients with gastric cancer leads to a significantly increased incidence of postoperative complications.

Consequently, to evaluate the complication risk appropriately, prevent complications and improve the outcomes in the elderly is strongly needed in surgical patients.

Postoperative pulmonary complications (PPCs) can contribute to increased mortality and prolonged hospital stay in surgical patients with gastric cancer (GC).

This study aimed to investigate potential risk factors for PPCs in elderly GC patients following elective laparoscopic gastrectomy.

In the multivariate logistic regression model, the continuous variables (including age, duration of surgery, hemoglobin, etc.)

The predictive value of preoperative albumin level for PPCs was analyzed by a receiver operating characteristic (ROC) curve.

35 of all the 262 enrolled patients have developed PPCs with an incidence of 13.4%.

Age, chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), forced expiratory volume in one second/ forced vital capacity (FEV1/FVC) ratio, duration of operation, hemoglobin, albumin and C-reactive protein (CRP) were potential risk factors for PPCs by univariate analysis.

The preoperative albumin level was the only independent risk factor for PPCs (OR: 1.15, 95%CI: 1.06-1.28, P=0.011) by multiple logistic regression analysis.

Preoperative albumin level was an independent risk factor for PPCs in elderly GC patients after elective laparoscopic gastrectomy.


Author: @DailyCupofYoga

Source: news-medical.net

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