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01-06-2008

Incidence and Risk Factors for Hospital-acquired Pneumonia After Surgery for Gastric Cancer: Results of Prospective Surveillance

Authors: Yasuhiko Mohri, Hitoshi Tonouchi, Chikao Miki, Minako Kobayashi, Masato Kusunoki, Mie Surgical Infection Research Group

Published in: World Journal of Surgery | Issue 6/2008

Abstract

Background

Postoperative hospital-acquired pneumonia (HAP) is recognized as a major risk associated with surgery. Although upper abdominal surgery is known to have the highest incidence of postoperative HAP, little is known about the risk factors that contribute to HAP after gastric cancer surgery. The aim of this study was to determine the incidence and risk factors for HAP after elective surgery for gastric cancer.

Methods

We conducted prospective surveillance of all elective gastric resections by surgeons in ten affiliated hospitals, including ours, from May 2001 to May 2005. The outcome of interest was postoperative HAP. Univariate and multivariate analyses were performed to determine the predictive significance of variables in gastric cancer surgery.

Results

A total of 529 patients undergoing elective operations for gastric cancer were admitted to the program. Postoperative HAP was identified in 20 patients (3.6%). Univariate and multivariate analyses showed that male gender and intra- and/or postoperative blood transfusion were independently predictive of postoperative HAP.

Conclusions

Male gender and intra- and/or postoperative blood transfusion were independent risk factors for the development of HAP after elective resection of gastric cancer. Surgeons should keep these risk factors in mind when managing postoperative patients.

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Title: Incidence and Risk Factors for Hospital-acquired Pneumonia After Surgery for Gastric Cancer: Results of Prospective Surveillance
Authors: Yasuhiko Mohri
Hitoshi Tonouchi
Chikao Miki
Minako Kobayashi
Masato Kusunoki
Mie Surgical Infection Research Group
Publication date: 01-06-2008
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 6/2008
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-008-9534-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Incidence and Risk Factors for Hospital-acquired Pneumonia After Surgery for Gastric Cancer: Results of Prospective Surveillance

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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