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01-08-2018 | Original Article

Risk factors for postoperative pneumonia in elderly patients with colorectal cancer: a sub-analysis of a large, multicenter, case-control study in Japan

Authors: Masatoshi Kochi, Takao Hinoi, Hiroaki Niitsu, Hideki Ohdan, Fumio Konishi, Yusuke Kinugasa, Takaya Kobatake, Masaaki Ito, Masafumi Inomata, Toshimasa Yatsuoka, Takashi Ueki, Jo Tashiro, Shigeki Yamaguchi, Masahiko Watanabe, The Japan Society of Laparoscopic Colorectal Surgery

Published in: Surgery Today | Issue 8/2018

Abstract

Purpose

Postoperative pneumonia affects the length of stay and mortality after surgery in elderly patients with colorectal cancer (CRC). We aimed to determine the risk factors of postoperative pneumonia in elderly patients with CRC, and to evaluate the impact of laparoscopic surgery on elderly patients with CRC.

Methods

We retrospectively investigated 1473 patients ≥ 80 years of age who underwent surgery for stage 0–III CRC between 2003 and 2007. Using a multivariate analysis, we determined the risk factors for pneumonia occurrence from each baseline characteristic.

Results

Among all included patients, 26 (1.8%) experienced postoperative pneumonia, and restrictive respiratory impairment, obstructive respiratory impairment, history of cerebrovascular events, and open surgery were determined as risk factors (odds ratio [95% confidence interval], 2.78 [1.22–6.20], 2.71 [1.22–6.30], 3.60 [1.37–8.55], and 3.57 [1.22–15.2], respectively). Furthermore, postoperative pneumonia was more frequently accompanied by increasing cumulative numbers of these risk factors (area under the receiver operating characteristic curve = 0.763).

Conclusions

Laparoscopic surgery may be safely performed in elderly CRC patients, even those with respiratory impairment and a history of cerebrovascular events.

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Title: Risk factors for postoperative pneumonia in elderly patients with colorectal cancer: a sub-analysis of a large, multicenter, case-control study in Japan
Authors: Masatoshi Kochi
Takao Hinoi
Hiroaki Niitsu
Hideki Ohdan
Fumio Konishi
Yusuke Kinugasa
Takaya Kobatake
Masaaki Ito
Masafumi Inomata
Toshimasa Yatsuoka
Takashi Ueki
Jo Tashiro
Shigeki Yamaguchi
Masahiko Watanabe
The Japan Society of Laparoscopic Colorectal Surgery
Publication date: 01-08-2018
Publisher: Springer Singapore
Published in: Surgery Today / Issue 8/2018
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-018-1653-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Risk factors for postoperative pneumonia in elderly patients with colorectal cancer: a sub-analysis of a large, multicenter, case-control study in Japan

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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