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World Journal of Surgery

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01-10-2016 | Original Scientific Report

Spirometric Lung Age Predicts Postoperative Pneumonia After Esophagectomy

Authors: Akihiko Okamura, Masayuki Watanabe, Shinji Mine, Koujiro Nishida, Takanori Kurogochi, Yu Imamura

Published in: World Journal of Surgery | Issue 10/2016

Abstract

Background

Despite advances in treatment, postoperative pneumonia remains a major problem after esophagectomy. Lung age has been proposed as a comprehensive indicator for respiratory function. The aim of this study is to reveal the efficacy of lung age in predicting occurrence of pneumonia after esophagectomy.

Methods

We assessed 342 consecutive patients who underwent subtotal esophagectomy for primary esophageal cancer from 2011 to 2014. Lung age was calculated from the preoperative spirometric test using the methods advocated by the Japanese Respiratory Society. We investigated factors predicting the occurrence of postoperative pneumonia after esophagectomy.

Results

The incidence of postoperative pneumonia was 28.9 %. According to the Clavien–Dindo classification, grade II and grade III–V pneumonia were observed in 21.3 and 7.6 % patients, respectively. In multivariate logistic regression analysis for the factors predicting the occurrence of postoperative pneumonia, higher lung age (p = 0.010) and lower body mass index (p = 0.006) were independent factors. Patients with grade III–V pneumonia tended to have higher lung age than those with grade II pneumonia (p = 0.084). In addition, lung age was significantly higher in patients who experienced pneumonia within postoperative days 7 than those who experienced pneumonia after postoperative days 7 (p = 0.028).

Conclusion

Spirometric lung age was associated with occurrence, severity, and time of onset of postoperative pneumonia after esophagectomy. This simple parameter deserves a greater consideration as a predictor of postoperative pneumonia after esophagectomy and can support both surgeons and patients in understanding the status of respiratory function.

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Title: Spirometric Lung Age Predicts Postoperative Pneumonia After Esophagectomy
Authors: Akihiko Okamura
Masayuki Watanabe
Shinji Mine
Koujiro Nishida
Takanori Kurogochi
Yu Imamura
Publication date: 01-10-2016
Publisher: Springer International Publishing
Published in: World Journal of Surgery / Issue 10/2016
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-016-3547-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Spirometric Lung Age Predicts Postoperative Pneumonia After Esophagectomy

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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