Can Preoperative Peak Expiratory Flow Predict Postoperative Pulmonary Complications in Lung Cancer Patients Undergoing Lobectomy?
Background and objective Postoperative pulmonary complications (PPCs), especially postoperative pneumonia (POP), directly affect the rapid recovery of lung cancer patients after surgery. Peak expiratory flow (PEF) can reflect airway patency and cough efficiency. Moreover, cough impairment may lead t...
| Publicado en: | Chinese Journal of Lung Cancer Vol. 20; no. 9; pp. 603 - 610 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Chinese Journal of Lung Cancer
2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129014416&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 129014416 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10093419 9014 jtl: Chinese Journal of Lung Cancer issn: 10093419 maglogo: N pubinfo: dt: 2017 vid: 20 iid: 9 pid: 54191 pub: Chinese Journal of Lung Cancer artinfo: ui: 129014416 129014416 129014416 10.3779/j.issn.1009-3419.2017.09.03 129014416 ppf: 603 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Can Preoperative Peak Expiratory Flow Predict Postoperative Pulmonary Complications in Lung Cancer Patients Undergoing Lobectomy? aug: au: Kun ZHOU Yanming WU Jianhua SU Yutian LAI Cheng SHEN Pengfei LI Guowei CHE affil: Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China sug: subj: Peak Expiratory Flow Rate Postoperative Complications Risk Factors Lung Neoplasms Surgery Pneumonectomy Human China Pneumonia Retrospective Design Regression Academic Medical Centers ab: Background and objective Postoperative pulmonary complications (PPCs), especially postoperative pneumonia (POP), directly affect the rapid recovery of lung cancer patients after surgery. Peak expiratory flow (PEF) can reflect airway patency and cough efficiency. Moreover, cough impairment may lead to accumulation of pulmonary secretions which can increase the risk of PPCs. The aim of this study is to investigate the effect of preoperative PEF on PPCs in patients with lung cancer. Methods Retrospective research was conducted on 433 lung cancer patients who underwent lobectomy at the West China Hospital of Sichuan University from January 2014 to December 2015. The associations between preoperative PEF and PPCs were analyzed based on patients' basic characteristics and clinical data in hospital. Results Preoperative PEF value in PPCs group (280.93±88.99) L/min was significantly lower than that in non-PPCs group (358.38±93.69) L/min (P<0.001). According to the binary logistics regression analysis, PEF and operative time were independent risk factors for PPCs. Further, ROC curve showed that PEF=320 L/min was the cut-off value for predicting the occurrence of PPCs (AUC=0.706, 95%CI: 0.661-0.749). The incidence of PPCs in PEF<320 L/min group (26.6%) was significantly higher than that in PEF>320 L/min group (9.4%)(P<0.001). Conclusion Preoperative PEF and PPCs are correlated, and PEF may be used as a predictor of PPCs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: Chinese refInfo: holdings: @attributes: islocal: N |
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