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Risk factors for early mortality and morbidity after pneumonectomy: a reappraisal


, : Risk factors for early mortality and morbidity after pneumonectomy: a reappraisal. Annals of Thoracic Surgery 88(6): 1737-1743

Pneumonectomy remains a high-risk procedure. Comprehensive patient selection should be based on analysis of proven risk factors. The records of 323 pneumonectomy patients were retrospectively reviewed. Multiple demographic data were collected. End points were operative mortality at 30 and at 90 days, major procedurally related complications, and cardiovascular events. Univariate and multivariate statistical analyses were performed. Smoking habits, chronic obstructive pulmonary disease (COPD) status, induction chemotherapy status, diabetes, and obesity had no statistical influence on short-term outcomes. After right pneumonectomy, 30-day mortality (p = 0.045) and the incidence of bronchopleural fistulas (p = 0.009) were increased. Multivariate analysis for postoperative bronchopleural fistulas discovered that right pneumonectomies are the sole risk factor (p = 0.015). Univariate analysis for postoperative atrial fibrillation showed that male gender, age 70 and older, hypertension, and dyslipidemia are risk factors. Multivariate analysis found no definite risk factor. Patients with coronary artery disease had more postoperative cardiovascular events (p = 0.003). Among patients free of coronary artery disease, COPD led to an increased 90-day mortality rate (p = 0.028). Patients with right pneumonectomies are at increased risk. Postoperative cardiovascular events are more frequent in coronary artery disease patients. COPD is a risk factor in patients free of coronary disease.

US$19.90

PMID: 19932227

DOI: 10.1016/j.athoracsur.2009.07.016


Other references

Moro, L.; de Bernard, B.; Gonano, F., 1975: Properties of beta-glucuronidase activity in human synovial fluid. The purpose of the present study was to evaluate the properties of beta-glucuronidase (EC 3.2.1.31) in human synovial fluid. It was shown to have a pH requirement of 5.0 and a KM value of about 8.0 - 10(-3) M using phenolphthalein beta-glucuronide...

Sadun, E.H.; Vajrasthira, S.; Maiphoom, C., 1954: The effect of treatment and sanitation on hookworm infection in Cholburi Province (Central Thailand). Sadun et al. have carried out a controlled experiment on the effect of sanitation and treatment on the incidence of hookworm disease in central Thailand. Two villages with similar percentages and intensities of infection were used. One (population...

Hsueh, C-Chuan.; Chen, B-Yann.; Yen, C-Yi., 2009: Understanding effects of chemical structure on azo dye decolorization characteristics by Aeromonas hydrophila. This novel comparative study tended to disclose how the molecular structures present in seven azo dyes including two types of azo dyes (i.e., naphthol type azo dyes – Reactive Black 5 (RB 5), Reactive Blue 171 (RB 171), Reactive Green 19 (RG...

Alamdari, A.; Pierucci, F.; Leclerc, J.C.; Chassagne, S.; Stricker, C.; Fyad, J.P.; Chassagne, J.F., 1999: Contribution of sialo-MRI in the exploration of salivary gland ductal disorders. Usual imaging diagnostic for salivary glands is sialography. Sialography is not stripped of disadvantages and failures. The MRI-sialography is an examination which is carried out without any injection of contrast's product (without catheteriz...

Moya, P.; Arroyo, A.; Soriano-Irigaray, L.; Frangi, A.; Candela Polo, F.; Calpena Rico, R., 2012: Sacral nerve stimulation in patients with severe fecal incontinence after rectal resection. Techniques in Coloproctology 16(3): 263-264

Accornero, N.; Argentino, C.; Berardelli, A.; Bernardi, S.; Lupinacci, L.; Manfredi, M.; Prencipe, M., 1978: Presentation of a new device for the examination of the critical fusion frequency. An apparatus is described for the standardized observation of the point at which persons with normal or impaired vision or with incipient neurological defects seen an intermittent light as continuous brightness. This point, the critical fusion fre...

Cameron, G.N., 1989: Sulphur trioxide absorption tower and process. A process is provided for producing concentrated sulphuric acid from a hot gas stream containing sulphur trioxide. The gas stream is fed to an unpacked sulphuric acid spray chamber contained within an absorption tower. A first recycled sulphuric a...

Braun, S.A.; Gerber, P.A., 2016: Cosmetic Effects of Ingenol Mebutate Gel in the Treatment of Field-Cancerized Photodamaged Skin. Dermatologic Surgery 41(11): 1328-1329

Pesado, Francisco Alonso, 1997: Description and analysis of the definitive negotiation regarding the Mexican national poultry industry within the North American Free Trade Agreement. The objective of this study was to both describe and analyze what was negotiated within the North American Free Trade Agreement (NAFTA) about the Mexican National poultry industry. Quotas and tariffs were, gathered after checking secondary sources...

Kazantsev Y.V.; Kazantseva T.T.; Zagrebina O.I., 1997: Compression wedge dislocations on the southeastern slope of the East European Platform. Transactions (Doklady) of the Russian Academy of Sciences Earth Science Sections