Effect of Perioperative Factors on Short-Term Outcomes in Patients with Non-Small Cell Lung Cancer Over 60 Years of Age.

IF 2.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
International Journal of General Medicine Pub Date : 2024-11-20 eCollection Date: 2024-01-01 DOI:10.2147/IJGM.S475949
Wenzhi Zhu, Jiaonan Yang, Xiaoyi Wang, Xinqiang Ji, Hongyu Tan
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引用次数: 0

Abstract

Background: People in China have gradually entered old age society, and the number of lung cancer cases is expected to increase annually among the elderly. This study aimed to retrospectively explore the association between perioperative factors and short-term outcomes in elderly patients with non-small cell lung cancer (NSCLC).

Methods: A total of 490 elderly patients with NSCLC between January 1, 2003, and December 31, 2009, were selected. Perioperative factors were grouped and analyzed according to postoperative complications (PPCs) and length of hospital stay. A logistic regression analysis model was used to screen for the independent predictors of patient prognosis. The primary endpoint was postoperative complications and the secondary endpoint was postoperative hospital stay.

Results: Of all patients, 344 (70.2%) developed postoperative complications, and the average length of stay after surgery was 14.0±5.6 days. Perioperative fentanyl equivalents>28.7μg/kg and duration of surgery>4.4h were associated were associated with an increased risk of postoperative complications (P < 0.05); intraoperative blood loss (IBL) > 200 mL was associated with extended hospital stay (P < 0.05).

Conclusion: This study suggested that Perioperative factors may affect the short-term prognosis of elderly NSCLC patients after surgery. Perioperative fentanyl equivalents>28.7μg/kg, surgery duration, and IBL may be independent predictors of short-term outcomes in elderly patients.

围手术期因素对 60 岁以上非小细胞肺癌患者短期疗效的影响
背景:中国已逐步进入老龄化社会,预计老年人肺癌病例将逐年增加。本研究旨在回顾性探讨老年非小细胞肺癌(NSCLC)患者围手术期因素与短期预后之间的关系:方法:选取2003年1月1日至2009年12月31日期间的490名老年非小细胞肺癌患者。根据术后并发症(PPCs)和住院时间对围手术期因素进行分组和分析。采用逻辑回归分析模型筛选出患者预后的独立预测因素。主要终点是术后并发症,次要终点是术后住院时间:所有患者中有 344 人(70.2%)出现术后并发症,术后平均住院时间为(14.0±5.6)天。围手术期芬太尼当量>28.7μg/kg和手术时间>4.4小时与术后并发症风险增加有关(P<0.05);术中失血量(IBL)>200 mL与住院时间延长有关(P<0.05):本研究表明,围手术期因素可能会影响老年 NSCLC 患者术后的短期预后。围手术期芬太尼当量>28.7μg/kg、手术时间和IBL可能是老年患者短期预后的独立预测因素。
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来源期刊
International Journal of General Medicine
International Journal of General Medicine Medicine-General Medicine
自引率
0.00%
发文量
1113
审稿时长
16 weeks
期刊介绍: The International Journal of General Medicine is an international, peer-reviewed, open access journal that focuses on general and internal medicine, pathogenesis, epidemiology, diagnosis, monitoring and treatment protocols. The journal is characterized by the rapid reporting of reviews, original research and clinical studies across all disease areas. A key focus of the journal is the elucidation of disease processes and management protocols resulting in improved outcomes for the patient. Patient perspectives such as satisfaction, quality of life, health literacy and communication and their role in developing new healthcare programs and optimizing clinical outcomes are major areas of interest for the journal. As of 1st April 2019, the International Journal of General Medicine will no longer consider meta-analyses for publication.
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