重大头颈癌手术后肺炎。

IF 2.3 3区医学 Q1 OTORHINOLARYNGOLOGY

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2025-04-12 DOI:10.1002/hed.28160

Grant Borne, Mark Knackstedt, Isabella Fabian, Ivan Alvarez, Liam Ordoyne, Rema A Kandula, Ameya Asarkar, Cherie-Ann Nathan, John Pang

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引用次数: 0

摘要

背景：大头颈癌手术患者术后肺炎（PPNA）的发生率尚未得到很好的确定。方法：采用ICD-10编码对2017 - 2019年全国住院患者样本（NIS）中接受重大头颈癌（HNC）手术的PPNA患者（n = 10037）进行分析。结果：接受HNC大手术的患者中有2.8% （n = 285）发生了PPNA。PPNA患者住院时间较长（15[10-24]对6[3-9]天）。结论：在人口最大的数据集之一中，贫血和COPD是HNC患者发生PPNA的最重要因素。PPNA是HNC大手术患者住院时间和住院费用增加的最强预测因子。手术路径应直接以降低PPNA率为目标，以改善预后和降低成本。

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Postoperative Pneumonia in Major Head and Neck Cancer Surgery.

Background: The incidence of postoperative pneumonia (PPNA) in patients undergoing major head and neck cancer surgery has not been well established.

Methods: Patients who developed PPNA undergoing major head and neck cancer (HNC) surgery from the Nationwide Inpatient Sample (NIS) from the years 2017 to 2019 (n = 10 037) were analyzed using ICD-10 codes.

Results: PPNA developed in 2.8% (n = 285) of patients undergoing major HNC surgery. PPNA patients had longer hospitalizations (15 [10-24] vs. 6 [3-9] days, p < 0.001; median, IQR) and had greater hospital charges (241 308 [166 976-382 982] vs. 104 697 [59 640-181 760], p < 0.001; USD; median, IQR). Regression models revealed that anemia was the greatest predisposing factor for PPNA (OR: 3.3, 95% CI: 2.6-4.2) among other comorbidities such as COPD (OR: 2.0, 95% CI: 1.6-2.7), hypertension (OR: 1.3, 95% CI: 1.0-1.7), and dementia (OR: 1.4, 95% CI: 1.0-1.9).

Conclusions: In one of the population's largest data sets, anemia and COPD were the strongest contributing factors to developing PPNA for HNC patients. PPNA was the strongest predictor of increased length of stay and hospital charges in patients undergoing major HNC surgery. Surgical pathways should directly target decreasing PPNA rates to improve outcomes and lower costs.

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.