Airflow Limitation Predicts Postoperative Pneumonia after Esophagectomy
Background Chronic obstructive pulmonary disease (COPD) is known to be a risk factor of pneumonia after esophagectomy. In this study, we investigated the relationship of airflow limitation with the occurrence and the severity of pneumonia in esophageal cancer patients who underwent esophagectomy. Me...
Ausführliche Beschreibung
Autor*in: |
Maruyama, Suguru [verfasserIn] Okamura, Akihiko [verfasserIn] Ishizuka, Naoki [verfasserIn] Kanie, Yasukazu [verfasserIn] Sakamoto, Kei [verfasserIn] Fujiwara, Daisuke [verfasserIn] Kanamori, Jun [verfasserIn] Imamura, Yu [verfasserIn] Watanabe, Masayuki [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2021 |
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Anmerkung: |
© Société Internationale de Chirurgie 2021 |
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Übergeordnetes Werk: |
Enthalten in: World Journal of Surgery - Springer-Verlag, 1996, 45(2021), 8 vom: 03. Mai, Seite 2492-2500 |
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Übergeordnetes Werk: |
volume:45 ; year:2021 ; number:8 ; day:03 ; month:05 ; pages:2492-2500 |
Links: |
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DOI / URN: |
10.1007/s00268-021-06148-7 |
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SPR044398751 |
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520 | |a Background Chronic obstructive pulmonary disease (COPD) is known to be a risk factor of pneumonia after esophagectomy. In this study, we investigated the relationship of airflow limitation with the occurrence and the severity of pneumonia in esophageal cancer patients who underwent esophagectomy. Methods We enrolled 844 patients who underwent curative esophagectomy between 2009 and 2018. The airflow limitation was evaluated using the percent-predicted forced expiratory volume at 1 s (%FEV1) with spirometry. Results There were 597 (70.7%), 141 (16.7%), 68 (8.1%), and 38 patients (4.5%) with %FEV1 of ≥ 90%, 80–90%, 70–80%, and < 70% categories, respectively. One hundred and ninety-one patients (22.6%) occurred pneumonia, and the incidences of pneumonia in each category of patients were 18.8%, 28.4%, 29.4%, and 50.0%, respectively. In multivariate analysis, the categories of 80%–90%, 70–80%, and < 70% were significantly associated with a higher incidence of postoperative pneumonia (OR 1.57; 95% CI 1.02–2.43, OR 1.87; 95% CI 1.04–3.36, OR 3.34; 95% CI 1.66–6.71, respectively), with the %FEV1 category of ≥ 90% as reference. The incidence of severe pneumonia of Clavien–Dindo grade III or higher was also significantly associated with the %FEV1. In patients without COPD, the incidence of pneumonia was significantly higher in those with %FEV1 < 90% than in those with %FEV1 ≥ 90% (32.2% versus 17.5%, p < 0.001). Conclusions The airflow limitation can help predict the occurrence of pneumonia after esophagectomy in patients with and without COPD. Exclusive preventive measures should be considered in patients with reduced %FEV1 undergoing esophagectomy. | ||
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10.1007/s00268-021-06148-7 doi (DE-627)SPR044398751 (SPR)s00268-021-06148-7-e DE-627 ger DE-627 rakwb eng Maruyama, Suguru verfasserin aut Airflow Limitation Predicts Postoperative Pneumonia after Esophagectomy 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2021 Background Chronic obstructive pulmonary disease (COPD) is known to be a risk factor of pneumonia after esophagectomy. In this study, we investigated the relationship of airflow limitation with the occurrence and the severity of pneumonia in esophageal cancer patients who underwent esophagectomy. Methods We enrolled 844 patients who underwent curative esophagectomy between 2009 and 2018. The airflow limitation was evaluated using the percent-predicted forced expiratory volume at 1 s (%FEV1) with spirometry. Results There were 597 (70.7%), 141 (16.7%), 68 (8.1%), and 38 patients (4.5%) with %FEV1 of ≥ 90%, 80–90%, 70–80%, and < 70% categories, respectively. One hundred and ninety-one patients (22.6%) occurred pneumonia, and the incidences of pneumonia in each category of patients were 18.8%, 28.4%, 29.4%, and 50.0%, respectively. In multivariate analysis, the categories of 80%–90%, 70–80%, and < 70% were significantly associated with a higher incidence of postoperative pneumonia (OR 1.57; 95% CI 1.02–2.43, OR 1.87; 95% CI 1.04–3.36, OR 3.34; 95% CI 1.66–6.71, respectively), with the %FEV1 category of ≥ 90% as reference. The incidence of severe pneumonia of Clavien–Dindo grade III or higher was also significantly associated with the %FEV1. In patients without COPD, the incidence of pneumonia was significantly higher in those with %FEV1 < 90% than in those with %FEV1 ≥ 90% (32.2% versus 17.5%, p < 0.001). Conclusions The airflow limitation can help predict the occurrence of pneumonia after esophagectomy in patients with and without COPD. Exclusive preventive measures should be considered in patients with reduced %FEV1 undergoing esophagectomy. Okamura, Akihiko verfasserin aut Ishizuka, Naoki verfasserin aut Kanie, Yasukazu verfasserin aut Sakamoto, Kei verfasserin aut Fujiwara, Daisuke verfasserin aut Kanamori, Jun verfasserin aut Imamura, Yu verfasserin aut Watanabe, Masayuki verfasserin aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 45(2021), 8 vom: 03. Mai, Seite 2492-2500 (DE-627)SPR003391159 nnns volume:45 year:2021 number:8 day:03 month:05 pages:2492-2500 https://dx.doi.org/10.1007/s00268-021-06148-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 45 2021 8 03 05 2492-2500 |
spelling |
10.1007/s00268-021-06148-7 doi (DE-627)SPR044398751 (SPR)s00268-021-06148-7-e DE-627 ger DE-627 rakwb eng Maruyama, Suguru verfasserin aut Airflow Limitation Predicts Postoperative Pneumonia after Esophagectomy 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2021 Background Chronic obstructive pulmonary disease (COPD) is known to be a risk factor of pneumonia after esophagectomy. In this study, we investigated the relationship of airflow limitation with the occurrence and the severity of pneumonia in esophageal cancer patients who underwent esophagectomy. Methods We enrolled 844 patients who underwent curative esophagectomy between 2009 and 2018. The airflow limitation was evaluated using the percent-predicted forced expiratory volume at 1 s (%FEV1) with spirometry. Results There were 597 (70.7%), 141 (16.7%), 68 (8.1%), and 38 patients (4.5%) with %FEV1 of ≥ 90%, 80–90%, 70–80%, and < 70% categories, respectively. One hundred and ninety-one patients (22.6%) occurred pneumonia, and the incidences of pneumonia in each category of patients were 18.8%, 28.4%, 29.4%, and 50.0%, respectively. In multivariate analysis, the categories of 80%–90%, 70–80%, and < 70% were significantly associated with a higher incidence of postoperative pneumonia (OR 1.57; 95% CI 1.02–2.43, OR 1.87; 95% CI 1.04–3.36, OR 3.34; 95% CI 1.66–6.71, respectively), with the %FEV1 category of ≥ 90% as reference. The incidence of severe pneumonia of Clavien–Dindo grade III or higher was also significantly associated with the %FEV1. In patients without COPD, the incidence of pneumonia was significantly higher in those with %FEV1 < 90% than in those with %FEV1 ≥ 90% (32.2% versus 17.5%, p < 0.001). Conclusions The airflow limitation can help predict the occurrence of pneumonia after esophagectomy in patients with and without COPD. Exclusive preventive measures should be considered in patients with reduced %FEV1 undergoing esophagectomy. Okamura, Akihiko verfasserin aut Ishizuka, Naoki verfasserin aut Kanie, Yasukazu verfasserin aut Sakamoto, Kei verfasserin aut Fujiwara, Daisuke verfasserin aut Kanamori, Jun verfasserin aut Imamura, Yu verfasserin aut Watanabe, Masayuki verfasserin aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 45(2021), 8 vom: 03. Mai, Seite 2492-2500 (DE-627)SPR003391159 nnns volume:45 year:2021 number:8 day:03 month:05 pages:2492-2500 https://dx.doi.org/10.1007/s00268-021-06148-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 45 2021 8 03 05 2492-2500 |
allfields_unstemmed |
10.1007/s00268-021-06148-7 doi (DE-627)SPR044398751 (SPR)s00268-021-06148-7-e DE-627 ger DE-627 rakwb eng Maruyama, Suguru verfasserin aut Airflow Limitation Predicts Postoperative Pneumonia after Esophagectomy 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2021 Background Chronic obstructive pulmonary disease (COPD) is known to be a risk factor of pneumonia after esophagectomy. In this study, we investigated the relationship of airflow limitation with the occurrence and the severity of pneumonia in esophageal cancer patients who underwent esophagectomy. Methods We enrolled 844 patients who underwent curative esophagectomy between 2009 and 2018. The airflow limitation was evaluated using the percent-predicted forced expiratory volume at 1 s (%FEV1) with spirometry. Results There were 597 (70.7%), 141 (16.7%), 68 (8.1%), and 38 patients (4.5%) with %FEV1 of ≥ 90%, 80–90%, 70–80%, and < 70% categories, respectively. One hundred and ninety-one patients (22.6%) occurred pneumonia, and the incidences of pneumonia in each category of patients were 18.8%, 28.4%, 29.4%, and 50.0%, respectively. In multivariate analysis, the categories of 80%–90%, 70–80%, and < 70% were significantly associated with a higher incidence of postoperative pneumonia (OR 1.57; 95% CI 1.02–2.43, OR 1.87; 95% CI 1.04–3.36, OR 3.34; 95% CI 1.66–6.71, respectively), with the %FEV1 category of ≥ 90% as reference. The incidence of severe pneumonia of Clavien–Dindo grade III or higher was also significantly associated with the %FEV1. In patients without COPD, the incidence of pneumonia was significantly higher in those with %FEV1 < 90% than in those with %FEV1 ≥ 90% (32.2% versus 17.5%, p < 0.001). Conclusions The airflow limitation can help predict the occurrence of pneumonia after esophagectomy in patients with and without COPD. Exclusive preventive measures should be considered in patients with reduced %FEV1 undergoing esophagectomy. Okamura, Akihiko verfasserin aut Ishizuka, Naoki verfasserin aut Kanie, Yasukazu verfasserin aut Sakamoto, Kei verfasserin aut Fujiwara, Daisuke verfasserin aut Kanamori, Jun verfasserin aut Imamura, Yu verfasserin aut Watanabe, Masayuki verfasserin aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 45(2021), 8 vom: 03. Mai, Seite 2492-2500 (DE-627)SPR003391159 nnns volume:45 year:2021 number:8 day:03 month:05 pages:2492-2500 https://dx.doi.org/10.1007/s00268-021-06148-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 45 2021 8 03 05 2492-2500 |
allfieldsGer |
10.1007/s00268-021-06148-7 doi (DE-627)SPR044398751 (SPR)s00268-021-06148-7-e DE-627 ger DE-627 rakwb eng Maruyama, Suguru verfasserin aut Airflow Limitation Predicts Postoperative Pneumonia after Esophagectomy 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2021 Background Chronic obstructive pulmonary disease (COPD) is known to be a risk factor of pneumonia after esophagectomy. In this study, we investigated the relationship of airflow limitation with the occurrence and the severity of pneumonia in esophageal cancer patients who underwent esophagectomy. Methods We enrolled 844 patients who underwent curative esophagectomy between 2009 and 2018. The airflow limitation was evaluated using the percent-predicted forced expiratory volume at 1 s (%FEV1) with spirometry. Results There were 597 (70.7%), 141 (16.7%), 68 (8.1%), and 38 patients (4.5%) with %FEV1 of ≥ 90%, 80–90%, 70–80%, and < 70% categories, respectively. One hundred and ninety-one patients (22.6%) occurred pneumonia, and the incidences of pneumonia in each category of patients were 18.8%, 28.4%, 29.4%, and 50.0%, respectively. In multivariate analysis, the categories of 80%–90%, 70–80%, and < 70% were significantly associated with a higher incidence of postoperative pneumonia (OR 1.57; 95% CI 1.02–2.43, OR 1.87; 95% CI 1.04–3.36, OR 3.34; 95% CI 1.66–6.71, respectively), with the %FEV1 category of ≥ 90% as reference. The incidence of severe pneumonia of Clavien–Dindo grade III or higher was also significantly associated with the %FEV1. In patients without COPD, the incidence of pneumonia was significantly higher in those with %FEV1 < 90% than in those with %FEV1 ≥ 90% (32.2% versus 17.5%, p < 0.001). Conclusions The airflow limitation can help predict the occurrence of pneumonia after esophagectomy in patients with and without COPD. Exclusive preventive measures should be considered in patients with reduced %FEV1 undergoing esophagectomy. Okamura, Akihiko verfasserin aut Ishizuka, Naoki verfasserin aut Kanie, Yasukazu verfasserin aut Sakamoto, Kei verfasserin aut Fujiwara, Daisuke verfasserin aut Kanamori, Jun verfasserin aut Imamura, Yu verfasserin aut Watanabe, Masayuki verfasserin aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 45(2021), 8 vom: 03. Mai, Seite 2492-2500 (DE-627)SPR003391159 nnns volume:45 year:2021 number:8 day:03 month:05 pages:2492-2500 https://dx.doi.org/10.1007/s00268-021-06148-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 45 2021 8 03 05 2492-2500 |
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10.1007/s00268-021-06148-7 doi (DE-627)SPR044398751 (SPR)s00268-021-06148-7-e DE-627 ger DE-627 rakwb eng Maruyama, Suguru verfasserin aut Airflow Limitation Predicts Postoperative Pneumonia after Esophagectomy 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2021 Background Chronic obstructive pulmonary disease (COPD) is known to be a risk factor of pneumonia after esophagectomy. In this study, we investigated the relationship of airflow limitation with the occurrence and the severity of pneumonia in esophageal cancer patients who underwent esophagectomy. Methods We enrolled 844 patients who underwent curative esophagectomy between 2009 and 2018. The airflow limitation was evaluated using the percent-predicted forced expiratory volume at 1 s (%FEV1) with spirometry. Results There were 597 (70.7%), 141 (16.7%), 68 (8.1%), and 38 patients (4.5%) with %FEV1 of ≥ 90%, 80–90%, 70–80%, and < 70% categories, respectively. One hundred and ninety-one patients (22.6%) occurred pneumonia, and the incidences of pneumonia in each category of patients were 18.8%, 28.4%, 29.4%, and 50.0%, respectively. In multivariate analysis, the categories of 80%–90%, 70–80%, and < 70% were significantly associated with a higher incidence of postoperative pneumonia (OR 1.57; 95% CI 1.02–2.43, OR 1.87; 95% CI 1.04–3.36, OR 3.34; 95% CI 1.66–6.71, respectively), with the %FEV1 category of ≥ 90% as reference. The incidence of severe pneumonia of Clavien–Dindo grade III or higher was also significantly associated with the %FEV1. In patients without COPD, the incidence of pneumonia was significantly higher in those with %FEV1 < 90% than in those with %FEV1 ≥ 90% (32.2% versus 17.5%, p < 0.001). Conclusions The airflow limitation can help predict the occurrence of pneumonia after esophagectomy in patients with and without COPD. Exclusive preventive measures should be considered in patients with reduced %FEV1 undergoing esophagectomy. Okamura, Akihiko verfasserin aut Ishizuka, Naoki verfasserin aut Kanie, Yasukazu verfasserin aut Sakamoto, Kei verfasserin aut Fujiwara, Daisuke verfasserin aut Kanamori, Jun verfasserin aut Imamura, Yu verfasserin aut Watanabe, Masayuki verfasserin aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 45(2021), 8 vom: 03. Mai, Seite 2492-2500 (DE-627)SPR003391159 nnns volume:45 year:2021 number:8 day:03 month:05 pages:2492-2500 https://dx.doi.org/10.1007/s00268-021-06148-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 45 2021 8 03 05 2492-2500 |
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Airflow Limitation Predicts Postoperative Pneumonia after Esophagectomy |
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Airflow Limitation Predicts Postoperative Pneumonia after Esophagectomy |
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Airflow Limitation Predicts Postoperative Pneumonia after Esophagectomy |
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Maruyama, Suguru Okamura, Akihiko Ishizuka, Naoki Kanie, Yasukazu Sakamoto, Kei Fujiwara, Daisuke Kanamori, Jun Imamura, Yu Watanabe, Masayuki |
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airflow limitation predicts postoperative pneumonia after esophagectomy |
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Airflow Limitation Predicts Postoperative Pneumonia after Esophagectomy |
abstract |
Background Chronic obstructive pulmonary disease (COPD) is known to be a risk factor of pneumonia after esophagectomy. In this study, we investigated the relationship of airflow limitation with the occurrence and the severity of pneumonia in esophageal cancer patients who underwent esophagectomy. Methods We enrolled 844 patients who underwent curative esophagectomy between 2009 and 2018. The airflow limitation was evaluated using the percent-predicted forced expiratory volume at 1 s (%FEV1) with spirometry. Results There were 597 (70.7%), 141 (16.7%), 68 (8.1%), and 38 patients (4.5%) with %FEV1 of ≥ 90%, 80–90%, 70–80%, and < 70% categories, respectively. One hundred and ninety-one patients (22.6%) occurred pneumonia, and the incidences of pneumonia in each category of patients were 18.8%, 28.4%, 29.4%, and 50.0%, respectively. In multivariate analysis, the categories of 80%–90%, 70–80%, and < 70% were significantly associated with a higher incidence of postoperative pneumonia (OR 1.57; 95% CI 1.02–2.43, OR 1.87; 95% CI 1.04–3.36, OR 3.34; 95% CI 1.66–6.71, respectively), with the %FEV1 category of ≥ 90% as reference. The incidence of severe pneumonia of Clavien–Dindo grade III or higher was also significantly associated with the %FEV1. In patients without COPD, the incidence of pneumonia was significantly higher in those with %FEV1 < 90% than in those with %FEV1 ≥ 90% (32.2% versus 17.5%, p < 0.001). Conclusions The airflow limitation can help predict the occurrence of pneumonia after esophagectomy in patients with and without COPD. Exclusive preventive measures should be considered in patients with reduced %FEV1 undergoing esophagectomy. © Société Internationale de Chirurgie 2021 |
abstractGer |
Background Chronic obstructive pulmonary disease (COPD) is known to be a risk factor of pneumonia after esophagectomy. In this study, we investigated the relationship of airflow limitation with the occurrence and the severity of pneumonia in esophageal cancer patients who underwent esophagectomy. Methods We enrolled 844 patients who underwent curative esophagectomy between 2009 and 2018. The airflow limitation was evaluated using the percent-predicted forced expiratory volume at 1 s (%FEV1) with spirometry. Results There were 597 (70.7%), 141 (16.7%), 68 (8.1%), and 38 patients (4.5%) with %FEV1 of ≥ 90%, 80–90%, 70–80%, and < 70% categories, respectively. One hundred and ninety-one patients (22.6%) occurred pneumonia, and the incidences of pneumonia in each category of patients were 18.8%, 28.4%, 29.4%, and 50.0%, respectively. In multivariate analysis, the categories of 80%–90%, 70–80%, and < 70% were significantly associated with a higher incidence of postoperative pneumonia (OR 1.57; 95% CI 1.02–2.43, OR 1.87; 95% CI 1.04–3.36, OR 3.34; 95% CI 1.66–6.71, respectively), with the %FEV1 category of ≥ 90% as reference. The incidence of severe pneumonia of Clavien–Dindo grade III or higher was also significantly associated with the %FEV1. In patients without COPD, the incidence of pneumonia was significantly higher in those with %FEV1 < 90% than in those with %FEV1 ≥ 90% (32.2% versus 17.5%, p < 0.001). Conclusions The airflow limitation can help predict the occurrence of pneumonia after esophagectomy in patients with and without COPD. Exclusive preventive measures should be considered in patients with reduced %FEV1 undergoing esophagectomy. © Société Internationale de Chirurgie 2021 |
abstract_unstemmed |
Background Chronic obstructive pulmonary disease (COPD) is known to be a risk factor of pneumonia after esophagectomy. In this study, we investigated the relationship of airflow limitation with the occurrence and the severity of pneumonia in esophageal cancer patients who underwent esophagectomy. Methods We enrolled 844 patients who underwent curative esophagectomy between 2009 and 2018. The airflow limitation was evaluated using the percent-predicted forced expiratory volume at 1 s (%FEV1) with spirometry. Results There were 597 (70.7%), 141 (16.7%), 68 (8.1%), and 38 patients (4.5%) with %FEV1 of ≥ 90%, 80–90%, 70–80%, and < 70% categories, respectively. One hundred and ninety-one patients (22.6%) occurred pneumonia, and the incidences of pneumonia in each category of patients were 18.8%, 28.4%, 29.4%, and 50.0%, respectively. In multivariate analysis, the categories of 80%–90%, 70–80%, and < 70% were significantly associated with a higher incidence of postoperative pneumonia (OR 1.57; 95% CI 1.02–2.43, OR 1.87; 95% CI 1.04–3.36, OR 3.34; 95% CI 1.66–6.71, respectively), with the %FEV1 category of ≥ 90% as reference. The incidence of severe pneumonia of Clavien–Dindo grade III or higher was also significantly associated with the %FEV1. In patients without COPD, the incidence of pneumonia was significantly higher in those with %FEV1 < 90% than in those with %FEV1 ≥ 90% (32.2% versus 17.5%, p < 0.001). Conclusions The airflow limitation can help predict the occurrence of pneumonia after esophagectomy in patients with and without COPD. Exclusive preventive measures should be considered in patients with reduced %FEV1 undergoing esophagectomy. © Société Internationale de Chirurgie 2021 |
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Airflow Limitation Predicts Postoperative Pneumonia after Esophagectomy |
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Okamura, Akihiko Ishizuka, Naoki Kanie, Yasukazu Sakamoto, Kei Fujiwara, Daisuke Kanamori, Jun Imamura, Yu Watanabe, Masayuki |
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