Risk Factors of Lan et al for Postoperative Pulmonary Infection in a Patient with a Brain Tumor

Description

Lan et al reported risk factors for postoperative pulmonary infection in a patient with a brain tumor. These can help to identify a patent who may benefit from interventions to reduce the risk. The authors are from Guangxi Medical University in China.

Patient selection: brain tumor, status post surgery (craniotomy, transsphenoidal, etc)

Parameters:

(1) history of chronic pulmonary disease

(2) diabetes mellitus

(3) cardiovascular disease

(4) age in years

(5) operative time in hours

(6) Glasgow coma scale (GCS)

(7) ASA grade

Parameter	Finding	Points
chronic pulmonary disease	no	0
	yes (OR 5.7)	1
diabetes mellitus	no	0
	yes (OR 1.6)	1
cardiovascular disease	no	0
	yes (OR 4.0)	1
age in years	< 60 years of age	0
	>= 60 years of age (OR 1.6)	1
operative time	< 3 hours	0
	>= 3 hours (OR 1.03 per hour)	1
Glasgow coma scale	13, 14 or 15	0
	3 to 12 (OR 3.5)	1
ASA grade	1 or 2	0
	3, 4 or 5 (OR 2.0)	1

total number of risk factors =

= SUM(points for all of the parameters)

Interpretation:

• minimum number of risk factors: 0

• maximum number of risk factors: 7

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Risk Factors of Lan et al for Postoperative Pulmonary Infection in a Patient with a Brain Tumor

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