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Risk Factors of Lee et al for Pneumonia After Surgery for Lung Cancer

Description

Lee et al identified risk factors for postoperative pneumonia in patients undergoing surgery for lung cancer. These can help to identify a patient who may benefit from more aggressive management. The authors are from Seoul National University.


Patient selection: adult with lung cancer following surgery

 

Outcome: post-operative pneumonia (incidence 6.2%, 27% in-hospital mortality)

 

Independent risk factors for postoperative pneumonia from multivariate analysis:

(1) age >= 70 years (odds ratio 3.6)

(2) intraoperative RBC transfusion (odds ratio 4.7)

(3) postoperative complications other than pneumonia (odds ratio 3.0)

(4) FEV1 to FVC ratio < 70% (odds ratio 3.9), with FEV1 and FVC in liters

 

The risk of postoperative pneumonia increases with the number of risk factors present.


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