Risk factors analysis of pulmonary complications after video-assisted thoracoscopic surgery in elderly patients
10.16352/j.issn.1001-6325.2023.12.1847
- VernacularTitle:老年患者电视胸腔镜手术后肺部并发症的危险因素分析
- Author:
Yu ZHANG
1
;
Yue HAN
;
Qianmei ZHU
;
Huiying ZHOU
;
Xuhan MIAO
;
Jingman YAO
;
Zijia LIU
;
Le SHEN
Author Information
1. 中国医学科学院 北京协和医学院 北京协和医院 麻醉科,北京 100730
- Keywords:
elderly patients;
video-assisted thoracoscopic surgery(VATS);
postoperative pulmonary complications;
risk factors
- From:
Basic & Clinical Medicine
2023;43(12):1847-1851
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the incidence and risk factors of postoperative pulmonary complications(PPCs)in elderly patients undergoing video-assisted thoracoscopic surgery(VATS).Methods Elderly patients aged≥65 years who underwent VATS in Peking Union Medical College Hospital from January 2013 to December 2017,were reviewed retrospectively and divided into non-PPCs group and PPCs group.General information,past medi-cal history,and postoperative complications were recorded in a uniform case report form.The clinical factors with statistical significance in univariate analysis and important clinical significance according to experience were ana-lyzed with Logistic regression to evaluate the independent risk factors for PPCs.Results A total of 900 patients were included,and 48(5.3%)of them suffered PPCs.Multivariate logistic regression showed that pre-operative smoking history,history of stroke,chronic obstructive pulmonary disease(COPD)and pulmonary lobectomy were independent risk factors for PPCs in elderly patients after VATS.Conclusions Elderly patient is a high-risk group for PPCs after VATS.The risk factors include smoking history,stroke,COPD and scope of surgery.Therefore,perioperative management needs to optimize,and monitoring should be strengthened for these high-risk patients.
