Risk factors for postoperative pulmonary complications following transoral operation for the atlanta-axis disorders.
- Author:
Zheng-Tao GU
1
;
Jian-Qiang DAI
;
Qing-Shui YIN
;
Zeng-Hui WU
;
Guo-Dong ZHENG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Axis, Cervical Vertebra; surgery; Cervical Atlas; surgery; Female; Humans; Logistic Models; Lung Diseases; etiology; Male; Middle Aged; Mouth; surgery; Multivariate Analysis; Postoperative Complications; etiology; Risk Factors; Young Adult
- From: Chinese Journal of Surgery 2010;48(22):1714-1717
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVEto evaluate the risk factors for postoperative pulmonary complications following transoral operation for the atlanta-axis disorders.
METHODStotal 104 cases were collected from January 2005 to June 2009. Twelve variables among patients with PPCs and without PPCs were analyzed by logistic regression analysis.
RESULTSthe incidence of postoperative pulmonary complications following transoral operation for the atlanta-axis disorders was 22.1% (23/104). There was significantly difference in 9 variables between patients with PPCs and without PPCs, and 5 variables as serum albumin < 35 g/L (OR = 15.185, P = 0.003), tracheotomy (OR = 32.254, P = 0.015), Frankle grade (OR = 8.866, P = 0.001), the duration of intubation > 4 d (OR = 7.934, P = 0.002), the duration of surgery > 6 h (OR = 16.889, P = 0.006) were found to be significantly related to the development to postoperative pulmonary complications by multivariate analysis.
CONCLUSIONserum albumin < 35 g/L, tracheotomy, Frankle grade, the duration of intubation > 4 d, the duration of surgery > 6 h are the risk factors for postoperative pulmonary complications following transoral operation for the atlanta-axis disorders.
