Pulmonary Dysfunction Function and Poor Nutritional Status are Risk Factors for Remote Infections Following Surgery for Colorectal Cancer.
Pulmonary Dysfunction Function and Poor Nutritional Status are Risk Factors for Remote Infections Following Surgery for Colorectal Cancer.
复制标题
肺功能障碍和营养状况不佳是结直肠癌手术后远端感染的危险因素。
DOI：
10.1272/jnms.jnms.2018_85-32
复制
发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Y. Naritaka
中科院分区：
文献类型：
--
作者：
M. Sagawa;K. Yoshimatsu;H. Yokomizo;Y. Yano;S. Okayama;Yasufumi Yamada;T. Usui;K. Yamaguchi;S. Shiozawa;T. Shimakawa;T. Katsube;H. Kato;Y. Naritaka
客观的
OBJECTIVE
We evaluated the preoperative patient status including nutrition, immunity, and inflammation as a predictive factor of remote infection (RI) in colorectal cancer surgery.
SUBJECTS AND METHODS
A total of 351 patients who underwent colorectal cancer resection were retrospectively analyzed. Factors correlated with RI incidence were identified by logistic analysis and stepwise selection.
RESULTS
RI occurred in 27 patients, with an incidence of 7.7%. In univariate logistic analysis, a significantly high incidence of RI was associated with excessive blood loss (>423 mL), long duration of surgery (>279 minutes), ileus, pulmonary dysfunction, performance status (PS) ≥1, American Society of Anesthesiologists (ASA) classification>2, prognostic nutritional index (PNI) ≤40, and controlling nutritional status (CONUT) ≥2, modified Glasgow Prognostic Score (mGPS) (Score 2).In multivariate analysis, pulmonary dysfunction (odds ratio=2.83; 95% CI: 1.14-6.97; p=0.02) and PNI≤40 (odds ratio=3.87; 95% CI: 1.45-10.31; p=0.006) were independent risk factors of RI incidence.
CONCLUSION
RI is caused by poor nutrition, immune system dysfunction and pulmonary dysfunction.
各种临床情况下的围手术期营养管理：下消化系统疾病
DOI：
--
发表时间：
2010
期刊：
Nihon Geka Gakkai Zasshi
影响因子：
--
作者：
Miki C;Kusunoki M
通讯作者：
Kusunoki M