Análise epidemiológica de população com câncer de cabeça e pescoço: influência sobre as complicações pós operatórias

作者: Anke Bergmann , Giselly Machuk Fernandes , Juliana Flavia de Oliveira

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摘要: Introduction: Due to its high incidence, morbidity and mortality, head neck cancer is considered an important public health problem. objective: To describe the clinical epidemiological characteristics, evaluate incidence risk factors for development of early postoperative complications in patients submitted surgery during hospitalization. method: Prospective cohort study with oral cavity, pharynx larynx from June September 2012. For data analysis, a descriptive population was performed. evaluation factors, we performed bivariate analysis (relative risk) considering statically significant 95% confidence interval. Results: The were mostly male, elderly, low education, caucasians, smokers, drinkers sedentary. About tumor localization, 55.9% 35.3% 8.8% oropharynx. It observed facial edema (20.6%), pneumonia (11.8%), bronchoaspiration (5.9%), acute respiratory failure dehiscence fistula (5.9%) pleural effusion (2.9%). Elderly had higher developing alterations (p = 0.010). In relation wound healing complications, longer duration hospitalization noted as factor 0.002). Regarding edema, identified positive lymph nodes (RR 4.35 CI 1.36 13.84), 0.004) period 0.003). Conclusion: We elderly associated occurrence complications. number nodes, increased surgical time hospital stay greater edema.

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