Risk factors for 30-day mortality after resection of lung cancer and prediction of their magnitude

作者: T.-E. Strand , H. Rostad , R. A M Damhuis , J. Norstein

DOI: 10.1136/THX.2007.079145

关键词:

摘要: Background: There is considerable variability in reported postoperative mortality and risk factors for after surgery lung cancer. Population-based data provide unbiased estimates may aid treatment selection. Methods: All patients diagnosed with cancer Norway from 1993 to the end of 2005 were Cancer Registry (n = 26 665). A total 4395 underwent surgical resection included analysis. Data on demographics, tumour characteristics registered. subset 1844 was scored according Charlson co-morbidity index. Potential influencing 30-day analysed by logistic regression. Results: The overall rate 4.4% within 30 days a declining trend period. Male sex (OR 1.76), older age 3.38 band 70–79 years), right-sided tumours 1.73) extensive procedures 4.54 pneumonectomy) identified as multivariate Postoperative at high-volume hospitals (⩾20 procedures/year) lower 0.76, p = 0.076). Adjusted ORs individual ranged 0.32 2.28. index an independent factor (p = 0.017). prediction model presented. Conclusions: Even though improvements have been observed recent years, these findings indicate further potential optimise Hospital results varied but significant volume effect not observed. Prognostic models identify requiring intensive care.

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