Preoperative risk-factors for secondary spontaneous pneumothorax surgery in Japan: a nationwide database study.

Autor: Waseda R; Japanese Association for Chest Surgery, Kyoto, Japan. wryuichi0119@fukuoka-u.ac.jp.; Department of General Thoracic, Breast, and Pediatric Surgery, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, Japan. wryuichi0119@fukuoka-u.ac.jp., Yamamoto H; Department of Healthcare Quality Assessment, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan., Shintani Y; Japanese Association for Chest Surgery, Kyoto, Japan.; Department of General Thoracic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan., Sato T; Japanese Association for Chest Surgery, Kyoto, Japan.; Department of General Thoracic, Breast, and Pediatric Surgery, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, Japan., Suzuki K; Japanese Association for Chest Surgery, Kyoto, Japan.; Department of General Thoracic Surgery, Juntendo University School of Medicine, Tokyo, Japan., Maniwa Y; Japanese Association for Chest Surgery, Kyoto, Japan.; Division of Thoracic Surgery, Kobe University Graduate School of Medicine, Hyogo, Japan., Sato Y; Japanese Association for Chest Surgery, Kyoto, Japan.; Department of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, Ibaraki, Japan., Yoshino I; Japanese Association for Chest Surgery, Kyoto, Japan.; Department of General Thoracic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan., Chida M; Japanese Association for Chest Surgery, Kyoto, Japan.; Department of General Thoracic Surgery, Dokkyo Medical University, Tochigi, Japan.
Jazyk: angličtina
Zdroj: Surgery today [Surg Today] 2024 Aug 27. Date of Electronic Publication: 2024 Aug 27.
DOI: 10.1007/s00595-024-02926-7
Abstrakt: Purpose: We aimed to identify preoperative risk factors for secondary spontaneous pneumothorax surgery.
Methods: The National Clinical Database of Japan, with six annual datasets from 2014 to 2019, was used. All patients who underwent surgery for secondary spontaneous pneumothorax were included, excluding those < 15 years old and those with incomplete data. The effects of preoperative risk factors were analyzed for operative mortality (mortality during hospitalization or within 30 days, regardless of hospitalization status), 30-day mortality, and postoperative respiratory morbidities.
Results: Of the 18,309 patients enrolled in the study, operative mortality, 30-day mortality, and postoperative respiratory morbidities were observed in 654 (3.6%), 343 (1.9%), and 2258 (12.3%) patients, respectively. Increasing age, male sex, body mass index < 18.5 or > 30, performance status > 2, emergent surgery, interstitial pneumonia, and diabetes in preoperative co-morbidity, tumors, and other diseases in underlying lung disease were significant risk factors for operative mortality. Those for 30-day mortality included autoimmune disease instead of male sex and diabetes, while those for postoperative respiratory morbidities included lymphangiomyomatosis instead of a body mass index > 30.
Conclusion: We identified many preoperative risk factors for operative mortality, 30-day mortality, and postoperative respiratory morbidities in secondary spontaneous pneumothorax surgery. These findings will assist in selecting appropriate surgical candidates.
(© 2024. The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd.)
Databáze: MEDLINE
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