Maximum phonation time: an independent predictor of late-onset pneumonia after esophageal cancer surgery

Autor: Kakeru Tawada, Eiji Higaki, Tetsuya Abe, Jun Takatsu, Hironori Fujieda, Takuya Nagao, Koji Komori, Seiji Ito, Masahiro Yoshida, Isao Oze, Yasuhiro Shimizu
Rok vydání: 2023
Předmět:
Zdroj: Diseases of the Esophagus.
ISSN: 1442-2050
1120-8694
Popis: Dysphagia after esophagectomy is a major risk factor for aspiration pneumonia, thus preoperative assessment of swallowing function is important. The maximum phonation time (MPT) is a simple indicator of phonatory function and also correlates with muscle strength associated with swallowing. This study aimed to determine whether preoperative MPT can predict postoperative aspiration pneumonia. The study included 409 consecutive patients who underwent esophagectomy for esophageal cancer between 2017 and 2021. Pneumonia detected by routine computed tomography on postoperative days 5–6 was defined as early-onset pneumonia, and pneumonia that developed later (most often aspiration pneumonia) was defined as late-onset pneumonia. The correlation between late-onset pneumonia and preoperative MPT was investigated. Patients were classified into short MPT (
Databáze: OpenAIRE