Acute exacerbation of interstitial lung disease after radical surgery for lung cancer: a case report

Zhu, Manni; Wu, Chaojie; Wu, Zhenzhen; Ren, Guangming; Ji, Ningfei; Zhang, Mingshun; Huang, Mao

doi:10.21037/atm.2019.03.65

Cited by 2 publications

(3 citation statements)

References 19 publications

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“…The score of each dimension takes the average of the scores of all items in this dimension (1-7). The total score is the sum of the average scores of all three dimensions (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21). All the patients enrolled in this study completed the LCQ-MC one day before surgery, one month after surgery, and three months after surgery under the guidance of two trained thoracic medical staff.…”

Section: Evaluation Methods and Grouping Criteria For Coughingmentioning

confidence: 99%

“…CAP refers to a dry cough that lasts no less than two weeks after pulmonary resection, except for nasal drip syndrome, bronchial asthma, or oral angiotensin-converting enzyme inhibitor (ACEI) drugs, the chest X-ray revealed no apparent abnormality (2). Previous studies have reported the incidence of CAP can reach 25-50%, and the probabilities of coughing within one year and five years after surgery are over 50% and 18%, respectively (3). The postoperative cough can last a long time.…”

Section: Introductionmentioning

confidence: 99%

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Predictive factors of cough after uniportal video-assisted thoracoscopic pulmonary resection

Pan

Peng

et al. 2020

J Thorac Dis

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Background: Cough is one of the shared complications after lung surgery. In this study, a prospective analysis was conducted for exploring the risk factors of persistent cough after uniportal video-assisted thoracoscopic pulmonary resection. Methods: One hundred thirty-five patients with pulmonary nodules who underwent surgical treatment in the same surgical group from November 2019 to January 2020 were enrolled in this prospective study.The severity of cough and its impact on patients' quality of life before and after surgery were assessed by the Mandarin Chinese version of the Leicester cough questionnaire (LCQ-MC), and postoperative cough was tested by the cough visual analog scale (VAS) and cough symptom score (CSS). Risk factors of cough after pulmonary resection (CAP) were determined by univariate and multivariate logistic regression analysis.Results: The incidence of postoperative cough was 24.4% (33 of 135 patients). Univariate analysis showed that gender (female), the surgical site (upper right), the resection (lobectomy), subcarinal lymph node dissection, postoperative acid reflux, length of hospitalization contributed to the development of CAP resection. Multivariate logistic regression analysis showed that the resection (lobectomy) (OR 3.590, 95% CI: 0.637-20.300, P=0.017), subcarinal lymph node dissection (OR 4.420, 95% CI: 1.342-14.554, P=0.001), postoperative acid reflux (OR 13.55, 95% CI: 3.186-57.633, P<0.001) and duration of anesthesia (over 153 minutes, OR 0.987, 95% CI: 0.978-0.997, P=0.011) were independent risk factors for postoperative cough. Conclusions: The application of uniportal video-assisted thoracoscopic techniques to several types of lung surgery are conducive to enhanced recovery after surgery (ERAS). Postoperative cough is related to an ocean of factors, the resection (lobectomy), subcarinal lymph node dissection, postoperative acid reflux, and duration of anesthesia (over 153 minutes) are independent high-risk factors for CAP resection.Trial registration: This study was registered on ClinicalTrials.gov (NCT04204148).

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Section: Evaluation Methods and Grouping Criteria For Coughingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Predictive factors of cough after uniportal video-assisted thoracoscopic pulmonary resection

Pan

Peng

et al. 2020

J Thorac Dis

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“…erefore, early and adequate breathing exercises are significantly important to the reconstruction of lung function, improvement of hypoxemia, and improvement of sleep quality. However, we discovered from clinic practice that the completeness of breathing exercise plans for patients discharged from the hospital is normally low, which is commonly related to the heavy beating exercise progress and low self-consciousness degree of patients [4]. e conventional nursing mode lacks continuity guidance and systematic follow-up after discharge and cannot meet the needs of postoperative respiratory exercise for patients with lung cancer at the present stage [5].…”

Section: Introductionmentioning

confidence: 99%

Effects of the Combination of Continuous Nursing Care and Breathing Exercises on Respiratory Function, Self‐Efficacy, and Sleep Disorders in Patients with Lung Cancer Discharged from Hospital

Juan

2022

Contrast Media & Molecular Imaging

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The purpose of this study was to explore the effect of respiratory function and self-efficacy of patients with lung cancer after surgery by the combination of continuing nursing care and breathing exercises and to assess its clinical value in improving the quality of patients’ sleep. 120 cases of lung cancer patients were divided into the control group (n = 60 cases) and the experimental group (n = 60 cases) randomly. The control group used conventional care methods for postoperative lung cancer patients, while the experimental group used continuous care combined with a respiratory exercise care model on the basis of conventional care, comparing the differences in the recovery of lung function, self-efficacy, sleep quality, incidence of sleep disorders, and other indicators between the two groups. The average indicator of recovery condition in patients of experimental groups FEV1 (L), FEV1% pred (%), and FEV1/FVC (%) was higher than patients in control groups with lower symptom scores and complication rates ( P < 0.05 ). The self-efficacy score of patients in the experimental group was higher than that in the control group ( P < 0.05 ) during sixty days of follow-up. The sleeping time of the experimental group was significantly shorter than that of the control group ( P < 0.05 ) and the sleep time was longer than that of the control group ( P < 0.05 ), but the incidence of sleep disorders and drug use rate were lower than that of the control group ( P < 0.05 ) before discharge. Continuous nursing care combined with respiratory exercises can significantly accelerate the recovery of lung function and respiratory function reconstruction in patients with lung cancer after surgery, improve the self-efficacy score of patients, improve the sleep quality of patients, and be conducive to postoperative rehabilitation of patients.

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Acute exacerbation of interstitial lung disease after radical surgery for lung cancer: a case report

Cited by 2 publications

References 19 publications

Predictive factors of cough after uniportal video-assisted thoracoscopic pulmonary resection

Predictive factors of cough after uniportal video-assisted thoracoscopic pulmonary resection

Effects of the Combination of Continuous Nursing Care and Breathing Exercises on Respiratory Function, Self‐Efficacy, and Sleep Disorders in Patients with Lung Cancer Discharged from Hospital

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