Factores de riesgo para las complicaciones postoperatorias en cirugía mayor de cabeza y cuello

Dominguez, Esteban; Gómez, Montes; Méndez, L. Pérez; Gimeno, Chabier; García, E. Moure; Luque, Emma

doi:10.1016/s0034-9356(11)70043-3

“…That review assessed 36 articles, 14 on extirpative surgeries and 22 on reconstruction, and identified an association between smoking and surgical complications in 47% of the studies. Espinosa Domínguez et al [10] evaluated 61 surgical procedures with a mean duration of 9 h in 56 patients, identifying early complications in 57.4% of the patients in intensive care units. Patients over the age of 60 years had a longer length of hospital stay.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, inadequate nutritional status usually worsens the prognosis, especially in cases of cancer, thereby significantly interfering with medical treatment outcomes. Generally, 30-40% of the elderly with cancer are malnourished due to cancer-induced cachexia and metabolic dysregulation [10,11]. …”

Section: Introductionmentioning

confidence: 99%

Predictors of Postoperative Complications, Prolonged Length of Hospital Stay, and Short-Term Mortality in Elderly Patients with Malignant Head and Neck Neoplasm

Gerude¹,

Dias²,

Farias

³

et al. 2014

ORL

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Purpose: To identify and assess predictors of short-term outcomes and a prolonged length of hospital stay after head and neck cancer surgery in older-old and oldest-old patients. Procedures: Patients aged ≥75 years with head and neck cancer undergoing surgery at the Brazilian National Cancer Institute from January to December 2011 were assessed regarding postoperative complications, mortality, and length of hospital stay. Results: Over the study period, 67 patients with head and neck cancer underwent surgery, 44.8% of whom developed complications within 30 days of surgery, surgical site and respiratory infections (29.9 and 20.9%, respectively) being the most common. The mean length of hospital stay was 7 days (range: 2-26). In multivariate analysis, previous radiotherapy, dependence in instrumental activities of daily living, and low serum hemoglobin (≤13.2 g/dl) were predictors of complications. In addition, the presence of at least 1 clinical or surgical complication, smoking, and an arm circumference ≤25 cm were independent predictors of a prolonged length of hospital stay. Conclusions: Complications after head and neck cancer surgery in the elderly are common and related to the prolonged length of hospital stay, both being influenced by previous radiotherapy, smoking, functional dependence in instrumental activities of daily living, and nutritional conditions. Such predictors should be considered in a preoperative assessment of elderly patients as these are modifiable risk factors.

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“…Al parecer, los fumadores presentan una mayor incidencia de infecciones de la herida quirúrgica, alteraciones pulmonares, necesidad de estancia en Unidades de Cuidados Intensivos Postoperatorios, neumonías nosocomiales y asociadas a ventilación mecánica e incluso una mayor mortalidad. En nuestra serie se apreció una asociación entre las complicaciones respiratorias en los pacientes fumadores [42].…”

Section: Discussionunclassified

“…Otros autores han determinado que el estado ASA como índice de comorbilidad predice el aumento de complicaciones tras cirugía de cabeza y cuello [42].…”

Section: Discussionunclassified

Factores de riesgo de complicaciones respiratorias en cirugía oncológica de mama con anestesia total intravenosa

Vázquez¹,

Bazán²,

Sánchez³

et al. 2020

Rev. chil. anest.

0

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A prospective longitudinal cohort study was performed in patients with breast cancer operated surgically with the use of total intravenous anesthesia in the provincial hospital Carlos Manuel de Céspedes de Bayamo, from the Cauto region during the period from January 1 from 2014 to December 31, 2016, with the aim of identifying the risk factors hypothetically related to the appearance of respiratory complications. It was established that the exposed cohort was constituted by 79 patients who developed complications during the study period and met the inclusion criteria. The diagnosis of respiratory complications was made during the entire surgical procedure and finished. The magnitude of the associations was estimated by calculating the relative risks (RR) of complications. The age of the patient equal to or greater than 65 years, and smoking were the surgical risk factors depending on the patient related to the onset of respiratory complications in breast cancer surgery with total intravenous anesthesia, not alcoholism. Anemia, obesity, low weight and recent respiratory tract infection were surgical risk factors dependent on associated diseases related to the appearance of respiratory complications. The ASA III-IV classification and the surgical time of more than three hours were surgical risk factors related to surgery related to the appearance of respiratory complications.

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“…Al parecer, los fumadores presentan una mayor incidencia de infecciones de la herida quirúrgica, alteraciones pulmonares, necesidad de estancia en Unidades de Cuidados Intensivos postoperatorios, neumonías nosocomiales y asociadas a ventilación mecánica e incluso una mayor mortalidad. En nuestra serie se apreció una asociación entre las complicaciones respiratorias en los pacientes fumadores [42].…”

Section: Discussionunclassified

Factores de riesgo de complicaciones respiratorias en cirugía oncológica de mama con anestesia total intravenosa

Vázquez¹,

Bazán²,

Sánchez³

et al. 2019

Rev. chil. anest.

0

View full text Add to dashboard Cite

A prospective longitudinal cohort study was performed in patients with breast cancer operated surgically with the use of total intravenous anesthesia in the provincial hospital Carlos Manuel de Céspedes de Bayamo, from the Cauto region during the period from January 1 from 2014 to December 31, 2016, with the aim of identifying the risk factors hypothetically related to the appearance of respiratory complications. It was established that the exposed cohort was constituted by 79 patients who developed complications during the study period and met the inclusion criteria. The diagnosis of respiratory complications was made during the entire surgical procedure and finished. The magnitude of the associations was estimated by calculating the relative risks (RR) of complications. The age of the patient equal to or greater than 65 years, and smoking were the surgical risk factors depending on the patient related to the onset of respiratory complications in breast cancer surgery with total intravenous anesthesia, not alcoholism. Anemia, obesity, low weight and recent respiratory tract infection were surgical risk factors dependent on associated diseases related to the appearance of respiratory complications. The ASA III-IV classification and the surgical time of more than three hours were surgical risk factors related to surgery related to the appearance of respiratory complications.

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Factores de riesgo para las complicaciones postoperatorias en cirugía mayor de cabeza y cuello

Cited by 6 publications

References 22 publications

Predictors of Postoperative Complications, Prolonged Length of Hospital Stay, and Short-Term Mortality in Elderly Patients with Malignant Head and Neck Neoplasm

Predictors of Postoperative Complications, Prolonged Length of Hospital Stay, and Short-Term Mortality in Elderly Patients with Malignant Head and Neck Neoplasm

Factores de riesgo de complicaciones respiratorias en cirugía oncológica de mama con anestesia total intravenosa

Factores de riesgo de complicaciones respiratorias en cirugía oncológica de mama con anestesia total intravenosa

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