Predictors of early postoperative pneumonia after oncologic surgery with the patients receiving professional oral health care: A prospective, multicentre, cohort study
This study was a prospective, multicentre, cohort study on 685 patients who had undergone oncologic surgery. The patients were divided into two groups according to the presence or absence of postoperative pneumonia. The two groups were compared with respect to their background, index operation, food...
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| Veröffentlicht in: | Journal of perioperative practice 2021-07, Vol.31 (7-8), p.289-295 |
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| creator | Nozaki, Shinichi Tsutsumi, Yasuhiko Takasaki, Yoshito Yoshikawa, Hiromasa Shinya, Toshiaki Souta, Ruriko Nakamoto, Norimichi Marukawa, Kohei Usami, Takeshi Sunami, Jiro Takashima, Maho Tanaka, Kohji Nishizawa, Rishiho Yanase, Shigeaki Negoro, Kenji Negishi, Akihide Okumura, Hidenori Otsuka, Yoshiaki Honda, Yasutoshi Otsuru, Hiroshi Arika, Takumi Nakashima, Takeshi Nagasaka, Hiroshi Watanabe, Yuuko Kajiya, Mikihito Senpuku, Hidenobu Iwabuchi, Hiroshi |
| description | This study was a prospective, multicentre, cohort study on 685 patients who had undergone oncologic surgery. The patients were divided into two groups according to the presence or absence of postoperative pneumonia. The two groups were compared with respect to their background, index operation, food eaten, oral condition, contents of oral care and dental treatment, laboratory data, and bacterial flora. All postoperative pneumonias occurred in six cases within four days postoperatively. The multivariable logistic regression analysis showed that preoperative serum C-reactive protein was the strongest predictor of postoperative pneumonia. In addition, decreased postoperative Candida albicans colonies was an effective predictor of postoperative pneumonia. For patients with predictors of postoperative pneumonia, perioperative strategies for its prevention should be considered in addition to professional oral health care. This study was approved by the National Hospital Organization’s Central Ethics Review Board and was also approved by the directors of the participating institutions. |
| doi_str_mv | 10.1177/1750458920939775 |
| format | Article |
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The patients were divided into two groups according to the presence or absence of postoperative pneumonia. The two groups were compared with respect to their background, index operation, food eaten, oral condition, contents of oral care and dental treatment, laboratory data, and bacterial flora. All postoperative pneumonias occurred in six cases within four days postoperatively. The multivariable logistic regression analysis showed that preoperative serum C-reactive protein was the strongest predictor of postoperative pneumonia. In addition, decreased postoperative Candida albicans colonies was an effective predictor of postoperative pneumonia. For patients with predictors of postoperative pneumonia, perioperative strategies for its prevention should be considered in addition to professional oral health care. This study was approved by the National Hospital Organization’s Central Ethics Review Board and was also approved by the directors of the participating institutions.</description><identifier>ISSN: 1750-4589</identifier><identifier>EISSN: 2515-7949</identifier><identifier>DOI: 10.1177/1750458920939775</identifier><identifier>PMID: 32648836</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Cancer surgery ; Cohort analysis ; Cohort Studies ; Delivery of Health Care ; Disease prevention ; Health risks ; Humans ; Oral hygiene ; Pneumonia ; Postoperative Complications - diagnosis ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Postoperative period ; Prospective Studies</subject><ispartof>Journal of perioperative practice, 2021-07, Vol.31 (7-8), p.289-295</ispartof><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-699a4c5129e4a7dd1490a9f9d4ec562873306d137e956787af179569dd7da6443</citedby><cites>FETCH-LOGICAL-c365t-699a4c5129e4a7dd1490a9f9d4ec562873306d137e956787af179569dd7da6443</cites><orcidid>0000-0002-5765-7818</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1750458920939775$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1750458920939775$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>315,781,785,21824,27929,27930,43626,43627</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32648836$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nozaki, Shinichi</creatorcontrib><creatorcontrib>Tsutsumi, Yasuhiko</creatorcontrib><creatorcontrib>Takasaki, Yoshito</creatorcontrib><creatorcontrib>Yoshikawa, Hiromasa</creatorcontrib><creatorcontrib>Shinya, Toshiaki</creatorcontrib><creatorcontrib>Souta, Ruriko</creatorcontrib><creatorcontrib>Nakamoto, Norimichi</creatorcontrib><creatorcontrib>Marukawa, Kohei</creatorcontrib><creatorcontrib>Usami, Takeshi</creatorcontrib><creatorcontrib>Sunami, Jiro</creatorcontrib><creatorcontrib>Takashima, Maho</creatorcontrib><creatorcontrib>Tanaka, Kohji</creatorcontrib><creatorcontrib>Nishizawa, Rishiho</creatorcontrib><creatorcontrib>Yanase, Shigeaki</creatorcontrib><creatorcontrib>Negoro, Kenji</creatorcontrib><creatorcontrib>Negishi, Akihide</creatorcontrib><creatorcontrib>Okumura, Hidenori</creatorcontrib><creatorcontrib>Otsuka, Yoshiaki</creatorcontrib><creatorcontrib>Honda, Yasutoshi</creatorcontrib><creatorcontrib>Otsuru, Hiroshi</creatorcontrib><creatorcontrib>Arika, Takumi</creatorcontrib><creatorcontrib>Nakashima, Takeshi</creatorcontrib><creatorcontrib>Nagasaka, Hiroshi</creatorcontrib><creatorcontrib>Watanabe, Yuuko</creatorcontrib><creatorcontrib>Kajiya, Mikihito</creatorcontrib><creatorcontrib>Senpuku, Hidenobu</creatorcontrib><creatorcontrib>Iwabuchi, Hiroshi</creatorcontrib><title>Predictors of early postoperative pneumonia after oncologic surgery with the patients receiving professional oral health care: A prospective, multicentre, cohort study</title><title>Journal of perioperative practice</title><addtitle>J Perioper Pract</addtitle><description>This study was a prospective, multicentre, cohort study on 685 patients who had undergone oncologic surgery. The patients were divided into two groups according to the presence or absence of postoperative pneumonia. The two groups were compared with respect to their background, index operation, food eaten, oral condition, contents of oral care and dental treatment, laboratory data, and bacterial flora. All postoperative pneumonias occurred in six cases within four days postoperatively. The multivariable logistic regression analysis showed that preoperative serum C-reactive protein was the strongest predictor of postoperative pneumonia. In addition, decreased postoperative Candida albicans colonies was an effective predictor of postoperative pneumonia. For patients with predictors of postoperative pneumonia, perioperative strategies for its prevention should be considered in addition to professional oral health care. This study was approved by the National Hospital Organization’s Central Ethics Review Board and was also approved by the directors of the participating institutions.</description><subject>Cancer surgery</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Delivery of Health Care</subject><subject>Disease prevention</subject><subject>Health risks</subject><subject>Humans</subject><subject>Oral hygiene</subject><subject>Pneumonia</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative period</subject><subject>Prospective Studies</subject><issn>1750-4589</issn><issn>2515-7949</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUtv1TAQhS0EopfCnhWyxIYFATt-xeyqipdUCRawjow9uddVEoex0-r-Iv4mjm4BqRIbPzTfOePxIeQ5Z284N-YtN4pJ1dmWWWGNUQ_IrlVcNcZK-5DstnKz1c_Ik5yvGVOtkPYxOROtll0n9I78-ooQoi8JM00DBYfjkS4pl7QAuhJvgC4zrFOao6NuKIA0zT6NaR89zSvuAY_0NpYDLYeKVgXMJVMED_Emznu6YBog55hmN9KEdTmAGyvvHcI7erEBeQG_tXpNp3Us0VcLrBefDgkLzWUNx6fk0eDGDM_u9nPy_cP7b5efmqsvHz9fXlw1XmhVGm2tk17x1oJ0JgQuLXN2sEGCV7rtjBBMBy4MWKVNZ9zATT3ZEExwWkpxTl6dfOuzfq6QSz_F7GEc3QxpzX0rW8FUVz-woi_voddpxTpmpZTslBK6Y5ViJ8rXOTPC0C8YJ4fHnrN-C7G_H2KVvLgzXn9MEP4K_qRWgeYEZLeHf13_a_gbhb6nXw</recordid><startdate>202107</startdate><enddate>202107</enddate><creator>Nozaki, Shinichi</creator><creator>Tsutsumi, Yasuhiko</creator><creator>Takasaki, Yoshito</creator><creator>Yoshikawa, Hiromasa</creator><creator>Shinya, Toshiaki</creator><creator>Souta, Ruriko</creator><creator>Nakamoto, Norimichi</creator><creator>Marukawa, Kohei</creator><creator>Usami, Takeshi</creator><creator>Sunami, Jiro</creator><creator>Takashima, Maho</creator><creator>Tanaka, Kohji</creator><creator>Nishizawa, Rishiho</creator><creator>Yanase, Shigeaki</creator><creator>Negoro, Kenji</creator><creator>Negishi, Akihide</creator><creator>Okumura, Hidenori</creator><creator>Otsuka, Yoshiaki</creator><creator>Honda, Yasutoshi</creator><creator>Otsuru, Hiroshi</creator><creator>Arika, Takumi</creator><creator>Nakashima, Takeshi</creator><creator>Nagasaka, Hiroshi</creator><creator>Watanabe, Yuuko</creator><creator>Kajiya, Mikihito</creator><creator>Senpuku, Hidenobu</creator><creator>Iwabuchi, Hiroshi</creator><general>SAGE Publications</general><general>Association for Perioperative Practice</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>4T-</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5765-7818</orcidid></search><sort><creationdate>202107</creationdate><title>Predictors of early postoperative pneumonia after oncologic surgery with the patients receiving professional oral health care: A prospective, multicentre, cohort study</title><author>Nozaki, Shinichi ; 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| ispartof | Journal of perioperative practice, 2021-07, Vol.31 (7-8), p.289-295 |
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| language | eng |
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| source | Access via SAGE; MEDLINE |
| subjects | Cancer surgery Cohort analysis Cohort Studies Delivery of Health Care Disease prevention Health risks Humans Oral hygiene Pneumonia Postoperative Complications - diagnosis Postoperative Complications - epidemiology Postoperative Complications - etiology Postoperative period Prospective Studies |
| title | Predictors of early postoperative pneumonia after oncologic surgery with the patients receiving professional oral health care: A prospective, multicentre, cohort study |
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