Related Experiment Video
Updated: May 2, 2026
04:00
Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles
Published on: July 26, 2024
1.6K
Risk factors for postoperative complications in the elderly with lung cancer
Fumihiro Ogawa1, Guoqin Wang, Yoshio Matsui
1Department of Thoracic Surgery, Kitasato University School of Medicine, Kanagawa, Japan.
Asian Cardiovascular & Thoracic Annals
|February 27, 2014
Summary
Age is not a significant risk factor for postoperative complications in elderly patients undergoing non-small-cell lung cancer surgery. Other factors like smoking and blood loss are more critical for outcomes.
Area of Science:
- Thoracic Surgery
- Geriatric Oncology
- Surgical Oncology
Background:
- Surgical interventions for elderly patients are increasing due to population aging.
- High rates of postoperative complications limit the application of surgery in older adults.
- Investigating age as a risk factor for non-small-cell lung cancer (NSCLC) surgery outcomes is crucial.
Purpose of the Study:
- To evaluate the impact of age on postoperative outcomes in non-small-cell lung cancer (NSCLC) patients.
- To compare surgical prognoses between elderly (≥75 years) and younger (<75 years) NSCLC patients.
- To identify risk factors for poor outcomes in elderly NSCLC patients.
Main Methods:
- Retrospective analysis of 727 patients undergoing curative resection for NSCLC from 1998 to 2009.
- Patients were divided into two groups: 119 over 75 years old (group 1) and 608 under 75 years old (group 2).
- Comparison of postoperative complication rates, mortality, and disease-specific survival between the groups.
Main Results:
- Postoperative complication rates were similar between groups (49% in group 1 vs. 40% in group 2).
- Age was not a significant risk factor for complications (odds ratio 1.129).
- Smoking, blood loss, and lymph node dissection were significant risk factors; elderly patients had higher mortality (1.9-fold, p<0.01) but not disease-specific survival.
Conclusions:
- Postoperative complications in elderly NSCLC patients depend on factors like smoking, blood loss, and lymph node dissection, not age itself.
- Elderly patients should not be excluded from surgical treatment solely based on age.
- Age-independent factors are key determinants of surgical outcomes in older NSCLC patients.
Related Concept Videos
01:25Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
4.0K
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
4.0K
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
460
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
460
01:23Peripheral Artery Disease V: Postoperative Nursing Management
630
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
630
01:15Drug Dosing: Geriatric Patients
395
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
395
01:30Pneumonia III: Complications and Assessment
1.4K
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
1.4K
01:30Pneumonia V: Nursing management and Prevention
4.2K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
4.2K