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预测肺癌肺切除术后补充氧气的出院的预测因素
Lisa M Brown1, Levi Bonnell2, Niharika Parsons2
1Division of General Thoracic Surgery, Department of Surgery, University of California Davis Health, Sacramento, California.
The Annals of thoracic surgery
|August 30, 2024
概括
8.4%的肺癌患者进行了分叶切除术后需要补充氧气. 预测因素包括较低的肺功能,较高的BMI,以及目前或以前的吸烟状况,有助于患者讨论.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 在瘤学瘤学.
背景情况:
- 接受肺癌切除术的患者经常经历呼吸障碍.
- 评估出院后需要补充氧气的需要对于患者护理至关重要.
研究的目的:
- 为了确定肺部切除术后肺癌患者出院时补充氧气使用的预测因素.
- 为共同决策提供有关治疗选择和患者期望的信息.
主要方法:
- 使用胸腔外科医生协会一般胸腔外科数据库 (2018年7月 - 2021年12月) 进行回顾性队列研究.
- 多变量逻辑回归分析了肺功能 (预测术后FEV1或DLCO) 和其他因素.
- 作为预测术后FEV1或DLCO的最低值建模的肺功能.
主要成果:
- 8.4%的患者 (2100人) 获得了补充氧气.
- 肺功能减弱 (预测最少的术后FEV1/DLCO≤60%) 增加风险.
- 肥胖 (BMI 25-40+ kg/m2) 和吸烟状态 (以前/现在) 是强有力的预测因素.
结论:
- 手术前的因素预测了肺癌的肺切除术后需要补充氧气的需要.
- 识别这些预测因素有助于管理患者的期望和共同决策.
- 这些信息可以指导肺癌患者的治疗计划.
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