[Risk factors for postoperative pulmonary complications after gastroduodenal operation].
OBJECTIVE
To investigate the risk factors for postoperative pulmonary complications (PPC) after gastroduodenal operation.


METHODS
From December 1999 to December 2003, clinical data of 508 patients undergoing gastroduodenal operation were analyzed retrospectively. Risk factors for PPC were screened.


RESULTS
The complication rate of PPC was 25.8% (131/508). Multivariate logistic regression analysis revealed that age (OR=1.052), history of respiratory diseases (OR=2.915), serum albumin level (OR=0.995), length of intratracheal intubation (OR=1.005), length of nasogastric intubation (OR=1.059) and length of postoperative mechanical ventilation (OR=1.367) were risk factors for PPC.


CONCLUSIONS
Patients with old age, lower serum albumin level, intraoperative or postoperative nasogastric intubation, intratracheal intubation or long-term mechanical ventilation were more prone to develop PPC.
Jiang
Shan-ping
SP
Department of Respiratory Medicine, The Second Affiliated Hospital, Sun Yat-sen University, Guangzhou 510120, China. jiangsp@mail.china.com
Li
Zhi-ying
ZY
Huang
Li-wen
LW
Zeng
Zhi-yong
ZY
Chang
Jian-xi
JX
Chen
Shuang
S
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D013505:Digestive System Surgical Procedures / Q000009:adverse effects*; D004386:Duodenum / Q000601:surgery; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011014:Pneumonia / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology*; D012128:Respiratory Distress Syndrome / Q000453:epidemiology; D012189:Retrospective Studies; D012307:Risk Factors; D013270:Stomach / Q000601:surgery; D055815:Young Adult