术前“6分钟步行试验”在预测术后早期肺炎风险中的作用。

IF 1 Q3 MEDICINE, GENERAL & INTERNAL Medical Bulletin of Sisli Etfal Hospital Pub Date : 2024-12-24 eCollection Date: 2024-01-01 DOI:10.14744/SEMB.2024.34341
Onur Derdiyok, Ugur Temel, Bulent Arslan, Sule Karadayi, Mehmet Oguzhan Ozyurtkan
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引用次数: 0

摘要

目的:该研究的目的是发现在接受电视胸腔镜肺叶切除术的I期肺癌患者中,术前6分钟步行测试(6MWT)的结果与术后患肺炎的几率之间是否存在联系。方法:对2020年1月至2023年8月期间接受VATS肺切除术的194例肺癌患者的数据进行回顾性分析。我们使用逻辑回归模型评估术前6MWT的发现和术后发生肺炎的可能性。结果:术后早期发生肺炎23例(11.9%)。危险因素导致12例患者被排除,研究中只剩下11例患者。男性8例,女性3例,平均年龄51±6岁。6MWT小于300米的患者发生术后肺炎的可能性有统计学意义(p)。结论:我们发现术前6MWT小于300米的因肺恶性肿瘤行VATS肺切除术的患者术后发生肺炎的风险较大。
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The Role of Pre-operative "6 Minutes Walk Test" in Predicting the Risk of Early Pneumonia After Operation.

Objectives: The study's goal is to find out if there is a link between the results of the 6-minute walk test (6MWT) done before surgery and the chance of getting pneumonia after surgery in people with stage I lung cancer who are having a video-assisted thoracoscopic lobectomy.

Methods: We conducted a retrospective analysis on data from 194 patients with lung cancer who underwent VATS lung resection between January 2020 and August 2023. We assessed the preoperative 6MWT findings and the likelihood of developing postoperative pneumonia using a logistic regression model.

Results: Pneumonia developed in 23 patients (11.9%) in the early postoperative period. Risk factors led to the exclusion of 12 patients leaving 11 patients in the study. Eight of the patients were male three were female and the average age was 51±6 years. Postoperative pneumonia was observed to be statistically significantly more likely to occur in those whose 6MWT outcomes were less than 300 meters (p <0.05).

Conclusion: We found that patients who underwent VATS lung resection due to pulmonary malignancy and had a preoperative 6MWT result below 300 meters were at risk for developing postoperative pneumonia.

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Medical Bulletin of Sisli Etfal Hospital
Medical Bulletin of Sisli Etfal Hospital MEDICINE, GENERAL & INTERNAL-
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