首页|老年肺癌患者术前住院时间延长的影响因素

老年肺癌患者术前住院时间延长的影响因素

扫码查看
目的 探讨行胸腔镜下肺叶切除术的老年肺癌患者术前住院时间延长的影响因素.方法 回顾性分析2013年1月至2019年12月中国人民解放军总医院信息系统(HIS)中行胸腔镜下肺叶切除术的1 848例65岁及以上老年肺癌患者的术前住院资料,包括一般资料、病史、检查检验、会诊等术前诊疗信息.根据术前住院时间,将患者分为正常组(≤6d,755例)和延长组(>6d,1093例).采用SPSS 24.0统计软件进行数据分析.根据数据类型,分别采用t检验、Mann-WhitneyU检验或x2检验进行组间比较.采用多因素logistic回归分析患者术前住院时间延长的影响因素.结果 行胸腔镜下肺叶切除术的老年肺癌患者,术前住院时间延长发生率为59.1%(1093/1 848).正常组和延长组患者年龄、舒张压、中性粒细胞、血浆活化部分凝血活酶时间、血浆凝血酶时间、冠状动脉粥样硬化性心脏病(CHD)、慢性阻塞性肺疾病(COPD)及术前会诊情况比较,差异有统计学意义(P<0.05).多因素logistic回归分析结果显示,年龄>70岁(OR=1.275,95%CI 1.024~1.587)、CHD(OR=1.523,95%CI 1.021~2.274)、COPD(OR=1.360,95%CI 1.042~1.775)及术前会诊(OR=1.310,95%CI 1.046~1.641)是老年肺癌患者术前住院时间延长的独立影响因素.结论 拟行胸腔镜下肺叶切除术的老年肺癌患者中,年龄>70岁、CHD、COPD及术前会诊是术前住院时间延长的影响因素.
Influencing factors of prolonged preoperative hospital stay in elderly patients with lung cancer
Objective To explore the influencing factors of prolonged preoperative hospitalization in elderly patients with lung cancer undergoing thoracoscopic lobectomy.Methods A retrospective analysis was conducted on 1 848 lung cancer patients aged over 65 years who had undergone thoracoscopic lobectomy in Chinese PLA General Hospital from January 2013 to December 2019.Their preop-erative data were collected from the hospital information system(HIS),including general information,medical history,results of laboratory tests,consultation and other preoperative diagnosis and treatment data.According to their preoperative hospital stay,they were divided into normal group(≤6 d,n=755)and prolonged group(>6 d,n=1 093).SPSS statistics 24.0 was used to analyze the data.Based on different data type,student's t test,Mann Whitney U test or Chi-square test was employed for intergroup comparison.Multivariate logistic regression analysis was applied to determine the influencing factors of prolonged preoperative hospital stay.Results Among these 1 848 elderly patients,59.1%(1 093/1 848)of them had prolonged preoperative hospitalization.There were significant differences in age,diastolic blood pressure,neutrophils count,plasma activated partial thromboplastin time,plasma thrombin time,preoperative consultation,and proportions of coronary heart disease(CHD)and chronic obstructive pulmonary disease(COPD)between the normal group and the prolonged group(P<0.05).Multivariate logistic regression analysis showed that age>70 years(OR=1.275,95%CI 1.024-1.587),CHD(OR=1.523,95%CI 1.021-2.274),COPD(OR=1.360,95%CI 1.042-1.775)and preoperative consultation(OR=1.310,95%CI 1.046-1.641)were independent influencing factors for the prolongation of preoperative hospitalization time in elderly lung cancer patients.Conclusion Among the elderly lung cancer patients who planned to undergo thora-coscopic lobectomy,age>70 years,CHD,COPD and preoperative consultation are the influencing factors for the prolongation of preoperative hospitalization.

agedlung cancerthoracoscopic lobectomy

张迪、张婷、姜姗、刘毅

展开 >

中国人民解放军总医院第一医学中心麻醉科,北京 100853

中国人民解放军总医院第三医学中心麻醉科,北京 100039

老年人 肺癌 胸腔镜肺叶切除术

军队后勤科研项目

23BJZ30

2024

中华老年多器官疾病杂志
中国人民解放军总医院老年心血管病研究所

中华老年多器官疾病杂志

CSTPCD
影响因子:0.728
ISSN:1671-5403
年,卷(期):2024.23(3)
  • 14