|Table of Contents|

Risk factors and predictive model for postoperative pulmonary complications in patients after laparoscopic and thoracoscopic esophagectomy

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2024 20
Page:
3886-3890
Research Field:
Publishing date:

Info

Title:
Risk factors and predictive model for postoperative pulmonary complications in patients after laparoscopic and thoracoscopic esophagectomy
Author(s):
YANG Weiyi1; 2; LIU Ran1; LIU Hailin1; ZHANG Zhijie1; SU Zhen1
1.Department of Anesthesiology,the Affiliated Huai'an No.1 People's Hospital of Nanjing Medical University,Jiangsu Huai'an 223300,China；2.Department of Anesthesiology,Zhuzhou Central Hospital,Hunan Zhuzhou 412000,China.
Keywords:
laparoscopic and thoracoscopic esophagectomy; pulmonary complications; risk factors; predictive models
PACS:
R735.1
DOI:
10.3969/j.issn.1672-4992.2024.20.012
Abstract:
Objective:To screen the risk factors for the occurrence of pulmonary complications (PPCs) in patients after laparoscopic and thoracoscopic esophagectomy,and to establish a nomogram prediction model for PPCs,so as to provide clinical guidance for the early identification and prevention of PPCs in such patients.Methods:This study retrospectively collected the clinical data of patients who underwent laparoscopic and thoracoscopic esophagectomy in Huai'an No.1 People's Hospital,Nanjing Medical University from March 2022 to August 2022.Patients were divided into PPCs group and non-PPCs group according to whether PPCs occurred within 7 days after surgery.SPSS 26.0 software was used for logistic univariate and multivariate regression analysis to screen out the risk factors of PPCs.Nomogram prediction model was established using R language.The receiver operating characteristic (ROC) curve,calibration curve and clinical decision making (DCA) curve were plotted to evaluate the discrimination,consistency and clinical practicability of the model.Results:A total of 165 patients were included in this study,and 79 patients developed PPCs.Logistic regression analysis showed that male,lung age,percentage of preoperative PEF,preoperative WBC,and 24 h postoperative blood glucose coefficient of variation were independent risk factors for PPCs after laparoscopic and thoracoscopic esophagectomy(P＜0.05).Based on these risk factors,the Nomogram nomogram prediction model was constructed,and the area under the ROC curve was 0.821,the specificity was 73.3%,the sensitivity was 79.7%,the calibration curve was consistent,and the DCA decision curve had a good net benefit.Conclusion:Male,lung age,percentage of preoperative PEF,preoperative WBC,and 24-hour postoperative blood glucose coefficient of variation are independent risk factors for the occurrence of PPCs after laparoscopic and thoracoscopic esophagectomy.The established Nomogram nomogram model has high predictive performance of PPCs and can help identify high-risk groups of PPCs at an early stage.

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Memo

Memo:
江苏省淮安市基础研究计划（联合专项）卫生健康类科研项目（编号：HABL2023067）;南京医科大学科技发展基金项目（编号：NMUB2020139）
Last Update: 1900-01-01