Pneumonia after Major Cancer Surgery: Temporal Trends and Patterns of Care
Joint Authors
Trinh, Vincent Q.
Ravi, Praful
Abd-El-Barr, Abd-El-Rahman M.
Jhaveri, Jay K.
Gervais, Mai-Kim
Meyer, Christian P.
Hanske, Julian
Sammon, Jesse D.
Trinh, Q. D.
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-05-31
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Rationale.
Pneumonia is a leading cause of postoperative complication.
Objective.
To examine trends, factors, and mortality of postoperative pneumonia following major cancer surgery (MCS).
Methods.
From 1999 to 2009, patients undergoing major forms of MCS were identified using the Nationwide Inpatient Sample (NIS), a Healthcare Cost and Utilization Project (HCUP) subset, resulting in weighted 2,508,916 patients.
Measurements.
Determinants were examined using logistic regression analysis adjusted for clustering using generalized estimating equations.
Results.
From 1999 to 2009, 87,867 patients experienced pneumonia following MCS and prevalence increased by 29.7%.
The estimated annual percent change (EAPC) of mortality after MCS was −2.4% (95% CI: −2.9 to −2.0, P<0.001); the EAPC of mortality associated with pneumonia after MCS was −2.2% (95% CI: −3.6 to 0.9, P=0.01).
Characteristics associated with higher odds of pneumonia included older age, male, comorbidities, nonprivate insurance, lower income, hospital volume, urban, Northeast region, and nonteaching status.
Pneumonia conferred a 6.3-fold higher odd of mortality.
Conclusions.
Increasing prevalence of pneumonia after MCS, associated with stable mortality rates, may result from either increased diagnosis or more stringent coding.
We identified characteristics associated with pneumonia after MCS which could help identify at-risk patients in order to reduce pneumonia after MCS, as it greatly increases the odds of mortality.
American Psychological Association (APA)
Trinh, Vincent Q.& Ravi, Praful& Abd-El-Barr, Abd-El-Rahman M.& Jhaveri, Jay K.& Gervais, Mai-Kim& Meyer, Christian P.…[et al.]. 2016. Pneumonia after Major Cancer Surgery: Temporal Trends and Patterns of Care. Canadian Respiratory Journal،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1103217
Modern Language Association (MLA)
Trinh, Vincent Q.…[et al.]. Pneumonia after Major Cancer Surgery: Temporal Trends and Patterns of Care. Canadian Respiratory Journal No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1103217
American Medical Association (AMA)
Trinh, Vincent Q.& Ravi, Praful& Abd-El-Barr, Abd-El-Rahman M.& Jhaveri, Jay K.& Gervais, Mai-Kim& Meyer, Christian P.…[et al.]. Pneumonia after Major Cancer Surgery: Temporal Trends and Patterns of Care. Canadian Respiratory Journal. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1103217
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1103217