Excessive intravenous crystalloid infusion after video-assisted thoracoscopic surgery lobectomy is associated with postoperative pneumonia.

ABSTRACT: BACKGROUND:Video-assisted thoracoscopic surgery has been widely used in thoracic surgery worldwide. Our goal was to identify the risk factors for postoperative pneumonia in patients undergoing video-assisted thoracoscopic surgery lobectomy. METHODS:A retrospective analysis of adult patients undergoing video-assisted thoracoscopic surgery lobectomy between 2016 and 05 and 2017-04 was performed. We used univariate analyses and multivariate analyses to examine risk factors for postoperative pneumonia after lobectomy. RESULTS:The incidence of postoperative pneumonia was 19.7% (n?=?143/727). Patients with postoperative pneumonia had a higher postoperative length of stay and total hospital care costs when compared to those without postoperative pneumonia. Multivariate analysis showed that body mass index grading ?24.0?kg/m2 (vs. <24.0?kg/m2: odds ratio 1.904, 95% confidence interval 1.294-2.802, P?=?0.001) and right lung lobe surgery (vs. left lung lobe surgery: odds ratio 1.836, 95% confidence interval 1.216-2.771, P?=?0.004) were independent risk factors of postoperative pneumonia. Total intravenous crystalloid infusion grading in the postoperative 24?h???1500?mL was also identified as the risk factors (vs. 1000 to

SUBMITTER: Yang R 

PROVIDER: S-EPMC6884861 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature