Postoperative Pneumonia in Elderly Patients: Incidence and Mortality in Comparison with Younger Patients.

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概要

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• To determine whether elderly patients have an increased incidence of postoperative pneumonia and/or an increased mortality, we conducted a retrospective study of 4, 380 patients who underwent thoracic, abdominal or neurosurgery under general anesthesia. Thirty of these patients developed postoperative pneumonia (incidence, 0.68%). The elderly patients aged 65 years or older who underwent thoracic surgery had the highest incidence of pneumonia. Nine of the 30 patients with pneumonia died (mortality, 30%). Elderly patients did not show a higher mortality than the younger patients. The extent of pulmonary infiltrates on chest roentgenogram and the serum bilirubin level, both of which were determined at the onset of pneumonia, independently had a significant association with mortality. Our study suggests that advanced age is a risk factor for postoperative pneumoniain patients who undergo thoracic surgery.(Internal Medicine 32: 274-277, 1993)

• 社団法人　日本内科学会の論文

著者

• ICHIYAMA Satoshi

  the First Department of Internal Medicine, Nagoya University School of Medicine

• SHIMOKATA Kaoru

  the First Department of Internal Medicine, Nagoya University School of Medicine

• IWAMOTO Kimikazu

  the First Department of Internal Medicine, Nagoya University School of Medicine

• NAKASHIMA Nobuo

  the Department of Clinical Laboratory Medicine, Nagoya University Hospital

関連論文

• Detection of Pneumocystis carinii, Mycobacterium tuberculosis, and Cytomegalovirus in Human Immunodeficiency Virus (HIV)-infected Patients with Hemophilia by Polymerase Chain Reaction of Induced Sputum Samples
• Diffuse Pulmonary Alveolar Hemorrhage in Acute Promyelocytic Leukemia.
• Postoperative Pneumonia in Elderly Patients: Incidence and Mortality in Comparison with Younger Patients.

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