Risk factors of postoperative complications of gastrointestinal tumor in elderly patients
[Objective] To investigate the risk factors of postoperative complications of gastrointestinal tumors in elderly patients. [Methods] A total of 242 elderly patients undergoing elective gastrointestinal tumor surgery from January 2016 to January 2017 were selected for retrospective analysis, and preo...
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Editorial Office of International Journal of Geriatrics
2025-01-01
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| Series: | Guoji laonian yixue zazhi |
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| Online Access: | http://gwll.publish.founderss.cn/thesisDetails#10.3969/j.issn.1674-7593.2025.01.009&lang=en |
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| _version_ | 1832592815022931968 |
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| author | Huiqiu Liang Yan Luo |
| author_facet | Huiqiu Liang Yan Luo |
| author_sort | Huiqiu Liang |
| collection | DOAJ |
| description | [Objective] To investigate the risk factors of postoperative complications of gastrointestinal tumors in elderly patients. [Methods] A total of 242 elderly patients undergoing elective gastrointestinal tumor surgery from January 2016 to January 2017 were selected for retrospective analysis, and preoperative general conditions, preoperative complications, preoperative laboratory tests and other examination indicators, surgical and anesthesia-related factors were collected.Univariate and multivariate logistic regression analysis were used to statistically analyze the influencing factors of postoperative complications. [Results] A total of 71 (29.34%) patients developed postoperative complications during hospitalization.Univariate analysis showed that there were significant differences in American Society of Anesthesiologists classification, New York Heart Association classification, Barthel index, minimally invasive surgery, preoperative chronic renal insufficiency, preoperative abnormal lung imaging, preoperative urea nitrogen level, preoperative activated partial thromboplastin time and operation time between patients with complications and those without complications (P<0.05).Multivariate logistic regression analysis showed that Barthel index ≤60, operation time and abnormal preoperative lung imaging were independent risk factors for postoperative complications of gastrointestinal tumors in elderly patients (P<0.05), and minimally invasive surgery was a protective factor (P<0.05). [Conclusion] Elderly patients with gastrointestinal tumors with Barthel index ≤60, length of operation, and abnormal preoperative lung images have a higher risk of postoperative complications and should be concerned. |
| format | Article |
| id | doaj-art-c1dc71df565245389d74bfcf55f8fedb |
| institution | Kabale University |
| issn | 1674-7593 |
| language | zho |
| publishDate | 2025-01-01 |
| publisher | Editorial Office of International Journal of Geriatrics |
| record_format | Article |
| series | Guoji laonian yixue zazhi |
| spelling | doaj-art-c1dc71df565245389d74bfcf55f8fedb2025-01-21T02:59:39ZzhoEditorial Office of International Journal of GeriatricsGuoji laonian yixue zazhi1674-75932025-01-01461414610.3969/j.issn.1674-7593.2025.01.009Risk factors of postoperative complications of gastrointestinal tumor in elderly patientsHuiqiu Liang0Yan Luo1Department of Anesthesiology, Shanghai Ninth People’s Hospital, Shanghai JiaoTong University School of Medicine, Shanghai 200011Department of Anesthesiology, Ruijin Hospital, Shanghai JiaoTong University School of Medicine, Shanghai 200025[Objective] To investigate the risk factors of postoperative complications of gastrointestinal tumors in elderly patients. [Methods] A total of 242 elderly patients undergoing elective gastrointestinal tumor surgery from January 2016 to January 2017 were selected for retrospective analysis, and preoperative general conditions, preoperative complications, preoperative laboratory tests and other examination indicators, surgical and anesthesia-related factors were collected.Univariate and multivariate logistic regression analysis were used to statistically analyze the influencing factors of postoperative complications. [Results] A total of 71 (29.34%) patients developed postoperative complications during hospitalization.Univariate analysis showed that there were significant differences in American Society of Anesthesiologists classification, New York Heart Association classification, Barthel index, minimally invasive surgery, preoperative chronic renal insufficiency, preoperative abnormal lung imaging, preoperative urea nitrogen level, preoperative activated partial thromboplastin time and operation time between patients with complications and those without complications (P<0.05).Multivariate logistic regression analysis showed that Barthel index ≤60, operation time and abnormal preoperative lung imaging were independent risk factors for postoperative complications of gastrointestinal tumors in elderly patients (P<0.05), and minimally invasive surgery was a protective factor (P<0.05). [Conclusion] Elderly patients with gastrointestinal tumors with Barthel index ≤60, length of operation, and abnormal preoperative lung images have a higher risk of postoperative complications and should be concerned.http://gwll.publish.founderss.cn/thesisDetails#10.3969/j.issn.1674-7593.2025.01.009&lang=enelderly patientsgastrointestinal tumorpostoperative complicationsrisk factors |
| spellingShingle | Huiqiu Liang Yan Luo Risk factors of postoperative complications of gastrointestinal tumor in elderly patients Guoji laonian yixue zazhi elderly patients gastrointestinal tumor postoperative complications risk factors |
| title | Risk factors of postoperative complications of gastrointestinal tumor in elderly patients |
| title_full | Risk factors of postoperative complications of gastrointestinal tumor in elderly patients |
| title_fullStr | Risk factors of postoperative complications of gastrointestinal tumor in elderly patients |
| title_full_unstemmed | Risk factors of postoperative complications of gastrointestinal tumor in elderly patients |
| title_short | Risk factors of postoperative complications of gastrointestinal tumor in elderly patients |
| title_sort | risk factors of postoperative complications of gastrointestinal tumor in elderly patients |
| topic | elderly patients gastrointestinal tumor postoperative complications risk factors |
| url | http://gwll.publish.founderss.cn/thesisDetails#10.3969/j.issn.1674-7593.2025.01.009&lang=en |
| work_keys_str_mv | AT huiqiuliang riskfactorsofpostoperativecomplicationsofgastrointestinaltumorinelderlypatients AT yanluo riskfactorsofpostoperativecomplicationsofgastrointestinaltumorinelderlypatients |