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首页> 外文期刊>International journal of clinical oncology >Effect of combination of pre- and postoperative pulmonary rehabilitation on onset of postoperative pneumonia: a retrospective cohort study based on data from the diagnosis procedure combination database in Japan
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Effect of combination of pre- and postoperative pulmonary rehabilitation on onset of postoperative pneumonia: a retrospective cohort study based on data from the diagnosis procedure combination database in Japan

机译：术后肺恢复术前术后肺炎的效果：基于日本诊断程序组合数据库数据的回顾队列研究

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BackgroundTo examine the effect of rehabilitation on postoperative pulmonary complication when it is conducted in combination of both before and after lung cancer surgery, as compared with either before or after surgery and no rehabilitation.MethodsA retrospective cohort study was conducted to examine the effect of rehabilitation before and after lung cancer surgery on the causes of postoperative pneumonia. Data were collected from the diagnosis procedure combination (DPC) database. Patients admitted who received operative treatment for a new primary (ICD codes: C34) were selected. The inclusion criteria were patients who had pneumonectomy, malignant tumor surgery for the lung (thoracotomy), or thoracoscopic surgery (endoscopic; treatment code: K511-00, K513-00.03, and K514-00, 02). The exclusion criteria were patients who had a lung transplantation (treatment code: K514-03.06), suspected diagnosis, and a pneumonia within 3months before being diagnosed as having lung cancer. Main outcome was onset of postoperative pneumonia.ResultsAmong 76,739 lung cancer patients, 15,146 who underwent lung cancer surgery were included in the analysis. In the combination of pre- and postoperative group, as compared with the preoperative [odds ratio (OR), 95% confidence interval (CI) 2.8, 1.8-4.4], postoperative (1.9, 1.6-2.3), and no rehabilitation group (2.5, 2.1-2.8), the onset of pneumonia was less frequent.ConclusionsCombination of preoperative and postoperative rehabilitations significantly prevents postoperative pneumonia as compared with having preoperative, postoperative, or no rehabilitation.
机译：背景技术在肺癌手术前后两次和之后进行术后肺并发症的恢复对术后肺并发症的影响，与手术之前或之后，没有康复。方法进行了康复研究，以检查康复之前的疗效肺癌手术后术后肺炎。从诊断过程组合（DPC）数据库中收集数据。入院的患者选择了接受新的主要（ICD代码：C34）的手术治疗。纳入标准是肺切除术，肺部（胸廓术）的恶性肿瘤手术，或胸腔镜手术（内窥镜;治疗码：K511-00，K513-00.03和K514-00,02）的患者。排除标准是肺移植（治疗代码：K514-03.06），疑似诊断和3个月内的肺炎的患者，在被诊断为具有肺癌之前。主要结果是术后肺炎。肺癌患者的肺癌患者，15,146名接受肺癌手术的分析。在预先和术后组的组合中，与术前[odabs比率（或），95％置信区间（CI）2.8,1.8-4.4]相比，术后（1.9,1.6-2.3），没有康复组（ 2.5,2.1-2.8），肺炎的发作不太频繁。与术前，术后或无康复相比，术前和术后康复的结合显着防止术后肺炎。

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