神戸大学附属図書館デジタルアーカイブ
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学内刊行物
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https://hdl.handle.net/20.500.14094/90004408
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2024-04-26
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90004408 (fulltext)
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メタデータID
90004408
アクセス権
open access
出版タイプ
Version of Record
タイトル
Effect of perioperative oral care on prevention of postoperative pneumonia associated with esophageal cancer surgery A multicenter case-control study with propensity score matching analysis
著者
Soutome, Sakiko ; Yanamoto, Souichi ; Funahara, Madoka ; Hasegawa, Takumi ; Komori, Takahide ; Yamada, Shin-ichi ; Kurita, Hiroshi ; Yamauchi, Chika ; Shibuya, Yasuyuki ; Kojima, Yuka ; Nakahara, Hirokazu ; Oho, Takahiko ; Umeda, Masahiro
著者名
Soutome, Sakiko
著者名
Yanamoto, Souichi
著者名
Funahara, Madoka
著者ID
A1489
研究者ID
1000050546497
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=322ffbb7f3848e30520e17560c007669
著者名
Hasegawa, Takumi
長谷川, 巧実
ハセガワ, タクミ
所属機関名
医学部附属病院
著者ID
A0121
研究者ID
1000050251294
著者名
Komori, Takahide
古森, 孝英
コモリ, タカヒデ
所属機関名
医学研究科
著者名
Yamada, Shin-ichi
著者名
Kurita, Hiroshi
著者名
Yamauchi, Chika
著者名
Shibuya, Yasuyuki
著者名
Kojima, Yuka
著者名
Nakahara, Hirokazu
著者名
Oho, Takahiko
著者名
Umeda, Masahiro
収録物名
Medicine
巻(号)
96(33)
ページ
e7436-e7436
出版者
Wolters Kluwer Health
刊行日
2017-08
公開日
2017-12-21
抄録
The aim of this study was to investigate the effectiveness of oral care in prevention of postoperative pneumonia associated with esophageal cancer surgery. Postoperative pneumonia is a severe adverse event associated with esophageal cancer surgery. It is thought to be caused by aspiration of oropharyngeal fluid containing pathogens. However, the relationship between oral health status and postoperative pneumonia has not been well investigated. This study included 539 patients with esophageal cancer undergoing surgery at 1 of 7 university hospitals. While 306 patients received perioperative oral care, 233 did not. Various clinical factors as well as occurrence of postoperative pneumonia were retrospectively evaluated. Propensity-score matching was performed to minimize selection biases associated with comparison of retrospective data between the oral care and control groups. Factors related to postoperative pneumonia were analyzed by logistic regression analysis. Of the original 539 patients, 103 (19.1%) experienced postoperative pneumonia. The results of multivariate analysis of the 420 propensity score-matched patients revealed longer operation time, postoperative dysphagia, and lack of oral care intervention to be significantly correlated with postoperative pneumonia. The present findings demonstrate that perioperative oral care can reduce the risk of postoperative pneumonia in patients undergoing esophageal cancer surgery.
キーワード
esophageal cancer surgery
oral care
postoperative pneumonia
propensity score
カテゴリ
医学研究科
医学部附属病院
学術雑誌論文
権利
© 2017 the Author(s). Published by Wolters Kluwer Health, Inc.
This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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資源タイプ
journal article
言語
English (英語)
ISSN
0025-7974
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eISSN
1536-5964
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関連情報
DOI
https://doi.org/10.1097/MD.0000000000007436
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