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Influencing factors of postoperative pulmonary infection in patients with colorectal cancer: a Meta-analysis

Published on Nov. 01, 2024Total Views: 420 times Total Downloads: 60 times Download Mobile

Author: KANG Jing 1 JIANG Yunlan 2 LI Tao 1 SONG Shuang 1 YI Xiaodong 1 DU Qiufeng 1

Affiliation: 1. School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu 610032, China 2. Office of the President, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610072, China

Keywords: Colorectal cancer Pulmonary infection Body mass index Diabetes mellitus Hypoproteinemia Meta-analysis

DOI: 10.12173/j.issn.1004-4337.202406115

Reference: Kang J, Jiang YL, Li T, Song S, Yi XD, Du QF. Influencing factors of postoperative pulmonary infection in patients with colorectal cancer: a Meta-analysis[J]. Journal of Mathematical Medicine, 2024, 37(10): 746-760. DOI: 10.12173/j.issn.1004-4337.202406115.[Article in Chinese]

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Abstract

Objective  To systematically evaluate the influencing factors of postoperative pulmonary infection in patients undergoing colorectal cancer surgery.

Methods  CNKI, WanFang Data, VIP, SinoMed, PubMed, Web of Science, Embase, and the Cochrane Library databases were searched to systematically retrieve the relevant literature on the factors influencing the occurrence of postoperative pulmonary infection in patients with colorectal cancer from the inception of the databases to June 28, 2024. Stata 16.0 software was used for data analysis.

Results  A total of 25 articles and 16 043 colorectal cancer patients were included, containing 32 influencing factors.Results of Meta-analysis showed that age[OR=2.72, 95%CI(2.04-3.61), P<0.001], body mass index(BMI)[OR=3.761, 95%CI(2.10-6.75), P<0.001], male[OR=2.08, 95%CI(1.49-2.91), P<0.001], smoking history[OR=2.78, 95%CI(2.31-3.36), P<0.001], comorbid chronic respiratory disease [OR=4.18, 95%CI(2.70-6.47), P<0.001], comorbid diabetes mellitus[OR=2.59, 95%CI(1.66-4.05), P<0.001], comorbid hypoproteinemia[OR=4.15, 95%CI(1.95-8.83), P<0.001], preoperative albumin <35 g/L[OR=2.29, 95%CI(1.31-4.00), P=0.003], duration of surgery[OR=2.75, 95%CI(1.84-4.11), P<0.001], open surgery[OR=3.25, 95%CI(2.42-4.38), P<0.001], American Society of Anesthesiologists (ASA) score[OR=2.26, 95%CI(1.51-3.38), P<0.001], and intraoperative blood transfusion[OR=3.51, 95%CI(1.48-8.32), P=0.004] were the major influencing factors for postoperative complication of pulmonary infection in patients with colorectal cancer.

Conclusion  Age, BMI, male, smoking history, comorbid chronic respiratory disease, comorbid diabetes mellitus, comorbid hypoproteinemia, preoperative albumin <35 g/L, operation time, open surgery, ASA score, and intraoperative blood transfusion were all risk factors for postoperative pulmonary infection in patients undergoing colorectal cancer surgery. Effective prevention and treatment of chronic respiratory diseases, active guidence on patients to quit smoking, control blood glucose, and adjust nutritional diet, the improvement of preoperative screening and operating standard of the operator can help prevent and control postoperative complication of pulmonary infection in patients with colorectal cancer.

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