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Postoperative acute exacerbation of interstitial pneumonia in pulmonary and non-pulmonary surgery: a retrospective study

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Title: Postoperative acute exacerbation of interstitial pneumonia in pulmonary and non-pulmonary surgery: a retrospective study
Authors: Miyamura, Takuto / Sakamoto, Noriho / Kakugawa, Tomoyuki / Okuno, Daisuke / Yura, Hirokazu / Nakashima, Shota / Ishimoto, Hiroshi / Kido, Takashi / Taniguchi, Daisuke / Miyazaki, Takuro / Tsuchiya, Tomoshi / Tsutsui, Shin / Yamaguchi, Hiroyuki / Obase, Yasushi / Ishimatsu, Yuji / Ashizawa, Kazuto / Nagayasu, Takeshi / Mukae, Hiroshi
Issue Date: 15-Jul-2019
Publisher: BioMed Central Ltd.
Citation: Respiratory Research, 20(1), art.no.154; 2019
Abstract: Background: Acute exacerbation of interstitial pneumonia (AE-IP) is a serious complication of pulmonary surgery in patients with IP. However, little is known about AE-IP after non-pulmonary surgery. The aim of this study was to determine the frequency of AE-IP after non-pulmonary surgery and identify its risk factors. Methods: One hundred and fifty-one patients with IP who underwent pulmonary surgery and 291 who underwent non-pulmonary surgery were retrospectively investigated.Results: AE-IP developed in 5 (3.3%) of the 151 patients in the pulmonary surgery group and 4 (1.4%) of the 291 in the non-pulmonary surgery group; the difference was not statistically significant. A logistic regression model showed that serum C-reactive protein (CRP) was a predictor of AE-IP in the non-pulmonary surgery group (odds ratio 1.187, 95% confidence interval 1.073-1.344, P = 0.002). Conclusions: This is the first study to compare the frequency of AE-IP after pulmonary surgery with that after non-pulmonary surgery performed under the same conditions. The results suggest that the frequency of AE-IP after non-pulmonary surgery is similar to that after pulmonary surgery. A high preoperative C-reactive protein level is a potential risk factor for AE-IP after non-pulmonary surgery.
Keywords: Acute exacerbation / C-reactive protein / Interstitial pneumonia / Surgery
URI: http://hdl.handle.net/10069/39373
ISSN: 14659921
DOI: 10.1186/s12931-019-1128-5
Rights: © 2019 The Author(s). Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/39373

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