کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3165798 | 1198852 | 2007 | 7 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: A simple predictive model for postoperative mortality after head and neck cancer surgery with opening of mucosa A simple predictive model for postoperative mortality after head and neck cancer surgery with opening of mucosa](/preview/png/3165798.png)
SummaryThe aim of this study was to determine the risk factors for the mortality during the first 30 days after a major head and neck cancer surgery. Two hundred and sixty one consecutive surgical procedure were prospectively studied at Oscar Lambret Cancer Centre within a 36-months period. Twenty variables were recorded for each patient. The significant risk factors for postoperative mortality were assessed by univariate and multivariate analysis. Overall 30-days mortality rate was 3.83% [95% CI 3.13–4.53]. In univariate analysis identified four risk factors: female gender (odd ratio 4.25 [95% CI 1.03–17.56]), age equal or superior than 70 (odd ratio 5.06 [95% CI 1.35–18.36]), current alcohol addiction (odd ratio 3.65 [1.02–13.06]) and laryngeal location (odd ratio 4.23 [CI 95% 1.18–3.38]). In multivariate analysis only female gender and laryngeal location remained significant. The incidence of postoperative mortality was 1.63% for patients without risk factor and was 6.41% for those with one or two risk factors. This model identifies easily high-risk patients for major head and neck cancer surgery. A multicenter validation is necessary.
Journal: Oral Oncology - Volume 43, Issue 2, February 2007, Pages 174–180