Sakiko Soutome1, Takumi Hasegawa2, Taihei Yamguchi3, Kumiko Aoki4, Naritomo Kanamura5, Takao Mukai6, Junichi Yamazoe7, Masaya Nishikawa8, Emiko Isomura9, Kazuto Hoshi10, Masahiro Umeda11. 1. Oral Management Center, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki, 852-8588, Japan. sakiko@nagasaki-u.ac.jp. 2. Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan. 3. Department of Preventive Dentistry, Research Field in Dentistry, Medical and Dental Sciences Area, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima, 890-8544, Japan. 4. Department of Oral and Maxillofacial Surgery, Nara Medical University, 840 Shijo-Cho, Kashihara, Nara, 634-8521, Japan. 5. Department of Dental Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo-ku, Kyoto, 602-8566, Japan. 6. Department of Oral Maxillofacial Surgery, Kindai University Hospital, 337-2 Ono-higashi, Sayama, Osaka, 589-8511, Japan. 7. Perioperative Oral Care Center and Division of General Oral Care, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, Fukuoka-shi, Fukuoka, 812-0054, Japan. 8. Department of Oral and Maxillofacial Surgery, and Division of Tissue Engineering Graduate School of Medicine, Nagoya University Graduate School of Medicine, Furo-cho, Chikusa-ku, Nagoya, 464-8601, Japan. 9. Unit of Dentistry and First Department of Oral and Maxillofacial Surgery, Osaka University Hospital, Graduate School of Dentistry, Osaka University, 2-15 Yamadaoka, Suita, Osaka, 565-0871, Japan. 10. Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. 11. Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588, Japan.
Abstract
PURPOSE: Postoperative pneumonia is one of the major complications after esophageal cancer surgery. The risk factors associated with postoperative pneumonia are poor general health, smoking, decreased pulmonary function, diabetes mellitus, surgical stress, old age, postoperative aspiration, and oral hygiene. In this study, we examined the effect of perioperative oral care on reducing postoperative pneumonia since the evidence to-date is not clear. METHODS: A multicenter, retrospective investigation of the relationship between perioperative oral care and incidence of postoperative pneumonia in patients undergoing esophageal cancer surgery was conducted. A total of 775 patients who underwent thoracoscopic esophageal resection at 25 hospitals between 2016 and 2017 were enrolled in the study. Various factors were examined for correlation with development of postoperative pneumonia. RESULTS: Multivariate analysis showed that old age, smoking habit, lower hemoglobin, higher creatinine, postoperative dysphagia, and lack of oral care intervention were independent risk factors for pneumonia. Oral care was more effective in preventing pneumonia in hospitals in which the incidence of postoperative pneumonia was lower than 20%, while it was not effective in hospitals in which the incidence was higher than 20%. CONCLUSION: Results of the study suggest that it is recommended to carry out perioperative oral care in esophageal cancer surgery.
PURPOSE:Postoperative pneumonia is one of the major complications after esophageal cancer surgery. The risk factors associated with postoperative pneumonia are poor general health, smoking, decreased pulmonary function, diabetes mellitus, surgical stress, old age, postoperative aspiration, and oral hygiene. In this study, we examined the effect of perioperative oral care on reducing postoperative pneumonia since the evidence to-date is not clear. METHODS: A multicenter, retrospective investigation of the relationship between perioperative oral care and incidence of postoperative pneumonia in patients undergoing esophageal cancer surgery was conducted. A total of 775 patients who underwent thoracoscopic esophageal resection at 25 hospitals between 2016 and 2017 were enrolled in the study. Various factors were examined for correlation with development of postoperative pneumonia. RESULTS: Multivariate analysis showed that old age, smoking habit, lower hemoglobin, higher creatinine, postoperative dysphagia, and lack of oral care intervention were independent risk factors for pneumonia. Oral care was more effective in preventing pneumonia in hospitals in which the incidence of postoperative pneumonia was lower than 20%, while it was not effective in hospitals in which the incidence was higher than 20%. CONCLUSION: Results of the study suggest that it is recommended to carry out perioperative oral care in esophageal cancer surgery.
Entities:
Keywords:
Esophageal cancer surgery; Oral care; Postoperative pneumonia; Preventive care
Authors: Yuki Sakamoto; Arisa Tanabe; Makiko Moriyama; Yoshihiko Otsuka; Madoka Funahara; Sakiko Soutome; Masahiro Umeda; Yuka Kojima Journal: Int J Environ Res Public Health Date: 2022-06-21 Impact factor: 4.614