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      저자 : 도윤정 ( Yun Joung Doh ) (검색결과 1 건)
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        전신마취 수술 후 폐합병증 발생 예측 인자에 대한 재평가

        도윤정 ( Yun Joung Doh ),허인경 ( In Kyong Hur ),이준엽 ( Jun Yub Lee ),박정배 ( Jung Bae Park ),성낙일 ( Nak Il Sung ),이용국 ( Yong Guk Lee ),이중현 ( Joong Hyun Lee ),이영현 ( Young Hyun Lee ) 대한내과학회 2007 대한내과학회지 Vol.72 No.5

        Background: As our population in Korea ages, more postoperative pulmonary complications (PPCs) have recently developed. There have been several studies about the predictive factors for PPC, but any consensus has not been established. In this study, we reappraised the predictive factors for PPC after general anesthesia in a population from Gyeong-ju, which was composed of elderly people. Methods: We retrospectively investigated the incidence and predictive factors for PPC in 84 patients who underwent general anesthesia. We investigated gender, age, height, weight, BMI, smoking, underlying disease, underlying respiratory disease, malignancy, the laboratory findings (hemoglobin, albumin, arterial O2 saturation) and the pulmonary function tests of the patients. Results: 84 patients were initially enrolled into the study, and PPC developed in 31 (36%) patients. The mean age of the enrolled patients was 66.515.1 years old, so it shows the trend of an aging society. Three predictive factors were revealed that are independently associated with the PPC: site of operation (OR, 8.3), underlying disease (OR, 9.9) and serum albumin (OR, 4.0). Conclusions: Among the statistically meaningful predictive factors, underlying disease and operation site are well known from previous studies, but the albumin level < 3.5 g/dL is also meaningful, which is higher than the previous reference level. It implies that the patient with a albumin level 3.0~3.5 g/dL can be classified into the high risk group. Therefore, we should recognize that it is necessary to apply more strict reference levels in an aging population to reduce the incidence of PPC. (Korean J Med 72:501 510, 2007)

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