| アブストラクト | AIM: We conducted a multicenter study to explore the risk factors of developing pneumonia and the effectiveness of perioperative oral management (POM) for the prevention of pneumonia in postsurgical patients. METHODS AND RESULTS: A survey covering eight regional hospitals was conducted over 4 years, from April 2010 to March 2014. Using the Diagnosis Procedure Combination database, a target group of 25,554 patients with cancer who underwent surgery was selected and assessed from a population of 346,563 patients without pneumonia on admission (sample population). The study compared the incidence of pneumonia and attempted to identify the significant predictive factors for its occurrence in these patients using multiple logistic regression analysis. Comparative assessment for the occurrence of pneumonia before and after POM implementation showed a significant incidence decrease after POM introduction in the target group, with no such change observed in the sample population. Multiple logistic regression analysis showed that the odds ratio for pneumonia occurrence after POM introduction was 0.44, indicating a reduced risk of pneumonia. CONCLUSION: POM in cancer patients was indeed effective in reducing the incidence of pneumonia in hospitals and thereby helped in preventing pneumonia during hospitalization. |
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| 投稿者 | Kurasawa, Yasuhiro; Maruoka, Yutaka; Sekiya, Hideki; Negishi, Akihide; Mukohyama, Hitoshi; Shigematsu, Shiro; Sugizaki, Jumpei; Karakida, Kazunari; Ohashi, Masaru; Ueno, Masayuki; Michiwaki, Yukihiro |
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| 組織名 | Division of Maxillofacial Surgery, Graduate School, Tokyo Medical and Dental;University, Tokyo, Japan.;Department of Oral Surgery, Japanese Red Cross Musashino Hospital, Musashino,;Japan.;Division of Oral and Maxillofacial Surgery, Center Hospital of National Center;for Global Health and Medicine, Tokyo, Japan.;Division of Oral Surgery, Graduate School, Tokyo Medical and Dental University,;Tokyo, Japan.;Department of Oral Surgery, Toho University Omori Medical Center, Tokyo, Japan.;Department of Oral and Maxillofacial Surgery, National Hospital Organization;Yokohama Medical Center, Yokohama, Japan.;Department of Oral Surgery, Yokohama City Minato Red Cross Hospital, Yokohama,;Department of Dentistry and Oral Surgery, Tokyo Metropolitan Tama Medical Center,;Department of Dentistry, Toranomon Hospital, Tokyo, Japan.;Department of Dentistry and Oral Surgery, Tokai University Hachioji Hospital,;Hachioji, Japan.;Department of Oral Surgery, JCHO Tokyo Takanawa Hospital, Tokyo, Japan.;Division of Oral Health Sciences, Department of Health Sciences School of Health;and Social Services, Saitama Prefectural University, Koshigaya, Japan. |
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