Incidence and Risk Factors for Hospital‐acquired Pneumonia After Surgery for Gastric Cancer: Results of Prospective Surveillance
Open accessAbstract
Background: Postoperative hospital‐acquired pneumonia (HAP) is recognized as a major risk associated with surgery. Although upper abdominal surgery is known to have the highest incidence of postoperative HAP, little is known about the risk factors that contribute to HAP after gastric cancer surgery. The aim of this study was to determine the incidence and risk factors for HAP after elective surgery for gastric cancer. Methods: We conducted prospective surveillance of all elective gastric resections by surgeons in ten affiliated hospitals, including ours, from May 2001 to May 2005. The outcome of interest was postoperative HAP. Univariate and multivariate analyses were performed to determine the predictive significance of variables in gastric cancer surgery. Results: A total of 529 patients undergoing elective operations for gastric cancer were admitted to the program. Postoperative HAP was identified in 20 patients (3.6%). Univariate and multivariate analyses showed that male gender and intra‐ and/or postoperative blood transfusion were independently predictive of postoperative HAP. Conclusions: Male gender and intra‐ and/or postoperative blood transfusion were independent risk factors for the development of HAP after elective resection of gastric cancer. Surgeons should keep these risk factors in mind when managing postoperative patients.
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The reported incidence of postoperative pneumonia after gastric cancer surgery is 1.1-12.32%.
“Postoperative pneumonia is the most common complication after gastric resection, occurring in 1.1–12.32% of the patients 2, 3, 4, 5, 6, 7.”
From Prognostic significance of postoperative pneumonia after curative resection for patients with gastric cancer (2017) · cites this paper as [2]
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References 31 · Cited by 42
- Authors
- Mohri, Y., Tonouchi, H., Miki, C., Kobayashi, M., Kusunoki, M., & Mie Surgical Infection Research Group
- Affiliations
- Mie University (JP)
- Department of Innovative Surgery and Surgical Techniques Development Mie University Graduate School of Medicine 514‐8507 Tsu Mie Japan
- Corresponding author
- Mohri, Yasuhiko
- ORCID
- Mohri, Yasuhiko
- Venue
- World Journal of Surgery
- Publisher
- Wiley
- Published
- 2008-03-07
- Volume
- 32
- Issue
- 6
- Pages
- 1045-1050
- ISSN
- 0364-2313 (ISSN-L)
- 1432-2323
- OpenAlex
- W1983177578
- Cited by
- 42
- References
- 31
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2022: 4 · 2021: 2 · 2020: 1 · 2019: 5 · 2018: 1 · 2017: 3 · 2016: 2 · 2015: 3 · 2014: 2 · 2013: 4
- FWCI
- 2.44
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- World Journal of Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Nosocomial Infections in ICU
- Health Sciences › Medicine › Surgery › Surgical site infection prevention
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac, Anesthesia and Surgical Outcomes
- Keywords
- nosocomial pneumonia, postoperative pneumonia, gastric cancer surgery, gastric resection, risk factors, incidence, blood transfusion, male sex, upper abdominal surgery, postoperative follow-up
- MeSH terms
- Adult, Aged, Aged, 80 and over, Cross Infection, Female, Gastrectomy, Humans, Male, Middle Aged, Pneumonia, Prospective Studies, Risk Factors, Stomach Neoplasms, Incidence
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