ArticlePloS one2017
Perioperative risk factors for postoperative pneumonia after major oral cancer surgery: A retrospective analysis of 331 cases.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 35 citations in OpenAlex.
- Dexmedetomidine for prevention of postoperative pulmonary complications in patients after oral and maxillofacial surgery with fibular free flap reconstruction:a prospective, double-blind, randomized, placebo-controlled trial.BMC anesthesiology · 2020Trial
- Temporal validation and extension of risk prediction model for pulmonary complications after head and neck surgeries.American journal of epidemiology · 2026Article
- Perioperative Piperacillin/Tazobactam Reduces Early Onset SSI in Preirradiated Patients Undergoing Microvascular Head and Neck Reconstruction.Head & neck · 2026Article
- Lasso-Enhanced Logistic Regression for Early Prediction of Pulmonary Infection in Critically Ill Post-Abdominal Surgery Patients.Medicina (Kaunas, Lithuania) · 2026Article
- Characteristics and risk factors of postoperative pneumonia after emergency surgery in tertiary general hospitals (2015-2024): a 10-year comparative analysis with elective surgery.Frontiers in public health · 2026Article
- Association between preoperative albumin and postoperative pneumonia in patients undergoing major non-cardiac surgery.Frontiers in nutrition · 2025Article
- Predictors for prolonged and escalated perioperative antibiotic therapy after microvascular head and neck reconstruction: a comprehensive analysis of 446 cases.Head & face medicine · 2024Article
- Postoperative Deep Sedation after Microvascular Reconstructive Surgery for Oral Cancer Increases the Risk of Early Postoperative Pneumonia.Dentistry journal · 2023Article
- Elective Tracheotomy in Patients Receiving Mandibular Reconstructions: Reduced Postoperative Ventilation Time and Lower Incidence of Hospital-Acquired Pneumonia.Journal of clinical medicine · 2023Article
- Risk Assessment of Postoperative Pneumonia in Cancer Patients Using a Common Data Model.Cancers · 2022Article
- Association of Severe Obesity and Chronic Obstructive Pulmonary Disease With Pneumonia Following Non-Cardiac Surgery.Journal of clinical medicine research · 2022Article
- [Analysis of etiological characteristics and establishment of prediction model of postoperative infections in patients undergoing oral squamous cell carcinoma surgery with free flap reconstruction].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2022Article
- An improved predictive model for postoperative pulmonary complications after free flap reconstructions in the head and neck.Head & neck · 2021Article
- Healthcare-associated infections among patients hospitalized for cancers of the lip, oral cavity and pharynx.Infection prevention in practice · 2021Article
- Dysphagia Screening for Pneumonia Prevention in a Cancer Hospital: Results of a Quality/Safety Initiative.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2020Article
- Existing Predictive Models for Postoperative Pulmonary Complications Perform Poorly in a Head and Neck Surgery Population.Journal of medical systems · 2019Article
- Postoperative pulmonary complication as an emerging complication in major head and neck cancer surgery: A retrospective study.National journal of maxillofacial surgeryArticle
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivePostoperative pneumonia (POP) is common and results in prolonged hospital stays, higher costs, increased morbidity and mortality. However, data on the incidence and risk factors of POP after oral and maxillofacial surgery are rare. This study aims to identify perioperative risk factors for POP after major oral cancer (OC) surgery.
methodsPerioperative data and patient records of 331 consecutive subjects were analyzed in the period of April 2014 to March 2016. We individually traced each OC patient for a period to discharge from the hospital or 45 days after surgery, whichever occur later.
resultsThe incidence of POP after major OC surgery with free flap construction or major OC surgery was 11.6% or 4.5%, respectively. Patient-related risk factors for POP were male sex, T stage, N stage, clinical stage and preoperative serum albumin level. Among the investigated procedure-related variables, incision grade, mandibulectomy, free flap reconstruction, tracheotomy, intraoperative blood loss, and the length of the operation were shown to be associated with the development of POP. Postoperative hospital stay was also significantly related to increased incidence of POP. Using a multivariable logistic regression model, we identified male sex, preoperative serum albumin level, operation time and postoperative hospital stay as independent risk factors for POP.
conclusionSeveral perioperative risk factors can be identified that are associated with POP. At-risk oral cancer patients should be subjected to intensified postoperative pulmonary care.
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