Outcomes of laparoscopic cholecystectomy in patients with and without COPD

doi:10.2147/COPD.S201866

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標題:	Outcomes of laparoscopic cholecystectomy in patients with and without COPD
作者:	Liao, Kuang-Ming Tseng, Chien-Jen Chen, Yi-Chen Wang, Jhi-Joung Chung-Han Ho(何宗翰)
貢獻者:	Chi Mei Med Ctr, Dept Internal Med Chi Mei Med Ctr, Dept Surg Chi Mei Med Ctr, Dept Med Res Southern Taiwan Univ Sci & Technol, Allied AI Biomed Ctr Chia Nan Univ Pharm & Sci, Dept Hosp & Hlth Care Adm
關鍵字:	COPD laparoscopic cholecystectomy outcome
日期:	2019
上傳時間:	2020-07-29 13:49:53 (UTC+8)
出版者:	DOVE MEDICAL PRESS LTD
摘要:	Objective: The aim of this study was to investigate the outcomes of patients with COPD after laparoscopic cholecystectomy (LC). Patients and methods: All COPD patients who underwent LC from 2000 to 2010 were identified from the Taiwanese National Health Insurance Research Database. The outcomes of hospital stay, intensive care unit (ICU) stay, and use of mechanical ventilation and life support measures in COPD and non-COPD populations were compared. Results: A total of 3,954 COPD patients who underwent LC were enrolled in our study. There were significant differences in the hospitalization period, ICU stay, and use of mechanical ventilation and life support measures between the COPD and non-COPD populations. The mean hospital stay, ICU stay and number of mechanical ventilation days in the COPD and non-COPD groups were 7.81 vs 6.01 days, 5.5 vs 4.5 days and 6.40 vs 4.74 days, respectively. The use of life support measures, including vasopressors and hemodialysis, and the rates of hospital mortality, acute respiratory failure and pneumonia were also increased in COPD patients compared with those in non-COPD patients. Conclusion: COPD increased the risk of mortality, lengths of hospital and ICU stays, ventilator days and poor outcomes after LC in this study.
關聯:	International Journal of Chronic Obstructive Pulmonary Disease, v.14, pp.1159-1165
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