Adverse outcomes after non-chest surgeries in patients with pulmonary tuberculosis: A nationwide study

Chi Chen Ke, Chao-Shun Lin, Chun Chieh Yeh, Chi-Li Chung, Chih Jen Hung, Chien-Chang Liao, Ta-Liang Chen, Daniela Flavia Hozbor

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: The association between pulmonary tuberculosis (TB) and postoperative outcomes remains unknown. This study investigated outcomes following non-chest surgeries in patients with previous pulmonary TB. Methods: Using Taiwan's National Health Insurance Research Database, we analyzed 6911 patients (aged ≥ 20 years) with preoperative diagnosis of pulmonary TB and 6911 propensity scorematched controls receiving non-chest surgeries in 2008-2010. Postoperative outcomes were compared between patients with or without pulmonary TB by calculating adjusted odds ratios (ORs) and 95% confidence intervals (CIs) in the multivariate logistic regressions. Results: Surgical patients with pulmonary TB had a significantly higher postoperative complication rates than controls, including septicemia, pneumonia, acute renal failure, deep wound infection, overall complications, and 30-day postoperative mortality (OR 1.41; 95% CI1.07-1.86). The ORs of patients with low-income status were as high as 2.27 (95% CI1.03-5.03). Preoperative use of TB drugs and TB-related medical expenditure also associated with higher postoperative mortality among surgical patients with pulmonary TB.

Original languageEnglish
Article numbere0133064
JournalPLoS One
Volume10
Issue number7
DOIs
Publication statusPublished - Jul 14 2015

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Fingerprint Dive into the research topics of 'Adverse outcomes after non-chest surgeries in patients with pulmonary tuberculosis: A nationwide study'. Together they form a unique fingerprint.

  • Cite this