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

研究成果: 雜誌貢獻文章

1 引文 (Scopus)

摘要

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.
原文英語
文章編號e0133064
期刊PLoS One
10
發行號7
DOIs
出版狀態已發佈 - 七月 14 2015

指紋

national surveys
Pulmonary Tuberculosis
tuberculosis
Surgery
surgery
lungs
Health insurance
Logistics
Odds Ratio
odds ratio
Tuberculosis
Pharmaceutical Preparations
Mortality
National Health Programs
Wound Infection
Health Expenditures
health insurance
Taiwan
Acute Kidney Injury
postoperative complications

ASJC Scopus subject areas

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

引用此文

Adverse outcomes after non-chest surgeries in patients with pulmonary tuberculosis : A nationwide study. / Ke, Chi Chen; Lin, Chao-Shun; Yeh, Chun Chieh; Chung, Chi-Li; Hung, Chih Jen; Liao, Chien-Chang; Chen, Ta-Liang; Hozbor, Daniela Flavia.

於: PLoS One, 卷 10, 編號 7, e0133064, 14.07.2015.

研究成果: 雜誌貢獻文章

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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.",
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