Parkinsonism and Postoperative Complications in the Elderly.
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- Takahashi Tadao
- Division of Health Care, Tokyo Metropolitan Geriatric Hospital
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- Hashimoto Hajime
- Department of Surgery, Tokyo Metropolitan Geriatric Hospital
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- Noro Toshio
- Department of Surgery, Tokyo Metropolitan Geriatric Hospital
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- Hino Yasunori
- Department of Surgery, Tokyo Metropolitan Geriatric Hospital
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- Hirashima Tokuji
- Department of Surgery, Tokyo Metropolitan Geriatric Hospital
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- Kuroiwa Kojiro
- Department of Surgery, Tokyo Metropolitan Geriatric Hospital
Bibliographic Information
- Other Title
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- パーキンソニズムと手術後合併症
- パーキンソニズム ト シュジュツゴ ガッペイショウ
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Abstract
The risk factors for postoperative morbidity and mortality in elderly patients with Parkinsonism after gastroinetestinal surgery were evaluated by univariate and multivariate analyses in comparison to those of patients with cerebrovascular disease and to those of patients with no comorbid condtion.<br>Data were obtained on 36 patients with Parkinsonism (PK), 77 with cerebrovascular disease (CVD) and 120 with no comorbid condition (ND). All data were adjusted for age, sex and operative procedure. The postoperative morbidity rate was highest in the PK group (77.8%), followed by the CVD group (70.1%), and both differed significantly from the rate of the ND group (32.5%). Gastrointestinal and pulmonary complications and delirium were the major postoperative complications, and were significantly more common in the PK group than in the ND group. Patients in the PK group had the longest postoperative hospital stay, followed by those in the CVD and ND groups; the differences were significant between the PK and ND groups and between CVD and ND groups. The PK group had the highest operative and hospital mortality rates, and they differed significantly from the ND group. Hayashi' s second method of quantification was used to assess the risk factors for postoperative death. The highest partial correlation coefficient was that found for postoperative pulmonary complication.<br>We conclude that we should pay close attention to postoperative respiratory management, particularly in elderly patients with Parkinsonism, to prevent pulmonary complications and reduce postoperative mortality.
Journal
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- Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
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Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics 34 (3), 192-195, 1997
The Japan Geriatrics Society
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Details 詳細情報について
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- CRID
- 1390001205020059264
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- NII Article ID
- 130003652286
- 10013852826
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- NII Book ID
- AN00199010
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- NDL BIB ID
- 4195258
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- ISSN
- 03009173
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- PubMed
- 9155193
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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- Abstract License Flag
- Disallowed