Predictive factors for complications in elderly patients who underwent head and neck oncologic surgery.

Predictive factors for complications in elderly patients who underwent head and neck oncologic surgery. Research Abstract Details 

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Predictive factors for complications in elderly patients who underwent head and neck oncologic surgery. Abstract Text:

Alvaro Sanabria, Carvalho,Rosana L Melo, Magrin,Mauro K Ikeda, Vartanian,Luiz P Kowalski,

BACKGROUND.: Postoperative complications are relevant outcomes in patients with head and neck tumor who have undergone surgery. Few trials have assessed predictive factors in older patients. We assessed the predictive effect of preoperative clinical factors on postoperative complications. METHODS.: We conducted a cohort study with 242 patients older than 70 years with head and neck cancer who underwent surgery. Logistic regression identified predictive factors for postoperative complications. Significant variables were used to build a predictive index. RESULTS.: Comorbidities were present in 87.6% of patients, and 56.6% had some type of complication (44.6% local and 28.5% systemic). Male sex, bilateral neck dissection, presence of 2 or more comorbidities, reconstruction, and clinical stage IV were associated with postoperative complications. The predictive index showed a receiver operating characteristics curve (ROC) area of 0.69. CONCLUSION.: It is possible to predict postoperative complications in older patients with head and neck tumors who underwent oncologic surgery using clinical preoperative variables. (c) 2007 Wiley Periodicals, Inc. Head Neck, 2008.

Predictive factors for complications in elderly patients who underwent head and neck oncologic surgery. Publishing Authors By Initials

A Sanabria,AL Carvalho,RL Melo,J Magrin,MK Ikeda,JG Vartanian,LP Kowalski,

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Predictive factors for complications in elderly patients who underwent head and neck oncologic surgery. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Head & neck

VOLUME: 30

Page Numbers: 170-7

Journal Abbreviation: Head Neck

ISSN: 1043-3074

DAY: 15

MONTH: Feb

YEAR: 2008

Predictive factors for complications in elderly patients who underwent head and neck oncologic surgery. Information

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LANGUAGE: eng

NlmUniqueID: 8902541

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AFFILIATION: Department of Head and Neck Surgery and Otorhinolaringology, Hospital do Câncer AC Camargo, Fundação Antonio Prudente, São Paulo, Brazil.

Country: United States

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MEDLINETA: Head Neck

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