Aspiration pneumonia related deaths in head and neck cancer patients: a retrospective analysis of risk factors from a tertiary care centre in North India
Aspiration pneumonia is an important cause of death in head and neck cancer patients. This study therefore aimed to evaluate the risk factors associated with aspiration pneumonia in head and neck cancer patients. Hospital death records from 12 years (2000-2012) were reviewed to obtain the number of...
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| Published in | Journal of laryngology and otology Vol. 129; no. 7; pp. 710 - 714 |
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| Main Authors | , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Cambridge, UK
Cambridge University Press
01.07.2015
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0022-2151 1748-5460 |
| DOI | 10.1017/S0022215115001450 |
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| Abstract | Aspiration pneumonia is an important cause of death in head and neck cancer patients. This study therefore aimed to evaluate the risk factors associated with aspiration pneumonia in head and neck cancer patients.
Hospital death records from 12 years (2000-2012) were reviewed to obtain the number of deaths. Treatment details and cause of death were analysed. Statistical analysis was performed to identify the risk factors for aspiration pneumonia.
The records revealed that aspiration pneumonia was the cause of death in 51 out of 85 patients. Primary tumour site (oropharynx and hypopharynx, odds ratio 3.3; 95 per cent confidence interval 1.17-9.4, p = 0.02) and advanced tumour stage (odds ratio 4.2, 95 per cent confidence interval 1.16-15.61, p = 0.02) had significant negative impacts on aspiration pneumonia related mortality.
Advanced pharyngeal cancer patients are at an increased risk of aspiration pneumonia related death. Investigations for the early detection of this condition are recommended in these high-risk patients. |
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| AbstractList | Background: Aspiration pneumonia is an important cause of death in head and neck cancer patients. This study therefore aimed to evaluate the risk factors associated with aspiration pneumonia in head and neck cancer patients. Methods: Hospital death records from 12 years (2000-2012) were reviewed to obtain the number of deaths. Treatment details and cause of death were analysed. Statistical analysis was performed to identify the risk factors for aspiration pneumonia. Results: The records revealed that aspiration pneumonia was the cause of death in 51 out of 85 patients. Primary tumour site (oropharynx and hypopharynx, odds ratio 3.3; 95 per cent confidence interval 1.17-9.4, p = 0.02) and advanced tumour stage (odds ratio 4.2, 95 per cent confidence interval 1.16-15.61, p = 0.02) had significant negative impacts on aspiration pneumonia related mortality. Conclusion: Advanced pharyngeal cancer patients are at an increased risk of aspiration pneumonia related death. Investigations for the early detection of this condition are recommended in these high-risk patients. Aspiration pneumonia is an important cause of death in head and neck cancer patients. This study therefore aimed to evaluate the risk factors associated with aspiration pneumonia in head and neck cancer patients. Hospital death records from 12 years (2000-2012) were reviewed to obtain the number of deaths. Treatment details and cause of death were analysed. Statistical analysis was performed to identify the risk factors for aspiration pneumonia. The records revealed that aspiration pneumonia was the cause of death in 51 out of 85 patients. Primary tumour site (oropharynx and hypopharynx, odds ratio 3.3; 95 per cent confidence interval 1.17-9.4, p = 0.02) and advanced tumour stage (odds ratio 4.2, 95 per cent confidence interval 1.16-15.61, p = 0.02) had significant negative impacts on aspiration pneumonia related mortality. Advanced pharyngeal cancer patients are at an increased risk of aspiration pneumonia related death. Investigations for the early detection of this condition are recommended in these high-risk patients. |
| Author | Kairo, A K Roy, S Madan, R Upadhyay, A D Singh, S Sharma, A Mohanti, B K Bhasker, S Kaur, J Singh, L Rath, G K |
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| Cites_doi | 10.1001/archotol.133.12.1289 10.1177/000348949110000815 10.1016/j.radonc.2009.04.014 10.3109/0284186X.2012.742205 10.1001/archotol.126.3.384 10.1016/j.ctrv.2012.04.002 10.1002/hed.23275 10.1017/S0022215106002751 10.1016/j.radonc.2006.07.031 10.1002/hed.23246 10.5535/arm.2011.35.6.781 10.1002/hed.10385 10.1001/archotol.126.3.371 10.1056/NEJM200103013440908 |
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| Keywords | Head and Neck Cancer Death Chemoradiotherapy Aspiration Pneumonia India |
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| SubjectTerms | Dysphagia Female Head & neck cancer Head and Neck Neoplasms - complications Head and Neck Neoplasms - mortality Head and Neck Neoplasms - therapy Humans India Main Articles Male Middle Aged Morbidity Odds Ratio Patients Pneumonia Pneumonia, Aspiration - mortality Prognosis Radiation therapy Retrospective Studies Risk Factors Surgery Swallowing Toxicity |
| Title | Aspiration pneumonia related deaths in head and neck cancer patients: a retrospective analysis of risk factors from a tertiary care centre in North India |
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