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International Bulletin of Otorhinolaryngology

Risk Factors For Periopertive Complications In Patients Undergoing Laryngectomies

Ts. Marinov, M. Belitova, T. Popov, J. Rangachev, D. Popova

Abstract

Introduction: The European Society of Cardiology provides guidelines for preoperative cardiac risk assessment in patients undergoing laryngectomies. Cardiovascular risk factors: chronic congestive heart failure, ischemic heart disease, severe arrhythmias, valvular diseases, have important prognostic significance for major surgical interventions and must be carefully evaluated preoperatively.
The Aim of the study is to determine the most common risk factors leading to perioperative complications in patients undergoing laryngectomies.
Materials and Methods: A retrospective cohort study including 1260 patients with laryngeal carcinoma, operated in the Department of Otorhinolaryngology at the University Hospital „Queen Giovanna“ – ISUL, Sofia, in the period 2007-2011.
Results and discussion: The most common risk factors leading to perioperative complications in patients undergoing laryngectomies are: smoking,alcohol abuse, cardiovascular risk factors: arterial hypertension, ischemic heart disease, atrial fibrillation, and respiratory risk factors: chronic obstructive pulmonary disease.
Conclusion: There are many risk factors in patients undergoing laryngectomies that can lead to postoperative complications, respectively prolong the hospital stay and increase medical expenses.

Keywords

Laryngectomies, smoking, alcohol abuse, cardiovascular and respiratory risk factors

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DOI: http://dx.doi.org/10.14748/orl.v14i3.6763

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