Incidence and risk factor for short term postoperative cough after thyroidectomy

Abstract BackgroundThe prevalence of and potential risk factors for postoperative cough after thyroidectomy remain unknown. The current study aimed to analyze postoperative cough in patients undergoing thyroidectomy using a prospective analysis.MethodsAdult patients undergoing primary thyroidectomy were prospectively enrolled. Data regarding age, sex, BMI, pathology and surgical procedure were collected and analyzed. All patients were asked to complete the Leicester Cough Questionnaire (LCQ) preoperatively and at 2 weeks and 4 weeks postoperatively.ResultsThere were 1264 patients enrolled in total. Eleven patients with vocal cord paralysis were excluded. In patients with benign disease, postoperative cough occurred in 61 patients, with an prevalence rate of 17. 0% compared to an prevalence rate of 33.1% in patients with malignant disease; the difference was significant. For benign patients, the factors of smoking and operation time were independently related to the occurrence of postoperative cough. For malignant patients, the factors of smoking, operation time, operation extent, and the number of positive nodes at level 6 were independently related to the occurrence of postoperative cough. There was no significant difference regarding the LCQ score in patients with benign or malignant disease at the preoperative and the postoperative 4-week time periods. Patients with malignant disease had a significantly lower LCQ score than patients with benign disease at the postoperative 2-week time point (p=0.004).ConclusionsPatients undergoing thyroid cancer surgery had a higher prevalence of postoperative cough and were also associated with a decreased cough-related quality of life. The factors of smoking and operation time were the most important predictors for postoperative cough after thyroidectomy.

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Incidence and risk factor for short term postoperative cough after thyroidectomy

10.21203/rs.3.rs-27699/v2 ◽

2020 ◽

Author(s):

Junfu Wu ◽

Liyuan Dai ◽

Weihua Lou

Keyword(s):

Prevalence Rate ◽

Malignant Disease ◽

Operation Time ◽

Benign Disease ◽

Time Operation ◽

Leicester Cough Questionnaire ◽

Significant Difference ◽

Related Quality ◽

Potential Risk Factors ◽

The Difference

Abstract Background: The prevalence of and potential risk factors for postoperative cough after thyroidectomy remain unknown. The current study aimed to analyze postoperative cough in patients undergoing thyroidectomy using a prospective analysis.Methods: Adult patients undergoing primary thyroidectomy were prospectively enrolled. Data regarding age, sex, BMI, pathology and surgical procedure were collected and analyzed. All patients were asked to complete the Leicester Cough Questionnaire (LCQ) preoperatively and at 2 weeks and 4 weeks postoperatively.Results: There were 1264 patients enrolled in total. Eleven patients with vocal cord paralysis were excluded. In patients with benign disease, postoperative cough occurred in 61 patients, with an prevalence rate of 17. 0% compared to an prevalence rate of 33.1% in patients with malignant disease; the difference was significant. For benign patients, the factors of smoking and operation time were independently related to the occurrence of postoperative cough. For malignant patients, the factors of smoking, operation time, operation extent, and the number of positive nodes at level 6 were independently related to the occurrence of postoperative cough. There was no significant difference regarding the LCQ score in patients with benign or malignant disease at the preoperative and the postoperative 4-week time periods. Patients with malignant disease had a significantly lower LCQ score than patients with benign disease at the postoperative 2-week time point (p=0.004).Conclusions: Patients undergoing thyroid cancer surgery had a higher prevalence of postoperative cough and were also associated with a decreased cough-related quality of life. The factors of smoking and operation time were the most important predictors for postoperative cough after thyroidectomy.

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Incidence and risk factor for short term postoperative cough after thyroidectomy

10.21203/rs.3.rs-27699/v1 ◽

2020 ◽

Author(s):

Junfu Wu ◽

Liyuan Dai ◽

Weihua Lou

Keyword(s):

Prevalence Rate ◽

Malignant Disease ◽

Operation Time ◽

Benign Disease ◽

Time Operation ◽

Leicester Cough Questionnaire ◽

Significant Difference ◽

Related Quality ◽

Potential Risk Factors ◽

The Difference

Abstract Background The prevalence of and potential risk factors for postoperative cough after thyroidectomy remain unknown. The current study aimed to analyze postoperative cough in patients undergoing thyroidectomy using a prospective analysis. Methods Adult patients undergoing primary thyroidectomy were prospectively enrolled. Data regarding age, sex, BMI, pathology and surgical procedure were collected and analyzed. All patients were asked to complete the Leicester Cough Questionnaire (LCQ) preoperatively and at 2 weeks and 4 weeks postoperatively. Results There were 1264 patients enrolled in total. In patients with benign disease, postoperative cough occurred in 62 patients, with an prevalence rate of 17.2% compared to an prevalence rate of 32.9% in patients with malignant disease; the difference was significant. For benign patients, the factors of smoking and operation time were independently related to the occurrence of postoperative cough. For malignant patients, the factors of smoking, operation time, operation extent, and the number of positive nodes at level 6 were independently related to the occurrence of postoperative cough. There was no significant difference regarding the LCQ score in patients with benign or malignant disease at the preoperative and the postoperative 4-week time periods. Patients with malignant disease had a significantly lower LCQ score than patients with benign disease at the postoperative 2-week time point (p = 0.001). Conclusions Patients undergoing thyroid cancer surgery had a higher prevalence of postoperative cough and were also associated with a decreased cough-related quality of life. The factors of smoking and operation time were the most important predictors for postoperative cough after thyroidectomy.

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Incidence and risk factor for short term postoperative cough after thyroidectomy

10.21203/rs.3.rs-27699/v3 ◽

2020 ◽

Author(s):

Junfu Wu ◽

Liyuan Dai ◽

Weihua Lou

Keyword(s):

Prevalence Rate ◽

Malignant Disease ◽

Operation Time ◽

Benign Disease ◽

Time Operation ◽

Leicester Cough Questionnaire ◽

Significant Difference ◽

Related Quality ◽

Potential Risk Factors ◽

The Difference

Abstract Abstract Background : The prevalence of and potential risk factors for postoperative cough after thyroidectomy remain unknown. The current study aimed to analyze postoperative cough in patients undergoing thyroidectomy using a prospective analysis. Methods : Adult patients undergoing primary thyroidectomy were prospectively enrolled. Data regarding age, sex, BMI, pathology and surgical procedure were collected and analyzed. All patients were asked to complete the Leicester Cough Questionnaire (LCQ) preoperatively and at 2 weeks and 4 weeks postoperatively. Results : There were 1264 patients enrolled in total. Eleven patients with vocal cord paralysis were excluded. In patients with benign disease, postoperative cough occurred in 61 patients, with an prevalence rate of 17. 0% compared to an prevalence rate of 33.1% in patients with malignant disease; the difference was significant. For benign patients, the factors of smoking and operation time were independently related to the occurrence of postoperative cough. For malignant patients, the factors of smoking, operation time, operation extent, and the number of positive nodes at level 6 were independently related to the occurrence of postoperative cough. There was no significant difference regarding the LCQ score in patients with benign or malignant disease at the preoperative and the postoperative 4-week time periods. Patients with malignant disease had a significantly lower LCQ score than patients with benign disease at the postoperative 2-week time point (p=0.004). Conclusions : Patients undergoing thyroid cancer surgery had a higher prevalence of postoperative cough and were also associated with a decreased cough-related quality of life. The factors of smoking and operation time were the most important predictors for postoperative cough after thyroidectomy.

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Incidence and risk factor for short term postoperative cough after thyroidectomy

BMC Cancer ◽

10.1186/s12885-020-07392-1 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Junfu Wu ◽

Liyuan Dai ◽

Weihua Lou

Keyword(s):

Thyroid Surgery ◽

Prevalence Rate ◽

Malignant Disease ◽

Operation Time ◽

Benign Disease ◽

Time Operation ◽

Significant Difference ◽

Related Quality ◽

Potential Risk Factors ◽

The Difference

Abstract Background The prevalence of potential risk factors for postoperative cough after thyroidectomy remain unknown. The current study aimed to research postoperative cough in patients undergoing thyroid surgery prospectively. Methods Adult patients who underwent primary thyroid surgery were selected prospectively. Data regarding age, sex, BMI, pathology and surgical procedure were collected and analyzed. The Leicester Cugh Questionnaire (LCQ) was required to be completed by all patients before operation, 2 weeks and 4 weeks after operation. Results There were 1264 patients enrolled in total. Eleven patients with vocal cord paralysis were excluded. In patients with benign disease, postoperative cough occurred in 61 patients, with an prevalence rate of 17. 0% compared to an prevalence rate of 33.1% in patients with malignant disease; the difference was significant. For benign patients, the factors of smoking and operation time were independently related to the occurrence of postoperative cough. For malignant patients, the factors of smoking, operation time, operation extent, and the number of positive nodes at level 6 were independently related to the occurrence of postoperative cough. There was no significant difference regarding the LCQ score in patients with benign or malignant disease at the preoperative and the postoperative 4-week time periods. Patients with malignant disease had a significantly lower LCQ score than patients with benign disease at the postoperative 2-week time point (p = 0.004). Conclusions Patients undergoing thyroid cancer surgery had a higher incidence of postoperative cough and were also associated with a decreased cough-related quality of life. The factors of smoking and operation time were the most important predictors for postoperative cough after thyroidectomy.

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Incidence and risk factor for short term postoperative cough after thyroidectomy

10.21203/rs.3.rs-27699/v5 ◽

2020 ◽

Author(s):

Junfu Wu ◽

Liyuan Dai ◽

Weihua Lou

Keyword(s):

Thyroid Surgery ◽

Prevalence Rate ◽

Malignant Disease ◽

Operation Time ◽

Benign Disease ◽

Time Operation ◽

Significant Difference ◽

Related Quality ◽

Potential Risk Factors ◽

The Difference

Abstract Background: The prevalence of potential risk factors for postoperative cough after thyroidectomy remain unknown. The current study aimed to research postoperative cough in patients undergoing thyroid surgery prospectively.Methods: Adult patients who underwent primary thyroid surgery were selected prospectively. Data regarding age, sex, BMI, pathology and surgical procedure were collected and analyzed. The Leicester Cugh Questionnaire (LCQ) was required to be completed by all patients before operation, 2 weeks and 4 weeks after operation.Results: There were 1264 patients enrolled in total. Eleven patients with vocal cord paralysis were excluded. In patients with benign disease, postoperative cough occurred in 61 patients, with an prevalence rate of 17. 0% compared to an prevalence rate of 33.1% in patients with malignant disease; the difference was significant. For benign patients, the factors of smoking and operation time were independently related to the occurrence of postoperative cough. For malignant patients, the factors of smoking, operation time, operation extent, and the number of positive nodes at level 6 were independently related to the occurrence of postoperative cough. There was no significant difference regarding the LCQ score in patients with benign or malignant disease at the preoperative and the postoperative 4-week time periods. Patients with malignant disease had a significantly lower LCQ score than patients with benign disease at the postoperative 2-week time point (p=0.004).Conclusions: Patients undergoing thyroid cancer surgery had a higher incidence of postoperative cough and were also associated with a decreased cough-related quality of life. The factors of smoking and operation time were the most important predictors for postoperative cough after thyroidectomy.

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Comparison of Inflammatory Reactions Following Two Different Cesarean Section Techniques: The Modified Misgav-Ladach Versus the Pfannenstiel-Kerr; A Prospective Randomized Trial

Gynecology Obstetrics and Reproductive Medicine ◽

10.21613/gorm.2018.811 ◽

2018 ◽

pp. 1

Author(s):

Baris Buke ◽

Hatice Akkaya ◽

Cigdem Karakukcu

Keyword(s):

Cesarean Section ◽

Inflammatory Reaction ◽

Operation Time ◽

Blood Samples ◽

Inflammatory Reactions ◽

Tnf Α ◽

Significant Difference ◽

The Difference ◽

Group 2 ◽

Group 1

Objectives: There is not yet a consensus on the optimal surgical technique for cesarean section. This is the first study comparing two different (Cesarean Section) with respect to the following inflammatory reaction in means of changes in inflammatory marker levels. To evaluate the differences in inflammatory reactions following two different (Cesarean Section) techniques, the modified Misgav-Ladach versus the Pfannenstiel-Kerr technique.Study Desıgn: The study population included 88 pregnant women who met the inclusion criteria. These women were randomized into two groups according to Consolidated Standards of Reporting Trials guidelines: Group 1 (Misgav-Ladach group) and Group 2 (Pfannenstiel Kerr group). To compare the inflammatory reactions following surgery, Interleukin-6 (IL-6) and Tumor Necrosis Factor-α (TNF-α) levels were measured in venous blood samples drawn from the patients just before (0 hour) and 24 hours (24th hour) after the surgery. In 5 women from Group 1 and 2 women from Group 2, the 24th hour blood samples could not be obtained or were lost. Thus, a total of 81 women, 39 women from Group 1 and 42 women from Group 2, comprised the population of study. The differences in inflammatory reactions between the 0 and 24th hours were analyzed by calculating the percent change in IL-6 and TNF-α levels, and these percentages were then compared between the groups.Results: There was a statistically significant difference between Group 1 and Group 2 regarding the serum IL-6 level change between 0 and 24th hour (530±653% and 196±168%, respectively, p=0.022. The difference in TNF-α was also higher in Group 2, but the difference was not statistically significant (229±306% vs. 571±824%, p=0.12). The mean operation time was significantly shorter in Group 1 (9.44 min. vs. 16.86 min, p=0.0001).Conclusions: The results of this study indicate that the modified Misgav-Ladach technique has a weaker inflammatory reaction, which indicates fewer short- and long-term surgical complications.

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Predictive Value of Charlson Comorbidity Index and Cofactors on 2-Year Mortality in Older Patients With Intertrochanteric Fractures: A Retrospective Analysis

10.21203/rs.3.rs-136253/v1 ◽

2021 ◽

Author(s):

Jianda Xu ◽

Homma Yasuhiro ◽

Yuta Jinnai ◽

Tomonori Baba ◽

Zhuang Xu ◽

...

Keyword(s):

Blood Loss ◽

Older Patients ◽

Demographic Data ◽

Survival Rates ◽

Operation Time ◽

Intertrochanteric Fractures ◽

Time Out ◽

Time Operation ◽

Significant Difference ◽

First Time

Abstract The aim of this study was to evaluate the role of Charlson comorbidities index (CCI) and cofactors on 2-year mortality in older patients with intertrochanteric fractures. 60 cases with unilateral intertrochanteric fracture were retrospectively analyzed and divided into Low-CCI group (CCI: 1-4) or high-CCI groups (CCI: 5-6). All the patients’ electronic hospital records were reviewed. The preoperative situations (demographic data, comorbidities and fracture conditions), perioperative situations (wait time, operation time, implant choice, blood loss, transfusion or not) and postoperative situations (complications, first time out of bed, function about 1-/2- week and 2-year mortality) were recorded. 51.67% were in low-CCI group and 48.33% in high-CCI group. The survival rates in low- and high-CCI group were 93.5% and 86.2 % respectively. According to the functional results of 1- or 2- week after operation, no significant difference was found (P=0.955, 0.140). Log-rank analysis showed that the main prognostic factors were blood loss, first time out of bed and complication (P<0.05). Multivariate analysis confirmed that complication and first time out of bed were significant factor on survival rate (P=0.029, 0.010). Charlson comorbidities index maybe not the indicator of 2-year mortality in older patients with intertrochanteric fractures. In order to improve the prognosis, more attentions should be paid to reduce the complications and encourage postoperative earlier excise out of bed.

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A Study of Applying RFID for Heat Block Management in IC Packaging Factory

International Journal of Advanced Pervasive and Ubiquitous Computing ◽

10.4018/japuc.2010040104 ◽

2010 ◽

Vol 2 (2) ◽

pp. 57-68 ◽

Cited By ~ 1

Author(s):

Wei-Ling Wang ◽

Shu-Jen Wang ◽

Chiao-Tzu Huang

Keyword(s):

Integrated Circuit ◽

Operation Time ◽

Wire Bond ◽

Ic Packaging ◽

Significant Difference ◽

Before And After ◽

Test Of Hypothesis ◽

The Difference ◽

Die Bonding

In the integrated circuit (IC) packaging process, including operations of die sawing, die bonding, wire bonding, molding, plating, marking, trim/form, and inspection. Purposes of packaging include protecting ICs, making ICs easier to handle, and connecting ICs to the circuit outside. The wire bond stations are the bottleneck in the packaging and assemble process where the heat block is the key auxiliary parts in the stations. This research proposes a RFID-enabled Heat Block Management System (RHMS) to accurately control the progress of the IC packaging production line to meet the customer requirements. Our research analyzed all the flows of heat block management operations during before and after introducing RHMS. Hypothesis testing can verify significant difference between two sample sizes. Based on the statistics test of hypothesis, we compared the difference for before and after introducing RHMS. The results show that the RHMS can bring advantage for heat block management in wire bond stations. Moreover, it has clear improvement of saving counting and revising operation time. The contributions of this research are not only a case study but also a direction for applying RFID technology on IC packaging industry.

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Thromboembolism - Prophylaxis Using a Mechanical Device to Dorsiflex the Feet

10.1055/s-0039-1684786 ◽

1979 ◽

Author(s):

J.H. Scurr ◽

I. Robbe ◽

H. Ellis

Keyword(s):

Malignant Disease ◽

Specific Effect ◽

Operation Time ◽

Control Group ◽

Thromboembolism Prophylaxis ◽

Additional Risk ◽

Vein Thrombosis ◽

Significant Difference ◽

Uptake Test ◽

Deep Vein

Heparin has been used successfully to reduce the incidence of thromboembolism, but there is increasing evidence that altering coagulation results in a complication rate that does not justify its use for the routine protection of all surgical patients. This has prompted us to look at a mechanical method for dorsiflexine; feet (Pedi Pulsor) to reduce the incidence of deep vein thrombosis. We have studied 66 patients using the I125 fibrinogen uptake test undergoing major abdominal surgery, many with additional risk factors predisposing to a DVT. The group was randomly divided into two separate well matched groups. The incidence of DVT was reduced from 45% in the control group to 18% in the study group (P = 0.05). There was no significant difference in the operation time or the active dorsiflexion time in those patients who developed a DVT and in those who did not. we were unable to show a specific effect in patients with malignant disease. There was no late rise in the incidence of DVT’s. We conclude that this device reduces the incidence of DVT, and it may have a place in the total programme of prophylaxis.

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Development and Application of One Separation-Free Safety Tube on the Disposable Infusion Needle

Computational and Mathematical Methods in Medicine ◽

10.1155/2020/6896517 ◽

2020 ◽

Vol 2020 ◽

pp. 1-4

Author(s):

Weifen Lu ◽

Qianli Pan ◽

Yinxin Zhou ◽

Wenyu Chen ◽

Hongyan Zhang ◽

...

Keyword(s):

Exposure Time ◽

Statistical Significance ◽

Intervention Group ◽

Operation Time ◽

Control Group ◽

Needle Stick ◽

Significant Difference ◽

New Type ◽

Needle Stick Injuries ◽

The Difference

Objective. To develop a new type infusion set and apply it to the clinic, as well as explore its effectiveness in the prevention from needle stick injuries. Methods. A total of 200 inpatients who were in need of intravenous infusion with a disposable infusion needle were included and randomly divided into two groups: intervention group and control group. Disposable infusion needles with a separation-free safety tube were used in the intervention group, whereas conventional ones were used in the control group. Then, effects of the two types of infusion sets were observed and compared. Results. As for the operation time for infusion, it was (82.19±1.80) seconds in the intervention group and (83.02±1.83) seconds in the control group, with the difference statistically significant (P<0.05). Besides, the exposure time of the needles after infusion in the intervention group was (3.36±0.17) seconds while (18.85±1.18) seconds in the control group; the difference between which was statistically significant (P<0.05). In terms of the time for needle disposal, (18.60±0.84) seconds was required in the intervention group, while for the control group, it took (18.85±1.18) seconds, and the difference between two groups was of statistical significance as well (P<0.05). Nevertheless, there was no statistically significant difference in the accidental slip rate of the needles as that turned out 0% in both groups (P>0.05). It was worth noting that the block rate of the disposed needles in the intervention group was 100%. Conclusion. The separation-free safety tube on the disposable infusion needle could instantly block the sharp needle after infusion, which reduces the needle exposure time and lowers the risk of needle stick injuries. In the meantime, the safety tube is convenient to use, and its application can shorten the time for infusion and needle disposal, consequently improving the working efficiency of nurses. As the new type safety tube has above advantages and would not raise the risk of needle slippage, it is worthy of clinical promotion.

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