Endobronchial ultrasound transbronchial needle aspiration in older people

Shotaro Okachi, Naoyuki Imai, Kazuyoshi Imaizumi, Tetsunari Hase, Yuichiro Shindo, Koji Sakamoto, Hiromichi Aso, Keiko Wakahara, Izumi Hashimoto, Satoru Ito, Naozumi Hashimoto, Mitsuo Sato, Masashi Kondo, Yoshinori Hasegawa

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Aim: The usefulness and safety of endobronchial ultrasound transbronchial needle aspiration (EBUS-TBNA) have been established recently, but no study has evaluated whether or not aging increases the risk of the procedure. In the present study, we aimed to assess the usefulness and safety of EBUS-TBNA in older patients. Methods: The medical records and database of 109 patients who received EBUS-TBNA between 2008 and 2011 at Nagoya University Hospital, Nagoya, Japan were reviewed retrospectively. All patients underwent bronchoscopy under light sedation with midazolam. A total of 34 patients were aged 70 years or older (the older group) and 75 were aged 69 years or younger (the younger group). We analyzed patients' characteristics, changes of clinical parameters, usage doses of midazolam and lidocaine, procedure duration, geographic data of biopsied lymph nodes, diagnostic yield, and complications in both groups. Results: There were more comorbidities in the older group. Four patients (11.8%) in the older group had poor performance status (2-3). Systolic blood pressure at baseline was significantly higher in the older group. There were no statistical differences between the two groups in some clinical parameters (minimum oxygen saturation [SpO2], reduction in SpO2, maximum oxygen supplementation, elevation of systolic blood pressure, increase of heart rate) during the procedure. Diagnostic performance in older patients was similar to that found in younger patients. There was no difference in the frequency of complications between both groups. Conclusion: Safety and usefulness of EBUS-TBNA in older people were comparable with those in younger people. Geriatr Gerontol Int 2013; 13: 986-992.

Original languageEnglish
Pages (from-to)986-992
Number of pages7
JournalGeriatrics and Gerontology International
Volume13
Issue number4
DOIs
Publication statusPublished - 01-10-2013
Externally publishedYes

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Needles
Group
Blood Pressure
Midazolam
Safety
diagnostic
Oxygen
Bronchoscopy
comorbidity
Lidocaine
Medical Records
performance
Comorbidity
Japan
Heart Rate
Lymph Nodes
Databases
Light

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Gerontology
  • Geriatrics and Gerontology

Cite this

Okachi, S., Imai, N., Imaizumi, K., Hase, T., Shindo, Y., Sakamoto, K., ... Hasegawa, Y. (2013). Endobronchial ultrasound transbronchial needle aspiration in older people. Geriatrics and Gerontology International, 13(4), 986-992. https://doi.org/10.1111/ggi.12043
Okachi, Shotaro ; Imai, Naoyuki ; Imaizumi, Kazuyoshi ; Hase, Tetsunari ; Shindo, Yuichiro ; Sakamoto, Koji ; Aso, Hiromichi ; Wakahara, Keiko ; Hashimoto, Izumi ; Ito, Satoru ; Hashimoto, Naozumi ; Sato, Mitsuo ; Kondo, Masashi ; Hasegawa, Yoshinori. / Endobronchial ultrasound transbronchial needle aspiration in older people. In: Geriatrics and Gerontology International. 2013 ; Vol. 13, No. 4. pp. 986-992.
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author = "Shotaro Okachi and Naoyuki Imai and Kazuyoshi Imaizumi and Tetsunari Hase and Yuichiro Shindo and Koji Sakamoto and Hiromichi Aso and Keiko Wakahara and Izumi Hashimoto and Satoru Ito and Naozumi Hashimoto and Mitsuo Sato and Masashi Kondo and Yoshinori Hasegawa",
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Okachi, S, Imai, N, Imaizumi, K, Hase, T, Shindo, Y, Sakamoto, K, Aso, H, Wakahara, K, Hashimoto, I, Ito, S, Hashimoto, N, Sato, M, Kondo, M & Hasegawa, Y 2013, 'Endobronchial ultrasound transbronchial needle aspiration in older people', Geriatrics and Gerontology International, vol. 13, no. 4, pp. 986-992. https://doi.org/10.1111/ggi.12043

Endobronchial ultrasound transbronchial needle aspiration in older people. / Okachi, Shotaro; Imai, Naoyuki; Imaizumi, Kazuyoshi; Hase, Tetsunari; Shindo, Yuichiro; Sakamoto, Koji; Aso, Hiromichi; Wakahara, Keiko; Hashimoto, Izumi; Ito, Satoru; Hashimoto, Naozumi; Sato, Mitsuo; Kondo, Masashi; Hasegawa, Yoshinori.

In: Geriatrics and Gerontology International, Vol. 13, No. 4, 01.10.2013, p. 986-992.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Endobronchial ultrasound transbronchial needle aspiration in older people

AU - Okachi, Shotaro

AU - Imai, Naoyuki

AU - Imaizumi, Kazuyoshi

AU - Hase, Tetsunari

AU - Shindo, Yuichiro

AU - Sakamoto, Koji

AU - Aso, Hiromichi

AU - Wakahara, Keiko

AU - Hashimoto, Izumi

AU - Ito, Satoru

AU - Hashimoto, Naozumi

AU - Sato, Mitsuo

AU - Kondo, Masashi

AU - Hasegawa, Yoshinori

PY - 2013/10/1

Y1 - 2013/10/1

N2 - Aim: The usefulness and safety of endobronchial ultrasound transbronchial needle aspiration (EBUS-TBNA) have been established recently, but no study has evaluated whether or not aging increases the risk of the procedure. In the present study, we aimed to assess the usefulness and safety of EBUS-TBNA in older patients. Methods: The medical records and database of 109 patients who received EBUS-TBNA between 2008 and 2011 at Nagoya University Hospital, Nagoya, Japan were reviewed retrospectively. All patients underwent bronchoscopy under light sedation with midazolam. A total of 34 patients were aged 70 years or older (the older group) and 75 were aged 69 years or younger (the younger group). We analyzed patients' characteristics, changes of clinical parameters, usage doses of midazolam and lidocaine, procedure duration, geographic data of biopsied lymph nodes, diagnostic yield, and complications in both groups. Results: There were more comorbidities in the older group. Four patients (11.8%) in the older group had poor performance status (2-3). Systolic blood pressure at baseline was significantly higher in the older group. There were no statistical differences between the two groups in some clinical parameters (minimum oxygen saturation [SpO2], reduction in SpO2, maximum oxygen supplementation, elevation of systolic blood pressure, increase of heart rate) during the procedure. Diagnostic performance in older patients was similar to that found in younger patients. There was no difference in the frequency of complications between both groups. Conclusion: Safety and usefulness of EBUS-TBNA in older people were comparable with those in younger people. Geriatr Gerontol Int 2013; 13: 986-992.

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