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Table 1 Patients’ characteristics

From: Risk factors for aspiration pneumonia after definitive chemoradiotherapy or bio-radiotherapy for locally advanced head and neck cancer: a monocentric case control study

Background

n (%)

Age

  < 65 years

149 (49)

  ≥ 65 years

156 (51)

Gender

 Male

266 (87)

 Female

39 (13)

ECOG performance status

 0

181 (59)

 1

109 (36)

 2

12 (4)

 3

3 (1)

Body mass index

  < 18.5

46 (15)

 18.5–25

199 (65)

  ≥ 25

60 (20)

Primary site

 Larynx

45 (15)

 Nasopharynx

38 (12)

 Hypopharynx

112 (37)

 Nasal sinus

17 (6)

 Oropharynx

79 (26)

 Oral cavity

14 (5)

T-classification

 1

28 (9)

 2

110 (36)

 3

66 (66)

 4

101 (33)

N-classification

 0

63 (21)

 1

39 (13)

 2a

3 (1)

 2b

126 (41)

 2c

60 (20)

 3

14 (5)

Tumor histology

 SCC

287 (94)

 Others

18 (6)

Smoking status

 Never

36 (12)

 Past

200 (66)

 Current

69 (23)

Habitual alcoholic consumption

 Yes

121 (40)

 No

184 (60)

Distance from the hospital

  < 10 km

92 (30)

  ≥ 10 km

213 (70)

Family members in the same household

 Yes

258 (85)

 No

47 (15)

Use of ACEi or ARB

 ARB

53 (17)

 ACEi

2 (1)

 No

250 (82)

Use of PPI or H2 blocker

 Yes

163 (53)

 No

142 (47)

Oral hygiene before treatment

 Good

100 (33)

 Poor

193 (63)

 Unknown

12 (4)

Coexistence of other malignancies

 Yes

36 (12)

 No

269 (88)

Comorbidity index

 0

233 (76)

  ≥ 1

72 (24)

Serum albumin before treatment

 Within normal limits

259 (85)

 Less than normal range

46 (15)

Hemoglobin before treatment

 Within normal limits

212 (70)

 Less than normal range

93 (30)

Use of sleeping pills at the end of treatment

 Yes

210 (69)

 No

95 (31)

Main feeding at the end of treatment

 Oral

127 (42)

 Non-oral

178 (58)

Presence of gastrostomy during the treatment

 Yes

173 (57)

 No

132 (43)

Induction chemotherapy

 Yes

76 (25)

 No

229 (75)

Concurrent chemotherapy regimen

 CDDP-based

235 (77)

 CBDCA-based

42 (14)

 Cetuximab

28 (9)

Radiation technique

 Conventional 3D-CRT

241 (79)

 IMRT

64 (21)

Irradiation field

 Primary lesion alone

40 (13)

 Hemi neck

19 (6)

 Whole neck

246 (81)

Treatment efficacy

 CR

199 (65)

 Non-CR

106 (35)

Body weight loss after treatment

  < 10%

178 (58)

  ≥ 10%

127 (42)

Serum albumin decreasing post-treatment

  < 20%

114 (37)

  ≥ 20%

191 (63)

Hemoglobin decreasing post-treatment

  < 30%

138 (45)

  ≥ 30%

167 (55)

The worst mucositis grade during treatment

 0

3 (1)

 1

16 (5)

 2

102 (33)

 3

182 (60)

 4

2 (1)

The worst dysphagia grade during treatment

 0

12 (4)

 1

84 (28)

 2

76 (25)

 3

133 (44)

 4

0

Resection of primary lesion post-CRT or -BRT

 Yes

30 (10)

 No

275 (90)

Neck dissection post-CRT or -BRT

 Radical neck dissection

0

 Modified radical neck dissection

1 (1)

 Selective neck dissection

44 (14)

  1. Abbreviations: ECOG Eastern Cooperative Oncology Group, SCC Squamous cell carcinoma, ACEi Angiotensin-converting enzyme inhibitor, ARB Angiotensin II receptor blocker, PPI Proton pump inhibitor, 3D-CRT Three-dimensional conformal radiation therapy, IMRT Intensity-modulated radiation therapy, CR Complete response, CRT Chemoradiotherapy, BRT Bio-radiotherapy
  2. The normal range of laboratory data at our institution: Serum albumin (3.8–5.2 g/dl), hemoglobin (male: 13.5–17.6 g/dl, female: 11.3–15.2 g/dl)