Preoperative pulmonary function tests do not predict the development of pulmonary complications after elective major abdominal surgery: A prospective cohort study
Background: Data describing the association of preoperative pulmonary function testing (PFT) with postoperative pulmonary complications (PPC) are inconsistent. We conducted this prospective study to determine the ability of PFT to predict PPC.Materials and methods: Data were prospectively collected...
Ausführliche Beschreibung
Autor*in: |
Yokota, Shinichiro [verfasserIn] Koizumi, Masaru [verfasserIn] Togashi, Kazutomo [verfasserIn] Morimoto, Mitsuaki [verfasserIn] Yasuda, Yoshikazu [verfasserIn] Sata, Naohiro [verfasserIn] Lefor, Alan Kawarai [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2019 |
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Schlagwörter: |
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Übergeordnetes Werk: |
Enthalten in: International journal of surgery - Amsterdam [u.a.] : Elsevier Science, 2003, 73, Seite 65-71 |
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Übergeordnetes Werk: |
volume:73 ; pages:65-71 |
DOI / URN: |
10.1016/j.ijsu.2019.11.032 |
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Katalog-ID: |
ELV00346007X |
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245 | 1 | 0 | |a Preoperative pulmonary function tests do not predict the development of pulmonary complications after elective major abdominal surgery: A prospective cohort study |
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520 | |a Background: Data describing the association of preoperative pulmonary function testing (PFT) with postoperative pulmonary complications (PPC) are inconsistent. We conducted this prospective study to determine the ability of PFT to predict PPC.Materials and methods: Data were prospectively collected from 676 patients who underwent elective abdominal surgery (emergency and thoracic operations excluded). The primary outcome was the occurrence of PPC within 30 days. Patient and procedure-related factors were examined as risk factors. Multivariate logistic regression analysis was performed using risk factors identified with univariate analysis and area under the curve (AUC) analysis performed.Results: PPC occurred in 29 patients (4.9%). History of smoking or abnormal physical examination were not significantly associated. Multivariate analysis identified age (p = 0.03), operative time (p = 0.02), blood transfusions (p = 0.002), and %VC (p = 0.001) as significant risk factors. AUC with a model including age, operative time, and blood transfusion was 0.83. The addition of %VC to these three variables increased the AUC to 0.89 (p = 0.1).Conclusions: Age, operative time, blood transfusion, and %VC are significantly associated with an increased risk of PPC. The addition of %VC to other risk factors did not significantly improve the ability to predict PPC, showing that preoperative PFT is not helpful to predict PPC. | ||
650 | 4 | |a Elective surgical procedures | |
650 | 4 | |a Abdominal surgery | |
650 | 4 | |a Postoperative pulmonary complications | |
650 | 4 | |a Pulmonary function test | |
650 | 4 | |a Preoperative care | |
700 | 1 | |a Koizumi, Masaru |e verfasserin |4 aut | |
700 | 1 | |a Togashi, Kazutomo |e verfasserin |4 aut | |
700 | 1 | |a Morimoto, Mitsuaki |e verfasserin |4 aut | |
700 | 1 | |a Yasuda, Yoshikazu |e verfasserin |4 aut | |
700 | 1 | |a Sata, Naohiro |e verfasserin |4 aut | |
700 | 1 | |a Lefor, Alan Kawarai |e verfasserin |4 aut | |
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10.1016/j.ijsu.2019.11.032 doi (DE-627)ELV00346007X (ELSEVIER)S1743-9191(19)30355-3 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Yokota, Shinichiro verfasserin aut Preoperative pulmonary function tests do not predict the development of pulmonary complications after elective major abdominal surgery: A prospective cohort study 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Data describing the association of preoperative pulmonary function testing (PFT) with postoperative pulmonary complications (PPC) are inconsistent. We conducted this prospective study to determine the ability of PFT to predict PPC.Materials and methods: Data were prospectively collected from 676 patients who underwent elective abdominal surgery (emergency and thoracic operations excluded). The primary outcome was the occurrence of PPC within 30 days. Patient and procedure-related factors were examined as risk factors. Multivariate logistic regression analysis was performed using risk factors identified with univariate analysis and area under the curve (AUC) analysis performed.Results: PPC occurred in 29 patients (4.9%). History of smoking or abnormal physical examination were not significantly associated. Multivariate analysis identified age (p = 0.03), operative time (p = 0.02), blood transfusions (p = 0.002), and %VC (p = 0.001) as significant risk factors. AUC with a model including age, operative time, and blood transfusion was 0.83. The addition of %VC to these three variables increased the AUC to 0.89 (p = 0.1).Conclusions: Age, operative time, blood transfusion, and %VC are significantly associated with an increased risk of PPC. The addition of %VC to other risk factors did not significantly improve the ability to predict PPC, showing that preoperative PFT is not helpful to predict PPC. Elective surgical procedures Abdominal surgery Postoperative pulmonary complications Pulmonary function test Preoperative care Koizumi, Masaru verfasserin aut Togashi, Kazutomo verfasserin aut Morimoto, Mitsuaki verfasserin aut Yasuda, Yoshikazu verfasserin aut Sata, Naohiro verfasserin aut Lefor, Alan Kawarai verfasserin aut Enthalten in International journal of surgery Amsterdam [u.a.] : Elsevier Science, 2003 73, Seite 65-71 Online-Ressource (DE-627)499546253 (DE-600)2201966-2 (DE-576)271361158 1743-9159 nnns volume:73 pages:65-71 GBV_USEFLAG_U SYSFLAG_U GBV_ELV GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2068 GBV_ILN_2336 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.65 Chirurgie AR 73 65-71 |
spelling |
10.1016/j.ijsu.2019.11.032 doi (DE-627)ELV00346007X (ELSEVIER)S1743-9191(19)30355-3 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Yokota, Shinichiro verfasserin aut Preoperative pulmonary function tests do not predict the development of pulmonary complications after elective major abdominal surgery: A prospective cohort study 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Data describing the association of preoperative pulmonary function testing (PFT) with postoperative pulmonary complications (PPC) are inconsistent. We conducted this prospective study to determine the ability of PFT to predict PPC.Materials and methods: Data were prospectively collected from 676 patients who underwent elective abdominal surgery (emergency and thoracic operations excluded). The primary outcome was the occurrence of PPC within 30 days. Patient and procedure-related factors were examined as risk factors. Multivariate logistic regression analysis was performed using risk factors identified with univariate analysis and area under the curve (AUC) analysis performed.Results: PPC occurred in 29 patients (4.9%). History of smoking or abnormal physical examination were not significantly associated. Multivariate analysis identified age (p = 0.03), operative time (p = 0.02), blood transfusions (p = 0.002), and %VC (p = 0.001) as significant risk factors. AUC with a model including age, operative time, and blood transfusion was 0.83. The addition of %VC to these three variables increased the AUC to 0.89 (p = 0.1).Conclusions: Age, operative time, blood transfusion, and %VC are significantly associated with an increased risk of PPC. The addition of %VC to other risk factors did not significantly improve the ability to predict PPC, showing that preoperative PFT is not helpful to predict PPC. Elective surgical procedures Abdominal surgery Postoperative pulmonary complications Pulmonary function test Preoperative care Koizumi, Masaru verfasserin aut Togashi, Kazutomo verfasserin aut Morimoto, Mitsuaki verfasserin aut Yasuda, Yoshikazu verfasserin aut Sata, Naohiro verfasserin aut Lefor, Alan Kawarai verfasserin aut Enthalten in International journal of surgery Amsterdam [u.a.] : Elsevier Science, 2003 73, Seite 65-71 Online-Ressource (DE-627)499546253 (DE-600)2201966-2 (DE-576)271361158 1743-9159 nnns volume:73 pages:65-71 GBV_USEFLAG_U SYSFLAG_U GBV_ELV GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2068 GBV_ILN_2336 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.65 Chirurgie AR 73 65-71 |
allfields_unstemmed |
10.1016/j.ijsu.2019.11.032 doi (DE-627)ELV00346007X (ELSEVIER)S1743-9191(19)30355-3 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Yokota, Shinichiro verfasserin aut Preoperative pulmonary function tests do not predict the development of pulmonary complications after elective major abdominal surgery: A prospective cohort study 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Data describing the association of preoperative pulmonary function testing (PFT) with postoperative pulmonary complications (PPC) are inconsistent. We conducted this prospective study to determine the ability of PFT to predict PPC.Materials and methods: Data were prospectively collected from 676 patients who underwent elective abdominal surgery (emergency and thoracic operations excluded). The primary outcome was the occurrence of PPC within 30 days. Patient and procedure-related factors were examined as risk factors. Multivariate logistic regression analysis was performed using risk factors identified with univariate analysis and area under the curve (AUC) analysis performed.Results: PPC occurred in 29 patients (4.9%). History of smoking or abnormal physical examination were not significantly associated. Multivariate analysis identified age (p = 0.03), operative time (p = 0.02), blood transfusions (p = 0.002), and %VC (p = 0.001) as significant risk factors. AUC with a model including age, operative time, and blood transfusion was 0.83. The addition of %VC to these three variables increased the AUC to 0.89 (p = 0.1).Conclusions: Age, operative time, blood transfusion, and %VC are significantly associated with an increased risk of PPC. The addition of %VC to other risk factors did not significantly improve the ability to predict PPC, showing that preoperative PFT is not helpful to predict PPC. Elective surgical procedures Abdominal surgery Postoperative pulmonary complications Pulmonary function test Preoperative care Koizumi, Masaru verfasserin aut Togashi, Kazutomo verfasserin aut Morimoto, Mitsuaki verfasserin aut Yasuda, Yoshikazu verfasserin aut Sata, Naohiro verfasserin aut Lefor, Alan Kawarai verfasserin aut Enthalten in International journal of surgery Amsterdam [u.a.] : Elsevier Science, 2003 73, Seite 65-71 Online-Ressource (DE-627)499546253 (DE-600)2201966-2 (DE-576)271361158 1743-9159 nnns volume:73 pages:65-71 GBV_USEFLAG_U SYSFLAG_U GBV_ELV GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2068 GBV_ILN_2336 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.65 Chirurgie AR 73 65-71 |
allfieldsGer |
10.1016/j.ijsu.2019.11.032 doi (DE-627)ELV00346007X (ELSEVIER)S1743-9191(19)30355-3 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Yokota, Shinichiro verfasserin aut Preoperative pulmonary function tests do not predict the development of pulmonary complications after elective major abdominal surgery: A prospective cohort study 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Data describing the association of preoperative pulmonary function testing (PFT) with postoperative pulmonary complications (PPC) are inconsistent. We conducted this prospective study to determine the ability of PFT to predict PPC.Materials and methods: Data were prospectively collected from 676 patients who underwent elective abdominal surgery (emergency and thoracic operations excluded). The primary outcome was the occurrence of PPC within 30 days. Patient and procedure-related factors were examined as risk factors. Multivariate logistic regression analysis was performed using risk factors identified with univariate analysis and area under the curve (AUC) analysis performed.Results: PPC occurred in 29 patients (4.9%). History of smoking or abnormal physical examination were not significantly associated. Multivariate analysis identified age (p = 0.03), operative time (p = 0.02), blood transfusions (p = 0.002), and %VC (p = 0.001) as significant risk factors. AUC with a model including age, operative time, and blood transfusion was 0.83. The addition of %VC to these three variables increased the AUC to 0.89 (p = 0.1).Conclusions: Age, operative time, blood transfusion, and %VC are significantly associated with an increased risk of PPC. The addition of %VC to other risk factors did not significantly improve the ability to predict PPC, showing that preoperative PFT is not helpful to predict PPC. Elective surgical procedures Abdominal surgery Postoperative pulmonary complications Pulmonary function test Preoperative care Koizumi, Masaru verfasserin aut Togashi, Kazutomo verfasserin aut Morimoto, Mitsuaki verfasserin aut Yasuda, Yoshikazu verfasserin aut Sata, Naohiro verfasserin aut Lefor, Alan Kawarai verfasserin aut Enthalten in International journal of surgery Amsterdam [u.a.] : Elsevier Science, 2003 73, Seite 65-71 Online-Ressource (DE-627)499546253 (DE-600)2201966-2 (DE-576)271361158 1743-9159 nnns volume:73 pages:65-71 GBV_USEFLAG_U SYSFLAG_U GBV_ELV GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2068 GBV_ILN_2336 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.65 Chirurgie AR 73 65-71 |
allfieldsSound |
10.1016/j.ijsu.2019.11.032 doi (DE-627)ELV00346007X (ELSEVIER)S1743-9191(19)30355-3 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Yokota, Shinichiro verfasserin aut Preoperative pulmonary function tests do not predict the development of pulmonary complications after elective major abdominal surgery: A prospective cohort study 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Data describing the association of preoperative pulmonary function testing (PFT) with postoperative pulmonary complications (PPC) are inconsistent. We conducted this prospective study to determine the ability of PFT to predict PPC.Materials and methods: Data were prospectively collected from 676 patients who underwent elective abdominal surgery (emergency and thoracic operations excluded). The primary outcome was the occurrence of PPC within 30 days. Patient and procedure-related factors were examined as risk factors. Multivariate logistic regression analysis was performed using risk factors identified with univariate analysis and area under the curve (AUC) analysis performed.Results: PPC occurred in 29 patients (4.9%). History of smoking or abnormal physical examination were not significantly associated. Multivariate analysis identified age (p = 0.03), operative time (p = 0.02), blood transfusions (p = 0.002), and %VC (p = 0.001) as significant risk factors. AUC with a model including age, operative time, and blood transfusion was 0.83. The addition of %VC to these three variables increased the AUC to 0.89 (p = 0.1).Conclusions: Age, operative time, blood transfusion, and %VC are significantly associated with an increased risk of PPC. The addition of %VC to other risk factors did not significantly improve the ability to predict PPC, showing that preoperative PFT is not helpful to predict PPC. Elective surgical procedures Abdominal surgery Postoperative pulmonary complications Pulmonary function test Preoperative care Koizumi, Masaru verfasserin aut Togashi, Kazutomo verfasserin aut Morimoto, Mitsuaki verfasserin aut Yasuda, Yoshikazu verfasserin aut Sata, Naohiro verfasserin aut Lefor, Alan Kawarai verfasserin aut Enthalten in International journal of surgery Amsterdam [u.a.] : Elsevier Science, 2003 73, Seite 65-71 Online-Ressource (DE-627)499546253 (DE-600)2201966-2 (DE-576)271361158 1743-9159 nnns volume:73 pages:65-71 GBV_USEFLAG_U SYSFLAG_U GBV_ELV GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2014 GBV_ILN_2068 GBV_ILN_2336 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.65 Chirurgie AR 73 65-71 |
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We conducted this prospective study to determine the ability of PFT to predict PPC.Materials and methods: Data were prospectively collected from 676 patients who underwent elective abdominal surgery (emergency and thoracic operations excluded). The primary outcome was the occurrence of PPC within 30 days. Patient and procedure-related factors were examined as risk factors. Multivariate logistic regression analysis was performed using risk factors identified with univariate analysis and area under the curve (AUC) analysis performed.Results: PPC occurred in 29 patients (4.9%). History of smoking or abnormal physical examination were not significantly associated. Multivariate analysis identified age (p = 0.03), operative time (p = 0.02), blood transfusions (p = 0.002), and %VC (p = 0.001) as significant risk factors. AUC with a model including age, operative time, and blood transfusion was 0.83. The addition of %VC to these three variables increased the AUC to 0.89 (p = 0.1).Conclusions: Age, operative time, blood transfusion, and %VC are significantly associated with an increased risk of PPC. The addition of %VC to other risk factors did not significantly improve the ability to predict PPC, showing that preoperative PFT is not helpful to predict PPC.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Elective surgical procedures</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Abdominal surgery</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Postoperative pulmonary complications</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Pulmonary function test</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Preoperative care</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Koizumi, Masaru</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Togashi, Kazutomo</subfield><subfield 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Yokota, Shinichiro |
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Yokota, Shinichiro ddc 610 bkl 44.65 misc Elective surgical procedures misc Abdominal surgery misc Postoperative pulmonary complications misc Pulmonary function test misc Preoperative care Preoperative pulmonary function tests do not predict the development of pulmonary complications after elective major abdominal surgery: A prospective cohort study |
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Yokota, Shinichiro Koizumi, Masaru Togashi, Kazutomo Morimoto, Mitsuaki Yasuda, Yoshikazu Sata, Naohiro Lefor, Alan Kawarai |
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preoperative pulmonary function tests do not predict the development of pulmonary complications after elective major abdominal surgery: a prospective cohort study |
title_auth |
Preoperative pulmonary function tests do not predict the development of pulmonary complications after elective major abdominal surgery: A prospective cohort study |
abstract |
Background: Data describing the association of preoperative pulmonary function testing (PFT) with postoperative pulmonary complications (PPC) are inconsistent. We conducted this prospective study to determine the ability of PFT to predict PPC.Materials and methods: Data were prospectively collected from 676 patients who underwent elective abdominal surgery (emergency and thoracic operations excluded). The primary outcome was the occurrence of PPC within 30 days. Patient and procedure-related factors were examined as risk factors. Multivariate logistic regression analysis was performed using risk factors identified with univariate analysis and area under the curve (AUC) analysis performed.Results: PPC occurred in 29 patients (4.9%). History of smoking or abnormal physical examination were not significantly associated. Multivariate analysis identified age (p = 0.03), operative time (p = 0.02), blood transfusions (p = 0.002), and %VC (p = 0.001) as significant risk factors. AUC with a model including age, operative time, and blood transfusion was 0.83. The addition of %VC to these three variables increased the AUC to 0.89 (p = 0.1).Conclusions: Age, operative time, blood transfusion, and %VC are significantly associated with an increased risk of PPC. The addition of %VC to other risk factors did not significantly improve the ability to predict PPC, showing that preoperative PFT is not helpful to predict PPC. |
abstractGer |
Background: Data describing the association of preoperative pulmonary function testing (PFT) with postoperative pulmonary complications (PPC) are inconsistent. We conducted this prospective study to determine the ability of PFT to predict PPC.Materials and methods: Data were prospectively collected from 676 patients who underwent elective abdominal surgery (emergency and thoracic operations excluded). The primary outcome was the occurrence of PPC within 30 days. Patient and procedure-related factors were examined as risk factors. Multivariate logistic regression analysis was performed using risk factors identified with univariate analysis and area under the curve (AUC) analysis performed.Results: PPC occurred in 29 patients (4.9%). History of smoking or abnormal physical examination were not significantly associated. Multivariate analysis identified age (p = 0.03), operative time (p = 0.02), blood transfusions (p = 0.002), and %VC (p = 0.001) as significant risk factors. AUC with a model including age, operative time, and blood transfusion was 0.83. The addition of %VC to these three variables increased the AUC to 0.89 (p = 0.1).Conclusions: Age, operative time, blood transfusion, and %VC are significantly associated with an increased risk of PPC. The addition of %VC to other risk factors did not significantly improve the ability to predict PPC, showing that preoperative PFT is not helpful to predict PPC. |
abstract_unstemmed |
Background: Data describing the association of preoperative pulmonary function testing (PFT) with postoperative pulmonary complications (PPC) are inconsistent. We conducted this prospective study to determine the ability of PFT to predict PPC.Materials and methods: Data were prospectively collected from 676 patients who underwent elective abdominal surgery (emergency and thoracic operations excluded). The primary outcome was the occurrence of PPC within 30 days. Patient and procedure-related factors were examined as risk factors. Multivariate logistic regression analysis was performed using risk factors identified with univariate analysis and area under the curve (AUC) analysis performed.Results: PPC occurred in 29 patients (4.9%). History of smoking or abnormal physical examination were not significantly associated. Multivariate analysis identified age (p = 0.03), operative time (p = 0.02), blood transfusions (p = 0.002), and %VC (p = 0.001) as significant risk factors. AUC with a model including age, operative time, and blood transfusion was 0.83. The addition of %VC to these three variables increased the AUC to 0.89 (p = 0.1).Conclusions: Age, operative time, blood transfusion, and %VC are significantly associated with an increased risk of PPC. The addition of %VC to other risk factors did not significantly improve the ability to predict PPC, showing that preoperative PFT is not helpful to predict PPC. |
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Koizumi, Masaru Togashi, Kazutomo Morimoto, Mitsuaki Yasuda, Yoshikazu Sata, Naohiro Lefor, Alan Kawarai |
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