The value of preoperative pulmonary assessment in predicting postoperative pulmonary complications

OBJECTIVE: We aimed to determine the preoperative parameters that may predict postoperative pulmonary complications (POPCs) and the value of some current practical indexes in predicting POPCs. MATERIALS and METHODS: Our study is a retrospective cohort study carried out in 9 different centers. Patients admitted to the chest diseases outpatient clinic for preoperative evaluation were followed up during the 6-month study period. Patients with or without postoperative complications were evaluated retrospectively, and the effect of some parameters and indexes recorded during the preoperative evaluation of chest diseases on POPC development was investigated statistically. RESULTS: A total of 307 patients were included in the study. POPCs were observed in 100 patients (32.6%). About 13% of these complications were respiratory tract infections, 59% were respiratory failure, 45% were pleural effusion, and 42% were atelectasis, which were the most common pulmonary complications. The probability of experiencing POPCs by patients with chronic obstructive pulmonary disease (COPD) is 2.5 (1.18-5.67) times more than those without COPD. We determined that patients with the history of upper respiratory tract infection during the preoperative period are 5.3 times more likely to have POPCs; similarly, the number was 4.7 for patients undergoing cardiac operation and 3.3 for patients with interstitial infiltration. CONCLUSION: The risk of pulmonary complications was higher for those with the history of upper respiratory tract infection during the preoperative period, those undergoing cardiac surgery, those with the shortness of breath, those with the history of COPD, and those with the reticular/interstitial infiltrations in the chest X-ray. These parameters should be examined carefully in the preoperative period and should be careful in terms of pulmonary complications that may develop during the postoperative period.

Yazar Diken, Ozlem Ercen
Fazlioglu, Nevin
Sarioglu, Nurhan
Ogan, Nalan
Yilmaz, Nafiye
Tanriverdi, Hakan
Sengul, Aysun
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/3694
Tek Biçim Adres 10.4103/ejop.ejop_18_19
Konu Başlıkları Postoperative assessment
preoperative assessment
pulmonary complications
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı EURASIAN JOURNAL OF PULMONOLOGY
Dergi Cilt Bilgisi 21
Dergi Sayısı 1
Sayfalar 29 - 37
Yayın Yılı 2019
Eser Adı
[dc.title]
The value of preoperative pulmonary assessment in predicting postoperative pulmonary complications
Yazar
[dc.contributor.author]
Diken, Ozlem Ercen
Yazar
[dc.contributor.author]
Fazlioglu, Nevin
Yazar
[dc.contributor.author]
Sarioglu, Nurhan
Yazar
[dc.contributor.author]
Ogan, Nalan
Yazar
[dc.contributor.author]
Yilmaz, Nafiye
Yazar
[dc.contributor.author]
Tanriverdi, Hakan
Yazar
[dc.contributor.author]
Sengul, Aysun
Yayın Yılı
[dc.date.issued]
2019
Yayıncı
[dc.publisher]
WOLTERS KLUWER MEDKNOW PUBLICATIONS
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
OBJECTIVE: We aimed to determine the preoperative parameters that may predict postoperative pulmonary complications (POPCs) and the value of some current practical indexes in predicting POPCs. MATERIALS and METHODS: Our study is a retrospective cohort study carried out in 9 different centers. Patients admitted to the chest diseases outpatient clinic for preoperative evaluation were followed up during the 6-month study period. Patients with or without postoperative complications were evaluated retrospectively, and the effect of some parameters and indexes recorded during the preoperative evaluation of chest diseases on POPC development was investigated statistically. RESULTS: A total of 307 patients were included in the study. POPCs were observed in 100 patients (32.6%). About 13% of these complications were respiratory tract infections, 59% were respiratory failure, 45% were pleural effusion, and 42% were atelectasis, which were the most common pulmonary complications. The probability of experiencing POPCs by patients with chronic obstructive pulmonary disease (COPD) is 2.5 (1.18-5.67) times more than those without COPD. We determined that patients with the history of upper respiratory tract infection during the preoperative period are 5.3 times more likely to have POPCs; similarly, the number was 4.7 for patients undergoing cardiac operation and 3.3 for patients with interstitial infiltration. CONCLUSION: The risk of pulmonary complications was higher for those with the history of upper respiratory tract infection during the preoperative period, those undergoing cardiac surgery, those with the shortness of breath, those with the history of COPD, and those with the reticular/interstitial infiltrations in the chest X-ray. These parameters should be examined carefully in the preoperative period and should be careful in terms of pulmonary complications that may develop during the postoperative period.
Açıklama
[dc.description]
WOS: 000466857400005
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Postoperative assessment
Konu Başlıkları
[dc.subject]
preoperative assessment
Konu Başlıkları
[dc.subject]
pulmonary complications
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
2148-3620
ISSN
[dc.identifier.issn]
2148-5402
İlk Sayfa Sayısı
[dc.identifier.startpage]
29
Son Sayfa Sayısı
[dc.identifier.endpage]
37
Dergi Adı
[dc.relation.journal]
EURASIAN JOURNAL OF PULMONOLOGY
Dergi Sayısı
[dc.identifier.issue]
1
Dergi Cilt Bilgisi
[dc.identifier.volume]
21
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.4103/ejop.ejop_18_19
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/3694
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
6
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
20 Şubat 2024 17:20
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Tıklayınız
complications patients preoperative pulmonary period during respiratory history parameters postoperative diseases Patients without cardiac evaluation undergoing infection indexes should probability determined experiencing chronic obstructive disease (COPD) OBJECTIVE surgery develop careful carefully examined infiltrations reticular/interstitial breath
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