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June 6, 2007RespirologyOpen Access

Preoperative maximal exercise oxygen consumption test predicts postoperative pulmonary morbidity following major lung resection

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Why the study?

Does preoperative VO2max predict postoperative cardiopulmonary complications in patients undergoing major pulmonary surgery?

Population

55 patients undergoing major pulmonary surgery

Comparison

Preoperative maximal oxygen uptake test < 15… vs Preoperative VO2max > 15 mL/kg/min

Design

Cohort, Investigator blinded to the preoperative assessment prospectively…

Follow-up

Postoperative period

Key result

Preoperative VO2max < 15 mL/kg/min was associated with significantly more postoperative cardiopulmonary complications following major lung resection compared to > 15 mL/kg/min (39.3% vs 0%, P<0.05).

Authors

ABAhmet Sami BayramTCTarık CandanCGCengiz Gebitekin

Discussion

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Member takes

Overview

May support VO2max <15 mL/kg/min for risk stratification before lung resection; leaves open whether testing changes management or outcomes.

Study Design

Type

Cohort (n=55)

Blinding

Single-blind

Structured PICO

Does preoperative VO2max predict postoperative cardiopulmonary complications in patients undergoing major pulmonary surgery?

P
Population
55 patients (mean age 59, 11% female) undergoing major pulmonary surgery who completed preoperative VO2max testing, assessed for postoperative complications.
E
Exposure
Preoperative maximal oxygen uptake test (VO2max) < 15 mL/kg/min
C
Comparator
Preoperative VO2max > 15 mL/kg/min
O
Outcome
Postoperative cardiopulmonary complicationshard clinical

Main Result

Absolute Event Rate: 39.3% vs 0%

p-value: p=<0.05

Preoperative VO2max < 15 mL/kg/min significantly predicts postoperative cardiopulmonary complications following major lung resection, whereas FEV1 does not.

Cite This Study

Bayram et al. (2007) conducted a cohort in Major pulmonary resection (n=55). Preoperative VO2max < 15 mL/kg/min vs. Preoperative VO2max > 15 mL/kg/min was evaluated on Postoperative cardiopulmonary complications (p=<0.05). Preoperative VO2max < 15 mL/kg/min was associated with significantly more postoperative cardiopulmonary complications following major lung resection compared to > 15 mL/kg/min (39.3% vs 0%, P<0.05).

synapsesocial.com/papers/6a636ed2cd7899abd6b70b28https://doi.org/10.1111/j.1440-1843.2007.01097.x
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