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February 1, 1998Archives of Surgery

The final linear logistic model included postoperative nasogastric intubation (OR 21.8), preoperative sputum production (OR 4.6), and longer anesthesia duration (OR exp[0.01x] for an increase in x minutes), resulting in 92% accuracy in predicting PPCs.

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Why the study?

What are the risk factors associated with postoperative pulmonary complications in patients undergoing elective nonthoracic surgery?

Population

148 patients aged 40 years or older who required elective, nonthoracic surgery under general or spinal…

Design

Cohort

Follow-up

until discharged from the hospital

Authors

CMCharlene K. Mitchell

Discussion

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Overview

May improve PPC risk stratification in nonthoracic surgery; leaves open whether modifying identified factors reduces complications.

Structured PICO

What are the risk factors associated with postoperative pulmonary complications in patients undergoing elective nonthoracic surgery?

P
Population
148 patients aged 40 years or older who required elective, nonthoracic surgery under general or spinal anesthesia and who were hospitalized at least 24 hours postoperatively
O
Outcome
Development of 1 or more of the following conditions: acute bronchitis, bronchospasm, atelectasis, pneumonia, adult respiratory distress syndrome, pleural effusion, pneumothorax, prolonged mechanical ventilation, or death secondary to acute respiratory failurecomposite

Postoperative nasogastric intubation, preoperative sputum production, and longer anesthesia duration are significant predictors of postoperative pulmonary complications in elective nonthoracic surgery.

Cite This Study

Charlene K. Mitchell (1998) studied this question.

synapsesocial.com/papers/6a6f5dfc75498292b708c212https://doi.org/10.1001/archsurg.133.2.194
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Factors Associated with Postoperative Pulmonary Complications in Patients with Severe Chronic Obstructive Pulmonary Disease1995 · 231 citations
  2. 2Factors Associated with Postoperative Pulmonary Complications in Patients with Severe Chronic Obstructive Pulmonary Disease1995 · 69 citations
  3. 3Prospective assessment of the risk of postoperative pulmonary complications in patients submitted to upper abdominal surgery1999 · 83 citations
  4. 4Evaluation of risk factors for postoperative pulmonary complications after elective open upper abdominal surgery in chronic obstructive pulmonary diseases patients2019 · 7 citations
  5. 5Postoperative pulmonary complications in patients undergoing upper abdominal surgery: risk factors and predictive models2024 · 6 citations