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November 13, 2007European Journal of Cardio-Thoracic Surgery

A prospective analysis of the inter-relationship between lung volume reduction surgery and body mass index☆☆☆

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Why the study?

Does preoperative BMI influence the perioperative course and physiological benefits of lung volume reduction surgery in patients with COPD?

Population

114 consecutive patients with COPD who underwent lung volume reduction surgery since 1995 and had complete…

Comparison

Lung volume reduction surgery (LVRS) vs Comparison across three preoperative BMI…

Design

Cohort

Follow-up

up to 36 months

Authors

PVPaul VaughanIOInger OeyMSMichael Steiner

Discussion

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Overview

Overweight patients may have fewer perioperative complications after LVRS; observational data leaves open whether BMI should guide selection.

Structured PICO

Does preoperative BMI influence the perioperative course and physiological benefits of lung volume reduction surgery in patients with COPD?

P
Population
114 consecutive patients with COPD who underwent lung volume reduction surgery (LVRS) since 1995 and had complete preoperative BMI data.
I
Intervention
Lung volume reduction surgery (LVRS)
C
Comparator
Comparison across three preoperative BMI categories: underweight (BMI ≤19 kg/m2), normal (BMI 20-25 kg/m2), and overweight (BMI >26 kg/m2)
O
Outcome
In-hospital course (ITU admissions, hospital stay) and perioperative change in BMI at 3, 6, 12, 24 and 36 monthshard clinical

Preoperative BMI significantly influences the perioperative course of lung volume reduction surgery, with underweight patients experiencing more complicated courses but achieving significant postoperative BMI increases.

Cite This Study

Vaughan et al. (2007) studied this question.

synapsesocial.com/papers/6a70ab1e26770c2b8de0ab88https://doi.org/10.1016/j.ejcts.2007.09.016
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