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February 1, 1995Anesthesia & Analgesia

Factors Associated with Postoperative Pulmonary Complications in Patients with Severe Chronic Obstructive Pulmonary Disease

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Why the study?

What are the risk factors associated with postoperative pulmonary complications in patients with severe COPD undergoing noncardiothoracic operations?

Population

105 patients with severe chronic obstructive pulmonary disease undergoing noncardiothoracic operations

Design

Cohort

Follow-up

2 years

Authors

DWDavid H. WongUnited States Department of Veterans AffairsEWErich C. WeberCalifornia State University, Long BeachMSMichael J. SchellMoffitt Cancer Center

Discussion

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Implication

ASA status may inform risk stratification in severe COPD; hypothesis-generating for anesthesia duration and intubation strategies.

Structured PICO

What are the risk factors associated with postoperative pulmonary complications in patients with severe COPD undergoing noncardiothoracic operations?

P
Population
105 patients with severe chronic obstructive pulmonary disease (FEV1 <= 1.2 L and FEV1/FVC < 75%) undergoing noncardiothoracic operations
O
Outcome
Incidence of postoperative pulmonary complications (PPCs) including death, pneumonia, prolonged intubation, refractory bronchospasm, or prolonged intensive care unit (ICU) staycomposite

In patients with severe COPD undergoing noncardiothoracic surgery, composite scores like ASA physical status best predict pulmonary complications, and minimizing anesthesia duration and avoiding tracheal intubation may reduce risk.

Cite This Study

Wong et al. (1995) studied this question.

synapsesocial.com/papers/6a7b70bae357fbdac589de68https://doi.org/10.1097/00000539-199502000-00013
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Also Consider

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

  1. 1Pulmonary Evaluation of Surgical Patients1962 · 211 citations
  2. 2Chronic Obstructive Pulmonary Disease and Respiratory Complications1983 · 19 citations
  3. 3In-hospital and long-term mortality in male veterans following noncardiac surgery. The Study of Perioperative Ischemia Research Group1992 · 146 citations
  4. 4Computer Analysis of Postanesthetic Deaths1973 · 298 citations
  5. 5A Statistical Analysis of the Relationship of Physical Status to Postoperative Mortality in 68,388 Cases1970 · 392 citations