Key result
Preoperative pulmonary hypertension was not associated with increased perioperative mortality (0.0% vs 2.9%, P=1.0) or postoperative complications (57.9% vs 47.7%, P=0.48) following lobectomy.
Why the study?
Does pulmonary hypertension increase perioperative mortality and postoperative complications in adult patients undergoing lobectomy for cancer?
Population
298 adult patients who underwent a lobectomy for cancer and had a transthoracic echocardiogram performed…
Comparison
Presence of pulmonary hypertension (defined as… vs Absence of pulmonary hypertension
Design
Cohort
Follow-up
perioperative/postoperative
Authors
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Should not yet alter risk stratification for lobectomy; leaves open confirmation in larger prospective cohorts.
Cohort (n=298)
Does pulmonary hypertension increase perioperative mortality and postoperative complications in adult patients undergoing lobectomy for cancer?
Absolute Event Rate: 57.9% vs 47.7%
p-value: p=0.48
Pulmonary hypertension may not be an absolute contraindication for lobectomy in selected patients, as it was not associated with significantly increased perioperative mortality or complications.
Wei et al. (2013) conducted a cohort in Cancer requiring pulmonary lobectomy (n=298). Pulmonary hypertension vs. No pulmonary hypertension was evaluated on Postoperative complications (p=0.48). Preoperative pulmonary hypertension was not associated with increased perioperative mortality (0.0% vs 2.9%, P=1.0) or postoperative complications (57.9% vs 47.7%, P=0.48) following lobectomy.
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