Key result
Open abdominal surgery increased the risk of postoperative pulmonary complications compared to laparoscopic surgery, alongside higher BMI, elevated preoperative BUN, and intraoperative blood transfusion.
Why the study?
To identify the risk factors for postoperative pulmonary complications after upper or lower abdominal digestive tract surgery.
Observational (n=544)
No
Higher BMI, elevated preoperative BUN, open abdominal surgery, and intraoperative blood transfusion are significant risk factors for postoperative pulmonary complications in patients admitted to the surgical ICU after digestive tract surgery.
Answers are grounded in this paper and cite their sources.
May inform perioperative risk assessment in abdominal surgery; leaves open prospective validation before guiding practice.
The purpose of this study was to identify the risk factors for postoperative pulmonary complications (PPCs) after upper or lower abdominal digestive tract surgery. Methods: Participants in this retrospective observational study had undergone upper or lower digestive tract surgery and entered the surgical intensive care unit between March 1, 2016 and February 28, 2017. Data were collected from the medical records, operative records, results of laboratory test, and the nursing records of the hospitals. Results: Of the patients, 544 patients were enrolled in the study and PPCs -developed in 335 (61.6%) patients. On multivariate logistic regression analysis, significant risk factors of PPCs were identified: BMI (Body Mass Index; kg/m 2 ), preoperative serum BUN (Blood Urea Nitrogen; mg/dL), abdominal open surgery, or blood transfusion during operation. Conclusion: These risk factors could be used to help identify patients at risk for PPCs and then appropriate nursing interventions could be provided for patients at risk of PPCs.
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Joo et al. (2019) conducted an observational in Postoperative pulmonary complications after abdominal surgery (n=544). Open abdominal surgery vs. Laparoscopic surgery was evaluated on Development of postoperative pulmonary complications (PPCs) (OR 1.67, 95% CI 1.13-2.47, p=0.011). Open abdominal surgery increased the risk of postoperative pulmonary complications compared to laparoscopic surgery, alongside higher BMI, elevated preoperative BUN, and intraoperative blood transfusion.
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