Key result
Restrictive pulmonary disorders in surgical patients were associated with a 10% incidence of early and 11.7% incidence of late postoperative pulmonary complications, with preoperative PaO2 ≤ 68 mmHg identified as an independent risk factor.
Why the study?
The incidence of postoperative pulmonary complications in restrictive pulmonary disorders remains indefinite, especially in adults.
Cohort (n=60)
No
In patients with restrictive pulmonary disorders, the incidence of postoperative pulmonary complications is approximately 10-12%, and a preoperative PaO2 ≤ 68 mmHg serves as an independent predictor of these complications.
May guide preoperative risk stratification in restrictive lung disease; leaves open whether PaO2 optimization reduces complications.
Background The incidence of postoperative pulmonary complications (POPCs) in restrictive pulmonary disorders remains indefinite especially in adults. Therefore, this study is structured to evaluate the incidence and risk factors of POPCs in restrictive pulmonary disorders. Methods 2177 preoperative consultations have been prospectively evaluated from May 2015 to May 2016 in Cukurova University, Department of Chest Diseases. 60 of them (2.8%) met restrictive pulmonary function tests (PFTs) criteria and all of them were enrolled in the study. Each participant was evaluated at the 7th day and has been followed-up until 30th day after surgery. Clinical, surgical, PFT and arterial blood gas analysis parameters were evaluated to analyse risk factors of POPCs. Results The incidence of early and late POPCs as 10% and 11.7% in restrictive pulmonary disorders. Preoperative PaO2 ≤ 68 mmHg is an independent risk factor of POPCs. Surgery site, duration of surgery, age, previous or current smoking, preoperative PFT results, physical status, cardiopulmonary risk points, abnormal chest radiography were not significantly related with an increased risk in our study. Conclusions The incidence of POPCs in restrictive pulmonary disorders is high. The patients with restrictive pulmonary disorders should be evaluated with particular care perioperatively. Arterial blood gas analysis may give additional knowledge about increased POPCs risk.
No takes yet. Share an insight, caveat, or question.
Baydar et al. (2019) conducted a cohort in Restrictive pulmonary disorders (n=60). Restrictive pulmonary disorders was evaluated on Incidence of late postoperative pulmonary complications at 30 days. Restrictive pulmonary disorders in surgical patients were associated with a 10% incidence of early and 11.7% incidence of late postoperative pulmonary complications, with preoperative PaO2 ≤ 68 mmHg identified as an independent risk factor.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: