Key result
Four-variable preoperative risk score predicts postoperative pulmonary complications with a moderate c-statistic of 0.70.
Why the study?
Postoperative pulmonary complications following major cardiothoracic or abdominal surgery increase morbidity and stay length, requiring optimized physiotherapy strategies to improve outcomes and resource utilization.
Can a preoperative risk prediction score identify patients at high risk for postoperative pulmonary complications following major cardiothoracic and abdominal surgery?
Population
339 patients admitted for major elective cardiothoracic or abdominal surgery
Design
Prospective observational single-center study
Authors
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May support preoperative risk stratification in major surgery; leaves open external validation before clinical use.
Observational (n=339)
No
Can a preoperative risk prediction score identify patients at high risk for postoperative pulmonary complications following major cardiothoracic and abdominal surgery?
A newly developed preoperative risk prediction score using four clinical variables provides moderate discrimination for identifying patients at risk of postoperative pulmonary complications after major cardiothoracic or abdominal surgery.
Jensen et al. (2022) conducted an observational in Major cardiothoracic or abdominal surgery (n=339). Preoperative risk prediction score (reduced lung function, recent unintended weight loss, sternotomy, thoraco-abdominal incision) was evaluated on Postoperative pulmonary complications (PPC) amendable to chest physiotherapy. A preoperative risk prediction score for postoperative pulmonary complications was developed with moderate discrimination (c-statistic 0.70) based on four independent predictors.
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