Performance at Symptom-Limited Stair-Climbing Test is Associated With Increased Cardiopulmonary Complications, Mortality, and Costs After Major Lung Resection

Surgical risk tests related to cardiopulmonary postoperative complications: comparison between upper abdominal and thoracic surgery

“…Exercise tests can be those of maximal effort such as ergospirometry that measures the oxygen consumption (VO 2 ) 5 or submaximal effort such as stair-climbing test (SCT) [6][7][8][9][10][11][12][13][14][15] and six-minute walk test (6MWT) 9,16 .…”

Perioperative Pulmonary Functional Assessment

“…The effectiveness of stair climbing test to predict serious cardiopulmonary complications following the lung resection surgery has already been demonstrated (Olsen et al, 1991). Against this background, the patients who climb less than 12 meters have a 2-fold higher rate of complications and mortality 23 times higher when compared with those who climb more than 22 meters, with a mortality rate of less than 1% (Brunelli et al, 2008). It has also been noticed that in patients with ppo-FEV1 or ppo-DLCO less than 40%, who climed more than 22 meters, the mortality rate is nonexistent (Brunelli et al, 2008).…”

“…Against this background, the patients who climb less than 12 meters have a 2-fold higher rate of complications and mortality 23 times higher when compared with those who climb more than 22 meters, with a mortality rate of less than 1% (Brunelli et al, 2008). It has also been noticed that in patients with ppo-FEV1 or ppo-DLCO less than 40%, who climed more than 22 meters, the mortality rate is nonexistent (Brunelli et al, 2008). Oximetry during the exercise has been proposed as a useful test in the preoperative assessment of candidates for lung resection (Colice et al, 2007).…”

Pulmonary Rehabilitation in lung cancer

“…The advantages when compared with the classic CPET are, in addition to the simplicity, low cost (it requires little or no equipment and personnel), safety, user-friendliness for patients and the involvement of a greater number of muscle groups with respect to the cycle ergometer or treadmill. It has also been demonstrated that this test may determine higher levels of oxygen consumption, compared with a treadmill or cycle ergometer, therefore it seems more suitable in highlighting oxygen transfer deficiency which could cause post-operative complications or mortality [69][70][71][72].…”