Preoperative Assessment as a Predictor of Mortality and Morbidity After Lung Resection

Markos, James; Mullan, B.P.; Hillman, David R.; Musk, A.W.; Antico, Vincent F.; Lovegrove, F.; Carter, M. J.; Finucane, Kevin E.

doi:10.1097/00132586-198912000-00031

Cited by 82 publications

(190 citation statements)

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“…As generally accepted and tested in a comparable population [9,12,16], the equation proposed by Cherniak [15,17], derived in nonsmoking Caucasians, was used to calcuculate the predicted normal values for FEV1. For V 'O 2 ,max and V 'O 2 ,max .…”

Section: Cardiopulmonary Exercise Testsmentioning

confidence: 99%

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Exercise capacity and extent of resection as predictors of surgical risk in lung cancer

Spiliopoulos²,

et al. 2000

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Lung resection remains the most effective treatment for non-small cell lung cancer (NSCLC). However, there is no consensus about reliable operative risk assessment in these patients. The aim of this study was to identify predictors of postoperative complications and death after lung resection for NSCLC.In this prospective trial, 125 of 142 (88%) consecutive NSCLC patients from 1990 to August 1997 had complete data sets. All underwent functional assessment including spirometry and cardiopulmonary exercise tests and lung resection via thoracotomy.Complications occurred in 31 of 125 (25%) patients including 2 (1.6%) deaths. On logistic regression analysis, only maximal oxygen uptake (V 'O 2 ,max) . kg body weight -1 expressed as a percentage of the predicted value (p<0.0001) and the estimated extent of lung tissue resection (p=0.02) were independent predictors of postoperative complications. Six of seven patients with a V 'O 2 ,max . kg body weight -1 of <60% pred, but only eight of 65 with values >90% pred, exhibited postoperative complications.Maximal oxygen uptake and the estimated extent of lung tissue resection are independent predictors of postoperative complications. These simple parameters should be integrated into the preoperative decision analysis for operability in patients undergoing lung resection for lung cancer. Eur Respir J 2000; 15: 828±832.

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Section: Cardiopulmonary Exercise Testsmentioning

confidence: 99%

“…For the sake of comparison, the same definition for postoperative complications as used by SMITH et al [7], BECHARD and WETSTEIN [8], MARKOS et al [12] and BOLLIGER et al [9] was applied (table 2).…”

Section: Postoperative Complicationsmentioning

confidence: 99%

Exercise capacity and extent of resection as predictors of surgical risk in lung cancer

Spiliopoulos²,

et al. 2000

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“…Além disso, sua determinação em percentual é mais precisa do que em valores absolutos. Dessa maneira, pacientes com VEF 1 -EPO inferior a 35%-40% são de alto risco para evoluírem com graves complicações, incluindo morte, depois de procedimento com ressecção pulmonar [30][31][32] . Uma simples avaliação da função residual do pulmão pode ser obtida admitindo-se que todos os 19 segmentos pulmonares contribuem igualmente para o funcionamento do pulmão.…”

Section: Espirometriaunclassified

“…Esse exame é capaz de detectar enfisema pulmonar, mesmo quando variáveis espirométricas apresentam-se normais 35 . Vários estudos identificam a capacidade de difusão como importante fator de previsão para detectar morbimortalidade pós-operatória 26,31,36,37 . Da mesma forma que o VEF 1 -EPO, a CDP pode ser estimada para o pós-operatório (CDP-EPO) e provavelmente é, isoladamente, o mais importante previsor de complicações pós-ressecção pulmonar.…”

Section: Capacidade De Difusão Pulmonar (Cdp)unclassified

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Avaliação pré-operatória do pneumopata

Ramos

Filho²,

Pereira³

et al. 2003

Rev. Bras. Anestesiol.

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Justificativa e Objetivos -As complicações pulmonares são a s c a u s a s m a i s f r e q ü e n t e s d e m o r b i m o r t a l i d a d e pós-operatória C o n c l u s õ e s -O p o r t a d o r d e d o e n ç a r e s p i r a t ó r i a , especialmente as de evolução crônica, necessita ser rigorosamente avaliado no pré-operatório. A classificação do estado físico (ASA) e o índice de Goldman são fatores de p r e v i s ã o d e r i s c o i m p o r t a n t e s n o s p n e u m o p a t a s não-candidatos à ressecção pulmonar. Somando-se a esses critérios, nos candidatos à ressecção pulmonar, o VO 2 max, o V E F 1 e c a p a c i d a d e d e d i f u s ã o e s t i m a d o s p a r a

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Surgical management of early stage lung cancer

Zorn

Nesbitt

2000

Sem. Surg. Onc.

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Preoperative Assessment as a Predictor of Mortality and Morbidity After Lung Resection

Cited by 82 publications

References 0 publications

Exercise capacity and extent of resection as predictors of surgical risk in lung cancer

Exercise capacity and extent of resection as predictors of surgical risk in lung cancer

Avaliação pré-operatória do pneumopata

Surgical management of early stage lung cancer

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