Pulmonary complications after major abdominal surgery: National Surgical Quality Improvement Program analysis

Yang, Chun; Teng, Annabelle; Lee, David Y.; Rose, Keith

doi:10.1016/j.jss.2015.03.028

Cited by 164 publications

(129 citation statements)

References 27 publications

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“…Previous reports have shown that patients with COPD are at an increased risk of pulmonary complications after abdominal surgery 7,8,15. However, information on the relationship between PPCs and mild-to-moderate COPD remains limited.…”

Section: Discussionmentioning

confidence: 99%

“…Pulmonary complications, which are common after major abdominal surgery, increase mortality, length of hospital stay, intensive care unit (ICU) cares, hospital readmissions, and medical cost 5–7. Identification of the risk factors for predicting postoperative pulmonary complications (PPCs) is essential to provide proper perioperative management.…”

Section: Introductionmentioning

confidence: 99%

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Pulmonary complications after abdominal surgery in patients with mild-to-moderate chronic obstructive pulmonary disease

Kim¹,

Lee²,

Lee³

et al. 2016

COPD

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Postoperative pulmonary complications (PPCs) are one of the most important causes of postoperative morbidity and mortality after abdominal surgery. Although chronic obstructive pulmonary disease (COPD) has been considered a risk factor for PPCs, it remains unclear whether mild-to-moderate COPD is a risk factor. This retrospective cohort study included 387 subjects who underwent abdominal surgery with general anesthesia in a tertiary referral hospital. PPCs included pneumonia, pulmonary edema, pulmonary thromboembolism, atelectasis, and acute exacerbation of COPD. Among the 387 subjects, PPCs developed in 14 (12.0%) of 117 patients with mild-to-moderate COPD and in 13 (15.1%) of 86 control patients. Multiple logistic regression analysis revealed that mild-to-moderate COPD was not a significant risk factor for PPCs (odds ratio [OR] =0.79; 95% confidence interval [CI] =0.31–2.03; P=0.628). However, previous hospitalization for respiratory problems (OR =4.20; 95% CI =1.52–11.59), emergency surgery (OR =3.93; 95% CI =1.75–8.82), increased amount of red blood cell (RBC) transfusion (OR =1.09; 95% CI =1.05–1.14 for one pack increase of RBC transfusion), and laparoscopic surgery (OR =0.41; 95% CI =0.18–0.93) were independent predictors of PPCs. These findings suggested that mild-to-moderate COPD may not be a significant risk factor for PPCs after abdominal surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pulmonary complications after abdominal surgery in patients with mild-to-moderate chronic obstructive pulmonary disease

Kim¹,

Lee²,

Lee³

et al. 2016

COPD

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“…Interestingly, an analysis of ACS-NSQIP data on major abdominal surgeries did not find BMI to be a risk factor for pulmonary complications (as defined by pneumonia, reintubation, and prolonged ventilator support 48 h), though prolonged operative time -often a complication of increasing BMI -was [14]. Similarly, BMI does not factor into a 2011 risk calculator for postoperative respiratory failure [15].…”

Section: Pulmonary Complicationsmentioning

confidence: 99%

Morbid obesity and perioperative complications

Tsai

Schumann

2016

Current Opinion in Anaesthesiology

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“…Among surgical complications, pulmonary ones are the second most common type, following the complications related to surgical site infection 2 . They can be defined as conditions that compromise the respiratory tract and that may adversely influence the patient's clinical condition after surgery.…”

mentioning

confidence: 99%

“…They increase perioperative mortality and are the main cause of postoperative morbidity and mortality in both cardiothoracic and noncardiothoracic surgeries. They also contribute to the increase of the hospitalization time and the re-hospitalization rates, raising the financial expenses with health care 2,3 .…”

mentioning

confidence: 99%

Incidência e fatores de complicações pulmonares pós-operatórias em pacientes submetidos à cirurgias de tórax e abdome

Ávila

Fenili

2017

Rev. Col. Bras. Cir.

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RESUMO Objetivos: avaliar a incidência de complicações pulmonares pós-operatórias em pacientes submetidos à cirurgias de tórax e abdome e os principais fatores envolvidos. Métodos: estudo analítico observacional prospectivo dos pacientes submetidos à cirurgias de tórax e abdome no Hospital Santo Antônio de Blumenau, SC. Os dados foram coletados dos prontuários eletrônicos e através de entrevistas estruturadas com os pacientes. Foram avaliados dados relativos às características dos pacientes e da cirurgia. A variável de desfecho foi a ocorrência de complicações pulmonares pós-operatórias. Resultados: foram estudados 314 pacientes, 65,6% do sexo feminino, com média de idade de 46,61 anos, 51,6% classificados como ASA II. Cirurgias por vídeo foram realizadas em 55,7% dos casos, abdominais em 85,4% e 61,5% dos procedimentos foram classificados como potencialmente contaminadas e de porte médio. O tempo médio de cirurgia foi de 126,65 minutos e os pacientes ficaram internados em média por 2,59 dias. A incidência de complicações pulmonares pós-operatórias foi de 11,5%. As complicações mais comuns foram a insuficiência respiratória, o derrame pleural e a pneumonia. Os fatores de risco mais importantes para estas complicações foram diabetes, internação hospitalar por mais de cinco dias e presença de doença pulmonar prévia. Os pacientes submetidos às cirurgias por vídeo apresentaram menor incidência de complicações. Conclusão: as complicações pulmonares pós-operatórias são frequentes e os fatores associados a maior risco foram diabetes, internação prolongada e presença de doença pulmonar prévia.

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Pulmonary complications after major abdominal surgery: National Surgical Quality Improvement Program analysis

Cited by 164 publications

References 27 publications

Pulmonary complications after abdominal surgery in patients with mild-to-moderate chronic obstructive pulmonary disease

Pulmonary complications after abdominal surgery in patients with mild-to-moderate chronic obstructive pulmonary disease

Morbid obesity and perioperative complications

Incidência e fatores de complicações pulmonares pós-operatórias em pacientes submetidos à cirurgias de tórax e abdome

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