Time in the stair-climbing test as a predictor of thoracotomy postoperative complications

Abstract

The only variable showing association with complications, according to multivariate analysis, was stair-climbing time.

Fixed-Altitude Stair-Climbing Test Replacing the Conventional Symptom-Limited Test. A Pilot Study

“…7,9 at which the patient climbs to this altitude that is measured. Both groups found a significant association between the parameters measured and CPC, 8 and also with the patient's VO 2 . 7,9 However, none of these studies analyzed the possible relationship between these variations of the stair-climbing test and the test described by Brunelli et al 4 and recommended in the latest 2 clinical guidelines published.…”

“…5 In recent years, 2 groups of investigators have published a variation of the symptom-limited stair-climbing test. [6][7][8] Ambrozin et al 8 named their variation the fixed altitude stair-climbing test. Both groups encouraged the patient to climb to a fixed altitude (12.6 m or 20 m), less than in the symptom-limited test, as fast as they could.…”

“…Both groups encouraged the patient to climb to a fixed altitude (12.6 m or 20 m), less than in the symptom-limited test, as fast as they could. The variation lies in that it is the time taken 6,8 or speed. 7,9 at which the patient climbs to this altitude that is measured.…”

Alternative field exercise tests for people with respiratory conditions

“…Performance of the SCT is a significant long-term prognostic factor in resected nonsmall cell lung cancer, with 5-year survival rates significantly longer in those climbing greater than 18 m [42 • ]. The time taken to reach a specific height is clinically relevant; completing the SCT in less than 30 s was associated with a reduced rate of POC compared to those requiring 50 s [41]. Oxygen desaturation during the SCT is a significant predictor of complications [44] and mortality in patients undergoing a lobectomy [54].…”

Cardiorespiratory evaluation in pre and post operative moments of laparoscopic cholecystectomy

“…The application of pre-operative exercise tests could detect alterations in the oxigen transportation that would only be discovered when the patient might have displayed a higher metabolic need in the intra or post-operative moment 28 . Prior studies 14,15 showed that if the patient is able to walk 500 meters or more in the 6MWT or takes 40 seconds or less to climb up a 12m ladder, it is most likely that his VO 2 is above 25mL/Kg/min, which makes him a patient of low risk for complications after toracic and upper abdomen surgeries.…”