Evaluation of the Risk Factors Predicting Morbidity and Mortality after Major Pulmonary Resection / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 549-555, 1999.
Artículo
en Coreano
| WPRIM
| ID: wpr-182582
ABSTRACT
BACKGROUND:
Patients who are considered for major pulmonary resection are generally evaluated by spirometry and clinical assessment to predict morbidity and mortality. Despite this, none has yet proved to be a convenient and reliable estimate of risk. MATERIAL ANDMETHOD:
A retrospective analysis was performed in 167 patients who were diagnosed for lung cancer, bronchiectasis, pulmonary tuberculosis, and other benign pulmonary disease, and who underwent major lung resections. The relationship of 25 preoperative or postoperative variables to 19 postoperative events were classified into categories as operative mortality, pulmonary or cardiovascular morbidity, and other morbidity was assessed. Logistic regression analysis and x2 analysis were used to identify the relationship of the operative risk factors to the grouped postoperative complications.RESULT:
The best single predictor of complications was the percent predicted postoperative diffusing capacity (pulmonary morbidity, p<0.009; cardiovascular morbidity, p<0.003 overall morbidity, p<0.004).CONCLUSION:
The diffusing capacity of the lung for carbon monoxide was an important predictor of postoperative complications than the spirometry, and it usually should be a part of the evaluation of patients being considered for pulmonary resection.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Complicaciones Posoperatorias
/
Espirometría
/
Tuberculosis Pulmonar
/
Bronquiectasia
/
Monóxido de Carbono
/
Modelos Logísticos
/
Estudios Retrospectivos
/
Factores de Riesgo
/
Mortalidad
/
Pulmón
Tipo de estudio:
Estudio de etiología
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Humanos
Idioma:
Coreano
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Año:
1999
Tipo del documento:
Artículo
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