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Prospective assessment of the risk of postoperative pulmonary complications in patients submitted to upper abdominal surgery
Pereira, Eanes Delgado Barros; Fernandes, Ana Luisa Godoy; Anção, Meide da Silva; Peres, Clóvis de Araújo; Atallah, Álvaro Nagib; Faresin, Sonia Maria.
  • Pereira, Eanes Delgado Barros; Federal University of Ceará. Pulmonary Division. Department of Medicine.
  • Fernandes, Ana Luisa Godoy; Federal University of São Paulo. Pulmonary Division. Department of Medicine.
  • Anção, Meide da Silva; Federal University of São Paulo. Division of Nephrology. Department of Medicine.
  • Peres, Clóvis de Araújo; University of São Paulo.
  • Atallah, Álvaro Nagib; Federal University of São Paulo. Internal Medicine Division.
  • Faresin, Sonia Maria; Federal University of São Paulo. Pulmonary Division. Department of Medicine.
São Paulo med. j ; 117(4): 151-60, July 1999. tab
Artigo em Inglês | LILACS | ID: lil-247139
ABSTRACT

OBJECTIVE:

To investigate associations between preoperative variables and postoperative pulmonary complications (PPC) in elective upper abdominal surgery.

DESIGN:

Prospective clinical trial.

SETTING:

A tertiary university hospital. PATIENTS 408 patients were prospectively analyzed during the preoperative period and followed up postoperatively for pulmonary complications. MEASUREMENTS Patient characteristics, with clinical and physical evaluation, related diseases, smoking habits, and duration of surgery. Preoperative pulmonary function tests (PFT) were performed on 247 patients.

RESULTS:

The postoperative pulmonary complication rate was 14 percent. The significant predictors in univariate analyses of postoperative pulmonary complications were age >50, smoking habits, presence of chronic pulmonary disease or respiratory symptoms at the time of evaluation, duration of surgery >210 minutes and comorbidity (p <0.04). In a logistic regression analysis, the statistically significant predictors were presence of chronic pulmonary disease, surgery lasting >210 and comorbidity (p <0.009).

CONCLUSIONS:

There were three major clinical risk factors for pulmonary complications following upper abdominal surgery chronic pulmonary disease, comorbidity, and surgery lasting more than 210 minutes. Those patients with three risk factors were three times more likely to develop a PPC compared to patients without any of these risk factors (p <0.001). PFT is indicated when there are uncertainties regarding the patientÆs pulmonary status
Assuntos
Texto completo: DisponíveL Índice: LILACS (Américas) Assunto principal: Complicações Pós-Operatórias / Abdome / Pneumopatias Tipo de estudo: Estudo de etiologia / Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Feminino / Humanos Idioma: Inglês Revista: São Paulo med. j Assunto da revista: Cirurgia Geral / Ciˆncia / Ginecologia / Medicina / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Ano de publicação: 1999 Tipo de documento: Artigo País de afiliação: Brasil

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Texto completo: DisponíveL Índice: LILACS (Américas) Assunto principal: Complicações Pós-Operatórias / Abdome / Pneumopatias Tipo de estudo: Estudo de etiologia / Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Feminino / Humanos Idioma: Inglês Revista: São Paulo med. j Assunto da revista: Cirurgia Geral / Ciˆncia / Ginecologia / Medicina / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Ano de publicação: 1999 Tipo de documento: Artigo País de afiliação: Brasil