Risk score for postoperative complications in thoracic surgery / 대한마취과학회지
Korean Journal of Anesthesiology
; : 527-532, 2012.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-36169
Responsible library:
WPRO
ABSTRACT
BACKGROUND:
Risk scoring system for thoracic surgery patients have not been widely used, as of recently. We tried to forge a risk scoring system that predicts the risk of postoperative complications in patients undergoing major thoracic surgery. We used a prolonged ICU stay as a representative of postoperative complications and tested various possible risk factors for its relation.METHODS:
Data from all patients who underwent major lung and esophageal cancer surgeries, between 2005 and 2007 in our hospital, were collected retrospectively (n = 858). Multiple logistic regression analysis was performed with various possible risk factors to build the risk scoring system for prolonged ICU stay (> 3 days).RESULTS:
A total of 9% of patients exhibited more than 3 days of ICU stay. Age, operation name, preoperative lung injury, no epidural analgesia, and predicted post operative forced expiratory volume in 1 second (ppoFEV1) were the risk factors for prolonged ICU stay, by multivariable analysis (P < 0.05). Risk score, p was derived from the formula logit(p/[1-p]) = -5.39 + 0.06 x age + 1.12 x operation name(2) + 1.52 x operation name(3) + 1.32 x operation name(4) + 1.56 x operation name(5) + 1.30 x preoperative lung injury + 0.72 x no epidural analgesia - 0.02 x ppoFEV1 [Age in years, operation name(2) pneumonectomy, operation name(3) esophageal cancer operation, operation name(4) completion pneumonectomy, operation name(5) extended operation, preoperative lung injury(+), epidural analgesia(-), ppoFEV1 in %].CONCLUSIONS:
Age, operation name, preoperative lung injury, epidural analgesia, and ppoFEV1 can predict postoperative morbidity in thoracic surgery patients.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Pneumonectomy
/
Postoperative Complications
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Thoracic Surgery
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Esophageal Neoplasms
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Analgesia, Epidural
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Logistic Models
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Forced Expiratory Volume
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Retrospective Studies
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Risk Factors
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Lung Injury
Type of study:
Etiology study
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Observational study
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Prognostic study
/
Risk factors
Limits:
Humans
Language:
English
Journal:
Korean Journal of Anesthesiology
Year:
2012
Document type:
Article