Exercise capacity assessment in patients undergoing lung resection

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Antonio BobbioDario Olivieri

Abstract

The value is examined of preoperative functional assessment, including exercise capacity measurement by a cycloergometric maximal exercise test, in the prediction of postoperative cardio-pulmonary complication after lobar resection. In a prospective study over a 3-year period, all patients who were candidates for lung resection underwent preoperative functional evaluation by means of resting pulmonary function tests, measurement of the lung diffusing capacity for carbon monoxide and cardio-pulmonary exercise test. Patients who had had pneumonectomy or less than anatomical segmentectomy were excluded. The study population consisted of 73 patients. The postoperative morbidity and mortality record was collected. Sixty-four patients underwent lobectomy, five bilobectomy and four segmentectomy. Indication for surgery was NSCLC in 71 cases. Two postoperative deaths were recorded (2.7%). A pulmonary (n=19) and/or cardiac (n=17) complication was scored in 30 patients (41%). Mean preoperative FEV(1) and VO(2)max of patients who developed pulmonary complications were significantly lower (p=0.013 and p=0.043 respectively) than those of patients without pulmonary complications. Logistic regression analysis found FEV(1) to be an independent...Continue Reading

Citations

Jul 21, 2010·Current Treatment Options in Oncology·Lee W JonesClaudio Battaglini
Nov 26, 2010·Current Treatment Options in Oncology·Lee W JonesClaudio Battaglini
Dec 17, 2011·Seminars in Thoracic and Cardiovascular Surgery·Sai Yendamuri, Todd L Demmy
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Dec 2, 2010·Current Opinion in Anaesthesiology·Panagiota TzaniDario Olivieri
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