Subclinical idiopathic pulmonary fibrosis is also a risk factor of postoperative acute respiratory distress syndrome following thoracic surgery

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Masayuki ChidaTakashi Kondo

Abstract

Postoperative acute interstitial pneumonia is a subset of post-surgical acute respiratory distress syndrome (ARDS) and is responsible for one third of in-hospital deaths following lung resection in patients with primary lung cancer. We evaluated the usefulness of computed tomography (CT) for detection of interstitial pneumonia (IP) as a risk factor of postoperative ARDS. Preoperative chest CT of patients who underwent thoracotomy for primary lung cancer was reviewed retrospectively and IP findings in the chest CT were detected. A total of 1148 patients with primary lung cancer underwent thoracotomy. Fifteen patients (1.3%) developed postoperative ARDS. Eleven of these 15 patients died of ARDS. Three of 41 patients who received induction therapy developed postoperative ARDS. Induction therapy was a risk factor of postoperative ARDS (p<0.01). Eleven out of the 15 patients who developed postoperative ARDS had IP findings (10: localized, 1: diffuse) in their chest CT. Two of three patients who had postoperative ARDS after induction therapy also had IP findings. Chest CTs of 834 patients were retrospectively analyzed; 91 patients (10.9%) had IP-findings (diffuse 1.8%, localized 9.1%). Postoperative ARDS occurred in 8.8% of IP-positi...Continue Reading

Citations

Jul 6, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Hajime SaitoJun-ichi Ogawa
Oct 12, 2010·American Journal of Respiratory and Critical Care Medicine·Brett LeyTalmadge E King
Mar 1, 2012·American Journal of Respiratory and Critical Care Medicine·Tracy J DoyleIvan O Rosas
Mar 5, 2013·The Journal of Clinical Investigation·Mary Armanios
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Dec 5, 2012·Chest·Jessica DoningtonUNKNOWN Thoracic Oncology Network of the American College of Chest Physicians and the Workforce on Evidence-Based Surgery of the Soc
Feb 7, 2012·The Annals of Thoracic Surgery·Hiroaki SugiuraSachio Kuribayashi
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Oct 6, 2017·Frontiers in Medicine·Vasilios TzilasDemosthenes Bouros
Jun 10, 2016·General Thoracic and Cardiovascular Surgery·Satoru KobayashiMasayuki Chida

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