PMID: 9192933Jun 1, 1997Paper

Upper abdominal surgery: does a lung function test exist to predict early severe postoperative respiratory complications?

The European Respiratory Journal
G BarisioneL Fontana

Abstract

We evaluated the capacity to predict severe respiratory complications (SRCs) following upper abdominal surgery (UAS) by using the results of a respiratory questionnaire and preoperative pulmonary function tests. Lung volumes, flows and transfer factor of the lung for carbon monoxide (TL,CO,sb) were assessed in 361 consecutive adult patients (248 males and 113 females). SRCs were diagnosed 24 h after UAS by clinical examination and chest radiography. Univariate and stepwise multiple logistic regression analyses were performed to estimate the odds ratio (OR) and 95% confidence interval (95% CI) of each single input variable, and to determine which indices best predicted outcome. These patients had a 1% mortality rate and 14% incidence of SRCs, with a male:female ratio of 0.86. The best predictors for SRCs by multiple analysis were: preoperative current hypersecretion of mucus (OR=133; p<0.0001); an increase in residual volume (RV) (OR=3.11; p=0.01); and, to a lesser extent, low percentage of predicted values both of forced expiratory volume in one second (FEV1 % pred) and TL,CO,sb. The algorithm thus obtained (logit theta) was extremely sensitive (84%), specific (99%), and accurate (95%) for preoperative prediction of SRCs. We ha...Continue Reading

Citations

Nov 14, 2008·British Journal of Anaesthesia·C S Reilly
Oct 19, 2011·La Presse médicale·Jean-Marc Delay, Samir Jaber
Feb 15, 2013·Current Opinion in Anaesthesiology·Jaume Canet, Lluís Gallart
Feb 15, 2012·Annals of Surgery·Cinzia NobiliPatrick Pessaux
Dec 9, 2015·Best Practice & Research. Clinical Anaesthesiology·Lluís Gallart, Jaume Canet
Feb 20, 2007·ANZ Journal of Surgery·Fikret KanatMurat Golcuk
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Nov 5, 2005·Annales Françaises D'anesthèsie Et De Rèanimation·E MarretF Bonnet
Jan 15, 2002·Clinics in Chest Medicine·C A Powell, C E Caplan
Jun 25, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Kazuhiko SakamotoMasaaki Oka
Mar 31, 2015·The Surgical Clinics of North America·Amber TaylorJeffrey M Gauvin
Jun 8, 2013·Acta Cirúrgica Brasileira·Karine Aparecida ArrudaAntonio José Maria Cataneo
Aug 3, 2013·The Journal of International Medical Research·Jin HuhDuk-Kyung Kim
Mar 7, 2002·British Journal of Anaesthesia·F Jin, F Chung
Dec 12, 2017·International Anesthesiology Clinics·Erika L Brinson, Kevin C Thornton
Oct 13, 2009·International Anesthesiology Clinics·Mica W Cook, Steven J Lisco
Dec 8, 2016·Journal of Huazhong University of Science and Technology. Medical Sciences = Hua Zhong Ke Ji Da Xue Xue Bao. Yi Xue Ying De Wen Ban = Huazhong Keji Daxue Xuebao. Yixue Yingdewen Ban·Xiang ChengQi-Chang Zheng
Apr 3, 2009·BJU International·Anthony KoupparisEdward Rowe

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