Preoperative spirometry and perioperative drug therapy in patients with obstructive pulmonary dysfunction.
Tokai J Exp Clin Med
; 39(3): 151-7, 2014 Sep 20.
Article
in En
| MEDLINE
| ID: mdl-25248432
ABSTRACT
OBJECTIVE:
The presence and severity of obstructive pulmonary diseases is important determinants of non-fatal and fatal postoperative complications. This study examined the characteristics of patients in need of perioperative drug therapy for obstructive pulmonary dysfunction.METHODS:
Among 2,358 surgical patients who, between September 2009 and February 2010, underwent spirometry at the Tokai University Hospital, the 333 whose forced expiratory volume in 1 second (FEV1) / forced vital capacity ratio was <0.7 were studied retrospectively. Single and multiple variable logistic regression analyses were performed in search of predictors of need for drug therapy.RESULTS:
Among the 230 men and 103 women (mean age = 68 ± 11 years) with obstructive pulmonary dysfunction, 108 (32%) received perioperative drug therapy with bronchodilators, inhaled corticosteroids or both. By multiple variable analysis, perioperative drug therapy was significantly correlated with a history of asthma and ever smoking, cough or sputum production, FEV1 <50% predicted, and emphysema, independently of consultations with pulmonologists. In a decision tree analysis, FEV1 and smoking history were the independent predictors of perioperative drug therapy.CONCLUSIONS:
Composite assessment of clinical history, respiratory symptoms, and pulmonary function is necessary for the efficient screening of the subjects who require perioperative drug therapy for obstructive pulmonary dysfunction.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Spirometry
/
Bronchodilator Agents
/
Adrenal Cortex Hormones
/
Perioperative Care
/
Preoperative Period
/
Lung Diseases, Obstructive
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Tokai J Exp Clin Med
Year:
2014
Document type:
Article