Clinical variables of preoperative risk in thoracic surgery
São Paulo med. j
; 121(3): 107-110, May 5, 2003. tab
Article
em En
| LILACS
| ID: lil-343910
Biblioteca responsável:
BR1.1
RESUMO
CONTEXT Pulmonary complications are the most common forms of postoperative morbidity in thoracic surgery, especially atelectasis and pneumonia. The first step in avoiding these complications during the postoperative period is to detect the patients that may develop them. OBJECTIVE:
To identify risk variables leading to early postoperative pulmonary complications in thoracic surgery.DESIGN:
Prospective study.SETTING:
Hospital das Clínicas, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. PATIENTS 145 patients submitted to elective surgery were classified as low, moderate and high risk for postoperative pulmonary complications using a risk assessment scale. PROCEDURES The patients were followed up for 72 hours after the operation. Postoperative pulmonary complications were defined as atelectasis, pneumonia, tracheobronchitis, wheezing, prolonged intubation and/or prolonged mechanical ventilation. MAIN MEASUREMENTS Univariate analysis was applied in order to study these independent variables age, nutritional status, body mass index, respiratory disease, smoking habit, spirometry and surgery duration. Multivariate logistic regression analysis was performed in order to evaluate the relationship between independent and dependent variables.RESULTS:
The incidence of postoperative complications was 18.6 per cent. Multivariate logistic regression analysis showed that the variables increasing the chances of postoperative pulmonary complications were wheezing (odds ratio, OR = 6.2), body mass index (OR = 1.15), smoking (OR = 1.04) and surgery duration (OR = 1.007).
Texto completo:
1
Base de dados:
LILACS
Assunto principal:
Complicações Pós-Operatórias
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Procedimentos Cirúrgicos Torácicos
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Pneumopatias
Tipo de estudo:
Etiology_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
Limite:
Adult
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Female
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Humans
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Male
Idioma:
En
Ano de publicação:
2003
Tipo de documento:
Article