Evaluation of the Risk Factors Predicting Morbidity and Mortality after Major Pulmonary Resection.
- Author:
Ho CHOI
1
;
Cheol Joo LEE
;
Dong Moon SOH
;
Jung Tae KIM
;
Jun Hwa HONG
;
Han Young RYU
;
Jae Bum PARK
Author Information
1. Department of Thoracic and Cardiovascular Surgery, College of Medicine, Ajou University.
- Publication Type:Original Article
- Keywords:
Lung surgery;
Risk factors
- MeSH:
Bronchiectasis;
Carbon Monoxide;
Humans;
Logistic Models;
Lung;
Lung Diseases;
Lung Neoplasms;
Mortality*;
Postoperative Complications;
Retrospective Studies;
Risk Factors*;
Spirometry;
Tuberculosis, Pulmonary
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1999;32(6):549-555
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Patients who are considered for major pulmonary resection are generally evaluated by spirometry and clinical assessment to predict morbidity and mortality. Despite this, none has yet proved to be a convenient and reliable estimate of risk. MATERIAL AND METHOD: A retrospective analysis was performed in 167 patients who were diagnosed for lung cancer, bronchiectasis, pulmonary tuberculosis, and other benign pulmonary disease, and who underwent major lung resections. The relationship of 25 preoperative or postoperative variables to 19 postoperative events were classified into categories as operative mortality, pulmonary or cardiovascular morbidity, and other morbidity was assessed. Logistic regression analysis and x2 analysis were used to identify the relationship of the operative risk factors to the grouped postoperative complications. RESULT: The best single predictor of complications was the percent predicted postoperative diffusing capacity (pulmonary morbidity, p<0.009; cardiovascular morbidity, p<0.003: overall morbidity, p<0.004). CONCLUSION: The diffusing capacity of the lung for carbon monoxide was an important predictor of postoperative complications than the spirometry, and it usually should be a part of the evaluation of patients being considered for pulmonary resection.
