Surgical risk tests related to cardiopulmonary postoperative complications: comparison between upper abdominal and thoracic surgery
AUTOR(ES)
Arruda, Karine Aparecida, Cataneo, Daniele Cristina, Cataneo, Antonio José Maria
FONTE
Acta Cir. Bras.
DATA DE PUBLICAÇÃO
2013-06
RESUMO
PURPOSE: To investigate if tests used in the preoperative period of upper abdominal or thoracic surgeries are able to differentiate the patients that presented cardiopulmonary postoperative complications. METHODS: Seventy eight patients, 30 submitted to upper abdominal surgery and 48 to thoracic surgery were evaluated. Spirometry, respirometry, manovacuometry, six-minute walk test and stair-climbing test were performed. Complications from immediate postoperative to discharge from hospital were registered. RESULTS: The postoperative complications rate was 17% in upper abdominal surgery and 10% in thoracic surgery. In the univariate regression, the only variable that kept the correlation with postoperative complications in the upper abdominal surgery was maximal expiratory pressure. In thoracic surgery, the maximal voluntary ventilation, six-minute walk test and time in stair-climbing test presented correlation with postoperative complications. After multiple regression only stair-climbing test continued as an important risk predictor in thoracic surgery. CONCLUSION: The respiratory pressure could differentiate patients with complications in upper abdominal surgery, whereas in thoracic surgery, only spirometric values and exercise tests could differentiate them.
Documentos Relacionados
- DUODENAL INVOLVEMENT RELATED TO VASCULAR COMPLICATIONS: DIAGNOSED BY UPPER GASTROINTESTINAL ENDOSCOPY
- Risk factors for postoperative complications following oral surgery
- Association between enhanced recovery after surgery protocol compliance and clinical complications: a cohort study
- Complications in Thoracic Surgery
- Hyperbilirubinaemia after major thoracic surgery: comparison between open-heart surgery and oesophagectomy