Pre-operative pulmonary risk assessment in surgery patients

• DOI: 10.47582/jompac.1447357
• Publication Date: 2024-05-03T17:21:19Z
• Authors: Gülhan Albayrak; Mustafa İlteriş B...; Müfide Arzu Özkar...
• Keywords: Atelectasis; DLCO

Aims: Postoperative pulmonary complications (PPC) that may develop after surgery are important causes of morbidity and mortality. PPCs cause a prolongation hospital stays an increase in hospitalization costs. The study aims to determine factors associated with predict surgical patients undergoing preoperative evaluation. Methods: A retrospective cohort was conducted at Şişli Hamidiye Etfal Training Research Hospital using data from 200 referred for evaluation anesthesia clinics. This analyzed the characteristics outcomes PPC those without PPC. Canet risk scores used all patients. study’s primary endpoints development respiratory failure, bronchospasm/asthma, COPD exacerbation, atelectasis, pleural effusion, or pneumonia. also effective function parameters logistic regression model. Results: total population included median age 53.5 years (aged between 19-88), 103 (51.5%) whom were female. observed 38% (n=76) group. There statistically significant difference terms postoperative according gender (higher males, p=0.001) smoking (p=0.0001). Preoperative oxygen saturation (SpO2) FEV1/FVC ratio predictors development, more frequent low-saturated (p=0.0001, p=0.013 respectively). relationship SpO2 confirmed via analysis. one-unit reduced occurrence by 0.645-fold. cut-off value 97.5%, sensitivity 46.8% specificity 71.1% [p=0.0001, 95% CI, (0.521-0.798)]. Conclusion: In this study, (ARISCAT) score, scale validated Turkey predicts mortality, used. score is simple moderate discriminatory performance predicting PPCs. It be useful identifying individual high design future studies evaluate interventions prevent these complications. However, customized assessment system needed each patient.