Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/195489
Type: Artigo
Title: Clinical variables of preoperative risk in thoracic surgery
Author: Saad, Ivete Alonso Bredda
Zambon, Lair
De Capitani, Eduardo Mello
Toro, Ivan Felizardo Contrera
Abstract: 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. To identify risk variables leading to early postoperative pulmonary complications in thoracic surgery. Prospective study. Hospital das Clínicas, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. 145 patients submitted to elective surgery were classified as low, moderate and high risk for postoperative pulmonary complications using a risk assessment scale. 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. 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. The incidence of postoperative complications was 18.6%. 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). Wheezing, body mass index, smoking and surgery duration increase the chances of postoperative pulmonary complications in thoracic surgery
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. To identify risk variables leading to early postoperative pulmonary complications in thoracic surgery. Prospective study. Hospital das Clínicas, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. 145 patients submitted to elective surgery were classified as low, moderate and high risk for postoperative pulmonary complications using a risk assessment scale. 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. 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. The incidence of postoperative complications was 18.6%. 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). Wheezing, body mass index, smoking and surgery duration increase the chances of postoperative pulmonary complications in thoracic surgery
Subject: Procedimentos cirúrgicos torácicos
Período pós-operatório
Complicações pós-operatórias
Procedimentos cirúrgicos pulmonares
Country: Brasil
Editor: Associação Paulista de Medicina
Citation: São Paulo Medical Journal = Revista Paulista De Medicina. v. 121, n. 3, p. 107-10, 2003-May.
Rights: Aberto
Identifier DOI: 10.1590/S1516-31802003000300004
Address: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802003000300004
Date Issue: 2003
Appears in Collections:FCM - Artigos e Outros Documentos

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