Risk factors for postoperative pulmonary complications in upper abdominal surgery

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dc.contributor.authorKanat, Fikret
dc.contributor.authorGolcuk, Ayse
dc.contributor.authorTeke, Turgut
dc.contributor.authorGolcuk, Murat
dc.date.accessioned2020-03-26T17:18:08Z
dc.date.available2020-03-26T17:18:08Z
dc.date.issued2007
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground: Pulmonary complications are the most frequent cause of postoperative morbidity and mortality in upper abdominal surgery (UAS). We aimed to examine the influence of possible preoperative, operative and postoperative risk factors on the development of early postoperative pulmonary complications (POPC) after UAS. Methods: A prospective study of 60 consecutive patients was conducted who underwent elective UAS in general surgical unit. Each patient's preoperative respiratory status was assessed by an experienced chest physician using clinical examination, chest radiographs, spirometry and blood gas analysis . Anaesthetical risks, surgical indications, operation time, incision type, duration of nasogastric catheter and mobilization time were noted. Forty-eight hours after the operation, pulmonary examinations of the patients were repeated. Results: Postoperative pulmonary complications were observed in 35 patients (58.3%). The most common complication was pneumonia, followed by pneumonitis, atelectasis, bronchitis, pulmonary emboli and acute respiratory failure. The presence of preoperative respiratory symptoms and the spirometric parameter of forced expiratory volume in 1 s/forced vital capacity were the most valuable risk factors for early prediction of POPC. The sensitivity, specificity and diagnostic efficiency of the presence of preoperative respiratory symptoms in the POPC prediction were 70, 61 and 66%, respectively. Conclusion: We recommend a detailed pulmonary examination and spirometry in patients who will undergo UAS by chest physicians to identify the patients at high risk for POPC, to manage respiratory problems of the patients before surgery and also to help surgeons to take early measures in such patients before a most likely POPC occurrence. Improvement of lung function in those patients at risk for POPC before operation may decrease morbidity in surgical patients.en_US
dc.identifier.doi10.1111/j.1445-2197.2006.03993.xen_US
dc.identifier.endpage141en_US
dc.identifier.issn1445-1433en_US
dc.identifier.issn1445-2197en_US
dc.identifier.issue3en_US
dc.identifier.pmid17305986en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage135en_US
dc.identifier.urihttps://dx.doi.org/10.1111/j.1445-2197.2006.03993.x
dc.identifier.urihttps://hdl.handle.net/20.500.12395/21592
dc.identifier.volume77en_US
dc.identifier.wosWOS:000244002900010en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWILEYen_US
dc.relation.ispartofANZ JOURNAL OF SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectpostoperative pulmonary complicationen_US
dc.subjectpulmonary function testen_US
dc.subjectrisk factoren_US
dc.subjectspirometryen_US
dc.subjectupper abdominal surgeryen_US
dc.titleRisk factors for postoperative pulmonary complications in upper abdominal surgeryen_US
dc.typeArticleen_US

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