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- Title
Incidence and Risk Factors of Postoperative Pulmonary Complications in Noncardiac Chinese Patients: A Multicenter Observational Study in University Hospitals.
- Authors
Jin, Yue; Xie, Guohao; Wang, Haihong; Jin, Lielie; Li, Jun; Cheng, Baoli; Zhang, Kai; Hoeft, Andreas; Fang, Xiangming
- Abstract
Purpose. To assess the incidence of postoperative pulmonary complications (PPCs) in Chinese inpatients, and to develop a brief predictive risk index. Methods. Between August 6, 2012, and August 12, 2012, patients undergoing noncardiac operations in four university hospitals were enrolled. The cohort was divided into two subsamples, cohort 1 to develop a predictive risk index of PPCs and cohort 2 to validate it. Results. 1673 patients were enrolled. PPCs were recorded for 163 patients (9.7%), of whom the hospital length of stay (LOS) was longer (P<0.001). The mortality was 1.84% in patients with PPCs and 0.07% in those without. Logistic Regression modeling in cohort 1 identified nine independent risk factors, including smoking, respiratory infection in the last month, preoperative antibiotic use, preoperative saturation of peripheral oxygen, surgery site, blood lost, postoperative blood glucose, albumin, and ventilation. The model was validated within cohort 2 with an area under the receiver operating characteristic curve of 0.90 (95% CI 0.86 to 0.94). Conclusions. PPCs are common in noncardiac surgical patients and are associated with prolonged LOS in China. The current study developed a risk index, which can be used to assess individual risk of PPCs and guide individualized perioperative respiratory care.
- Subjects
CHINA; ACADEMIC medical centers; ASPIRATION pneumonia; ATELECTASIS; CHI-squared test; CONFIDENCE intervals; FISHER exact test; INFECTION; LUNG diseases; MEDICAL cooperation; MULTIVARIATE analysis; PLEURAL effusions; PNEUMONIA; PNEUMOTHORAX; RESEARCH; RESEARCH funding; SURGICAL complications; T-test (Statistics); LOGISTIC regression analysis; RECEIVER operating characteristic curves; DATA analysis software; DESCRIPTIVE statistics; ODDS ratio; MANN Whitney U Test
- Publication
BioMed Research International, 2015, Vol 2015, p1
- ISSN
2314-6133
- Publication type
Article
- DOI
10.1155/2015/265165