Prognostic factors for perioperative pulmonary events among patients undergoing upper abdominal surgery
Autor(a) principal: | |
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Data de Publicação: | 2007 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | São Paulo medical journal (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802007000600003 |
Resumo: | CONTEXT AND OBJECTIVE: The significant relationship between upper abdominal surgery and early (perioperative) pulmonary events was investigated among patients with preoperative pulmonary conditions undergoing general anesthesia. DESIGN AND SETTING: Retrospective study for which data were obtained prospectively from 1999 to 2004, at a tertiary university hospital. METHODS: We retrospectively studied 3107 patients over 11 years old presenting American Society of Anesthesiologists (ASA) status I, II or III who underwent upper abdominal surgery under general anesthesia and were discharged to the recovery room. The preoperative conditions analyzed using logistic regression were: age, sex, ASA physical status, congestive heart failure, asthma, chronic obstructive pulmonary disease (COPD), respiratory failure and smoking. The outcomes or dependent variables included intraoperative and postoperative events: bronchospasm, hypoxemia, hypercapnia, prolonged intubation and airway secretion. RESULTS: Among these patients (1500 males, 1607 females, mean age 48 years, 1088 ASA I, 1402 ASA II and 617 ASA III), there were 80 congestive heart failures, 82 asthmatics, 122 with COPD, 21 respiratory failures and 428 smokers. Logistic regression analysis showed that female sex (p < 0.001), age over 70 years (p < 0.01), smoking (p < 0.001) and COPD (p < 0.02) significantly influenced pulmonary event development, particularly hypoxemia and bronchospasm, at both times but not in the same patients. Asthma and congestive heart failure cases did not present pulmonary events in the recovery room. CONCLUSION: In upper abdominal surgery under general anesthesia, female sex, age over 70, smoking and COPD were independent risk factors for intra and postoperative pulmonary events. |
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Prognostic factors for perioperative pulmonary events among patients undergoing upper abdominal surgeryGeneral anesthesiaGastrointestinal surgical proceduresChronic obstructive pulmonary diseaseRecovery roomRespiratory insufficiencyCONTEXT AND OBJECTIVE: The significant relationship between upper abdominal surgery and early (perioperative) pulmonary events was investigated among patients with preoperative pulmonary conditions undergoing general anesthesia. DESIGN AND SETTING: Retrospective study for which data were obtained prospectively from 1999 to 2004, at a tertiary university hospital. METHODS: We retrospectively studied 3107 patients over 11 years old presenting American Society of Anesthesiologists (ASA) status I, II or III who underwent upper abdominal surgery under general anesthesia and were discharged to the recovery room. The preoperative conditions analyzed using logistic regression were: age, sex, ASA physical status, congestive heart failure, asthma, chronic obstructive pulmonary disease (COPD), respiratory failure and smoking. The outcomes or dependent variables included intraoperative and postoperative events: bronchospasm, hypoxemia, hypercapnia, prolonged intubation and airway secretion. RESULTS: Among these patients (1500 males, 1607 females, mean age 48 years, 1088 ASA I, 1402 ASA II and 617 ASA III), there were 80 congestive heart failures, 82 asthmatics, 122 with COPD, 21 respiratory failures and 428 smokers. Logistic regression analysis showed that female sex (p < 0.001), age over 70 years (p < 0.01), smoking (p < 0.001) and COPD (p < 0.02) significantly influenced pulmonary event development, particularly hypoxemia and bronchospasm, at both times but not in the same patients. Asthma and congestive heart failure cases did not present pulmonary events in the recovery room. CONCLUSION: In upper abdominal surgery under general anesthesia, female sex, age over 70, smoking and COPD were independent risk factors for intra and postoperative pulmonary events.Associação Paulista de Medicina - APM2007-11-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802007000600003Sao Paulo Medical Journal v.125 n.6 2007reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/S1516-31802007000600003info:eu-repo/semantics/openAccessSakai,Rafael LuisAbrão,Graciela Maria GeraAyres,José Franscisco VasquesVianna,Pedro Thadeu GalvãoCarvalho,Lídia Raquel deCastiglia,Yara Marcondes Machadoeng2008-02-26T00:00:00Zoai:scielo:S1516-31802007000600003Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2008-02-26T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse |
dc.title.none.fl_str_mv |
Prognostic factors for perioperative pulmonary events among patients undergoing upper abdominal surgery |
title |
Prognostic factors for perioperative pulmonary events among patients undergoing upper abdominal surgery |
spellingShingle |
Prognostic factors for perioperative pulmonary events among patients undergoing upper abdominal surgery Sakai,Rafael Luis General anesthesia Gastrointestinal surgical procedures Chronic obstructive pulmonary disease Recovery room Respiratory insufficiency |
title_short |
Prognostic factors for perioperative pulmonary events among patients undergoing upper abdominal surgery |
title_full |
Prognostic factors for perioperative pulmonary events among patients undergoing upper abdominal surgery |
title_fullStr |
Prognostic factors for perioperative pulmonary events among patients undergoing upper abdominal surgery |
title_full_unstemmed |
Prognostic factors for perioperative pulmonary events among patients undergoing upper abdominal surgery |
title_sort |
Prognostic factors for perioperative pulmonary events among patients undergoing upper abdominal surgery |
author |
Sakai,Rafael Luis |
author_facet |
Sakai,Rafael Luis Abrão,Graciela Maria Gera Ayres,José Franscisco Vasques Vianna,Pedro Thadeu Galvão Carvalho,Lídia Raquel de Castiglia,Yara Marcondes Machado |
author_role |
author |
author2 |
Abrão,Graciela Maria Gera Ayres,José Franscisco Vasques Vianna,Pedro Thadeu Galvão Carvalho,Lídia Raquel de Castiglia,Yara Marcondes Machado |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Sakai,Rafael Luis Abrão,Graciela Maria Gera Ayres,José Franscisco Vasques Vianna,Pedro Thadeu Galvão Carvalho,Lídia Raquel de Castiglia,Yara Marcondes Machado |
dc.subject.por.fl_str_mv |
General anesthesia Gastrointestinal surgical procedures Chronic obstructive pulmonary disease Recovery room Respiratory insufficiency |
topic |
General anesthesia Gastrointestinal surgical procedures Chronic obstructive pulmonary disease Recovery room Respiratory insufficiency |
description |
CONTEXT AND OBJECTIVE: The significant relationship between upper abdominal surgery and early (perioperative) pulmonary events was investigated among patients with preoperative pulmonary conditions undergoing general anesthesia. DESIGN AND SETTING: Retrospective study for which data were obtained prospectively from 1999 to 2004, at a tertiary university hospital. METHODS: We retrospectively studied 3107 patients over 11 years old presenting American Society of Anesthesiologists (ASA) status I, II or III who underwent upper abdominal surgery under general anesthesia and were discharged to the recovery room. The preoperative conditions analyzed using logistic regression were: age, sex, ASA physical status, congestive heart failure, asthma, chronic obstructive pulmonary disease (COPD), respiratory failure and smoking. The outcomes or dependent variables included intraoperative and postoperative events: bronchospasm, hypoxemia, hypercapnia, prolonged intubation and airway secretion. RESULTS: Among these patients (1500 males, 1607 females, mean age 48 years, 1088 ASA I, 1402 ASA II and 617 ASA III), there were 80 congestive heart failures, 82 asthmatics, 122 with COPD, 21 respiratory failures and 428 smokers. Logistic regression analysis showed that female sex (p < 0.001), age over 70 years (p < 0.01), smoking (p < 0.001) and COPD (p < 0.02) significantly influenced pulmonary event development, particularly hypoxemia and bronchospasm, at both times but not in the same patients. Asthma and congestive heart failure cases did not present pulmonary events in the recovery room. CONCLUSION: In upper abdominal surgery under general anesthesia, female sex, age over 70, smoking and COPD were independent risk factors for intra and postoperative pulmonary events. |
publishDate |
2007 |
dc.date.none.fl_str_mv |
2007-11-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802007000600003 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802007000600003 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1516-31802007000600003 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
dc.source.none.fl_str_mv |
Sao Paulo Medical Journal v.125 n.6 2007 reponame:São Paulo medical journal (Online) instname:Associação Paulista de Medicina instacron:APM |
instname_str |
Associação Paulista de Medicina |
instacron_str |
APM |
institution |
APM |
reponame_str |
São Paulo medical journal (Online) |
collection |
São Paulo medical journal (Online) |
repository.name.fl_str_mv |
São Paulo medical journal (Online) - Associação Paulista de Medicina |
repository.mail.fl_str_mv |
revistas@apm.org.br |
_version_ |
1754209262073020416 |