Perioperative risk factors for pulmonary complications after non-cardiac surgery

Surbhi Gupta, Roshan Joseph Fernandes, Joseph Sushil Rao, Radhika Dhanpal

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

Background and Aims: Postoperative pulmonary complications (PPCs) lead to increased morbidity, mortality, length of hospital stay, and cost to the patient. This study was conducted to determine the risk factors and assess the incidence of PPC after non-cardiac surgery. Material and Methods: This prospective, observational study was conducted on 1,170 patients undergoing non-cardiac surgery. Details of patient, surgical, and anesthetic factors were collected and patients were followed up for the entire duration of hospital stay for the occurrence of PPC. Assess Respiratory Risk in Surgical Patients in Catalonia (ARISCAT) score and the length of hospital stay was noted for all the patients. Regression analysis was used to find the risk factors associated with development of respiratory complications. Results: The incidence of PPC was found to be 59 in 1,170 patients (5%) in our hospital. Multivariate analysis revealed that patients with intermediate and high risk ARISCAT scoring had higher odds of developing PPC. Higher age (>50 years), positive cough test, presence of nasogastric tube, and intraoperative pulmonary complications were identified as independent risk factors associated with the occurrence of PPC. Conclusion: We found 5% incidence of PPC in our study. Recognition of the delineated risk factors and routine use of ARISCAT score for preoperative assessment may help identify patients at a higher risk of developing postoperative pulmonary complications.

Original languageEnglish (US)
Pages (from-to)88-93
Number of pages6
JournalJournal of Anaesthesiology Clinical Pharmacology
Volume36
Issue number1
DOIs
StatePublished - Jan 1 2020
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2020 Wolters Kluwer Medknow Publications. All rights reserved.

Keywords

  • Complications
  • postoperative
  • prevention
  • pulmonary
  • risk factors

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