PURPOSE: To investigate if tests used in the preoperative period of upper abdominal or thoracic surgeries are able to differentiate the patients that presented cardiopulmonary postoperative complications. METHODS: Seventy eight patients, 30 submitted to upper abdominal surgery and 48 to thoracic surgery were evaluated. Spirometry, respirometry, manovacuometry, six-minute walk test and stair-climbing test were performed. Complications from immediate postoperative to discharge from hospital were registered. RESULTS: The postoperative complications rate was 17% in upper abdominal surgery and 10% in thoracic surgery. In the univariate regression, the only variable that kept the correlation with postoperative complications in the upper abdominal surgery was maximal expiratory pressure. In thoracic surgery, the maximal voluntary ventilation, six-minute walk test and time in stair-climbing test presented correlation with postoperative complications. After multiple regression only stair-climbing test continued as an important risk predictor in thoracic surgery. CONCLUSION: The respiratory pressure could differentiate patients with complications in upper abdominal surgery, whereas in thoracic surgery, only spirometric values and exercise tests could differentiate them.
PURPOSE: To investigate if tests used in the preoperative period of upper abdominal or thoracic surgeries are able to differentiate the patients that presented cardiopulmonary postoperative complications. METHODS: Seventy eight patients, 30 submitted to upper abdominal surgery and 48 to thoracic surgery were evaluated. Spirometry, respirometry, manovacuometry, six-minute walk test and stair-climbing test were performed. Complications from immediate postoperative to discharge from hospital were registered. RESULTS: The postoperative complications rate was 17% in upper abdominal surgery and 10% in thoracic surgery. In the univariate regression, the only variable that kept the correlation with postoperative complications in the upper abdominal surgery was maximal expiratory pressure. In thoracic surgery, the maximal voluntary ventilation, six-minute walk test and time in stair-climbing test presented correlation with postoperative complications. After multiple regression only stair-climbing test continued as an important risk predictor in thoracic surgery. CONCLUSION: The respiratory pressure could differentiate patients with complications in upper abdominal surgery, whereas in thoracic surgery, only spirometric values and exercise tests could differentiate them.
Authors: Sushanth Reddy; Carlo M Contreras; Brandon Singletary; T Miller Bradford; Mary G Waldrop; Andrew H Mims; W Andrew Smedley; Jacob A Swords; Thomas N Wang; Martin J Heslin Journal: J Am Coll Surg Date: 2016-01-28 Impact factor: 6.113
Authors: Débora da Luz Fernandes; Natiele Camponogara Righi; Léo José Rubin Neto; Jéssica Michelon Bellé; Caroline Montagner Pippi; Carolina Zeni do Monte Ribas; Lidiane de Fátima Ilha Nichele; Luis Ulisses Signori; Antônio Marcos Vargas da Silva Journal: J Bras Pneumol Date: 2022-03-14 Impact factor: 2.624
Authors: Alana Gomes de Araujo Almeida; Lívia Maia Pascoal; Francisco Dimitre Rodrigo Pereira Santos; Pedro Martins Lima; Simony Fabíola Lopes Nunes; Vanessa Emille Carvalho de Sousa Journal: Rev Lat Am Enfermagem Date: 2017-12-04