Development of a prediction rule for estimating postoperative pulmonary complications

Patient- and procedure-related factors associated with postoperative pulmonary complications (PPCs) have changed over the last decade. Therefore, we sought to identify independent risk factors of PPCs and to develop a clinically applicable scoring system. We retrospectively analyzed clinical data fr...

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Bibliographic Details
Published in:PloS one 2014-12, Vol.9 (12), p.e113656-e113656
Main Authors: Jeong, Byeong-Ho, Shin, Beomsu, Eom, Jung Seop, Yoo, Hongseok, Song, Wonjun, Han, Sangbin, Lee, Kyung Jong, Jeon, Kyeongman, Um, Sang-Won, Koh, Won-Jung, Suh, Gee Young, Chung, Man Pyo, Kim, Hojoong, Kwon, O Jung, Woo, Sookyoung, Park, Hye Yun
Format: Article
Language:English
Subjects:
Abdominal surgery
Aged
Air flow
Anesthesia
Anesthesiology
Aneurysm
Aorta
Body mass index
Cardiovascular Surgical Procedures - adverse effects
Cholecystectomy
Complications
Critical care
Data collection
Data processing
Estimation
Female
Gastrointestinal surgery
Heart surgery
Hospitals
Humans
Laparoscopy
Laparoscopy - adverse effects
Logistic Models
Lung Diseases - epidemiology
Lung Diseases - etiology
Lung Diseases - prevention & control
Male
Medical personnel
Medicine
Medicine and Health Sciences
Middle Aged
Multiple regression models
Patients
Perioperative Care
Physicians
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Postoperative Complications - prevention & control
Postoperative period
Regression analysis
Regression models
Respiratory system
Retrospective Studies
Risk analysis
Risk Factors
Serum albumin
Surgery
Thoracic surgery
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Summary:Patient- and procedure-related factors associated with postoperative pulmonary complications (PPCs) have changed over the last decade. Therefore, we sought to identify independent risk factors of PPCs and to develop a clinically applicable scoring system. We retrospectively analyzed clinical data from 2,059 patients who received preoperative evaluations from respiratory physicians between June 2011 and October 2012. A new scoring system for estimating PPCs was developed using beta coefficients of the final multiple regression models. Of the 2,059 patients studied, 140 (6.8%) had PPCs. A multiple logistic regression model revealed seven independent risk factors (with scores in parentheses): age ≥70 years (2 points), current smoker (1 point), the presence of airflow limitation (1 point), American Society of Anesthesiologists class ≥2 (1 point), serum albumin
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0113656