Surgical outcomes in patients with chronic obstructive pulmonary disease undergoing abdominal operations: An analysis of 331,425 patients

• Published in: Surgery 2016-04, Vol.159 (4), p.1210-1216
• Main Authors: Fields, Adam C., BA, Divino, Celia M., MD, FACS
• Format: Article
• Language: English
• Subjects: Adult; Aged; Aged, 80 and over; Databases, Factual; Digestive System Surgical Procedures; Female; Humans; Length of Stay - statistics & numerical data; Logistic Models; Male; Middle Aged; Multivariate Analysis; Outcome Assessment (Health Care); Postoperative Complications - epidemiology; Postoperative Complications - etiology; Pulmonary Disease, Chronic Obstructive - complications; Retrospective Studies; Risk Factors; Surgery; United States
• ISSN: 0039-6060; 1532-7361
• DOI: 10.1016/j.surg.2015.11.007

Background Chronic obstructive pulmonary disease (COPD) affects >15 million individuals in the United States and is a common comorbidity in patients undergoing surgery; therefore, the association between COPD in patients and postoperative surgical outcomes was investigated. The objective of this study was to assess the associations between COPD and postoperative morbidity, mortality, and hospital duration of stay. Methods Patients who underwent cholecystectomy, appendectomy, small bowel resection, partial colectomy, hepatic resection, gastrectomy, pancreatectomy, and ventral hernia repair with and without COPD ( n  = 331,425) in the National Surgical Quality Improvement Program database from 2007 to 2010 were studied. The primary outcomes were 30-day morbidity, mortality, and hospital duration of stay; secondary outcomes were specific postoperative complications. Results COPD was present in 12,491 patients (3.8%) undergoing the abdominal operations surveyed. The 30-day morbidity and mortality rates and hospital duration of stay for patients undergoing all abdominal procedures reviewed was greater for patients with COPD compared with patients without COPD (all P