Postoperative pulmonary complications in noncardiothoracic surgery

Authors : Esra BÜYÜK, Derya HOŞGÜN, Evrim AKPINAR, Sümeyye BEKİR

Pages : 31-41

Doi:10.31362/patd.737172

View : 25 | Download : 11

Publication Date : 2021-01-04

Article Type : Research Paper

Abstract :Abstract Purpose:Postoperative pulmonary complications insert ignore into journalissuearticles values(PPCs); are a majör cause of mortality and morbidity.Aim of the study to evaluate frequencies and determine risk factors of PPCs which developed subsequent to general surgery and orthopedic surgery in a tertiary university hospital. Materials- Methods:Patients who were operated in Departments of General Surgery and Orthopedics and Traumatology were retrospectively included to the study. Results: 683 patients with a mean age of 59.43 ± 18.77 years were included in the study. The ratio of PPC was 10.3%. Most frequent PPC was found to be pneumonia insert ignore into journalissuearticles values( 6.3%);.The prevelance of PPC was significantly higher in patients ≥ 65 years than who were <65 years old insert ignore into journalissuearticles values(18.2% vs 4.4%); insert ignore into journalissuearticles values(p<0.001);. PPC was more frequent in patients who undergone urgent surgery than those who undergone elective surgery insert ignore into journalissuearticles values(24.1% vs 8%); insert ignore into journalissuearticles values(p<0.001);.The rates of development of PPC according to the duration of opera-tion insert ignore into journalissuearticles values(30 min-1 h, 1-2 h, 2-3 h, 3-4 h, >4 h ); were respectively as follows 2.8%, 9.5%, 25%, 75% and 100% insert ignore into journalissuearticles values(p<0.001);. Multivariable logistic regression analysis showed that being ≥ 65 years, having ASA≥3 and hypoalbuminemia insert ignore into journalissuearticles values(<3g/dl); were independent risk factors for development of PPC [OR:2.45, 95% CI insert ignore into journalissuearticles values(1.14-5.25); p<0.05; OR: 44.5, 95% CI insert ignore into journalissuearticles values(5.13-386.1); p<0.05; OR:6.4, 95% CI insert ignore into journalissuearticles values(3.14-13.1); p<0.05]. Conclusion: The clinicians should be aware of PPCs especially in patients who were ≥ 65 years, had ASA≥3 and hypoalbuminemia insert ignore into journalissuearticles values(<3g/dl);. Kardiyotorasik dışı cerrahilerde postoperatif pulmoner komplikasyonlar Özet Amaç:Postoperatif pulmoner komplikasyonlar insert ignore into journalissuearticles values(PPK); önemli mortalite ve morbidite sebebidir. Çalışmamızın amacı ortopedi ve genel cerrahi operasyonlarından sonra gelişen PPK sıklığını ve risk faktörlerini belirlemektir. Gereç ve Yöntem:Genel cerrahi, ortopedi ve travmatoloji kliniklerinde opere edilen haslar retrospektif olarak değerlendirildi. Bulgular: Ortalama yaşı 59.43±18.77 yıl olan 683 hasta çalışmaya alındı.PPK %10.3 idi. Pnömöni insert ignore into journalissuearticles values(%6.3); en sık görülen PPK olarak tespit edildi.PPK sıklığı 65 yaş ve üs-tünde altında göre belirgin olarak yüksek saptandı. insert ignore into journalissuearticles values(18.2% vs 4.4%); insert ignore into journalissuearticles values(p<0.001);.Acil cerrahi operasyonlarda elektif operasyonlara göre daha sık tespit edildi insert ignore into journalissuearticles values(24.1% vs 8%); insert ignore into journalissuearticles values(p<0.001);.Operasyon süresinine göre insert ignore into journalissuearticles values(30 dk-1 st,1-2 st,2-3 st,4 st, >4st); PPK gelişim oranı sırasıyla %2.8,%9.5,%25,%75 ve %100 olarak bulundu insert ignore into journalissuearticles values(p<0.001);. Çok değiş-kenli logiistik regresyon analizine göre ASA≥3, hipoalbunemi insert ignore into journalissuearticles values(<3g/dl); ve 65 yaş üstü PPK gelişiminde bağımsız risk faktörü olarak saptandı [OR:2.45, 95% CI insert ignore into journalissuearticles values(1.14-5.25); p<0.05; OR: 44.5, 95% CI insert ignore into journalissuearticles values(5.13-386.1); p<0.05; OR:6.4, 95% CI insert ignore into journalissuearticles values(3.14-13.1); p<0.05]. Sonuç:ASA≥3, hipoalbunemi insert ignore into journalissuearticles values(<3g/dl); ve 65 yaş üzerinde klinisyenler PPK açısından dikkatli olmalıdır.
Keywords : PPK, cerrahi, mortalite