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Incidence and Risk Factors of Postoperative Pulmonary Complications in Noncardiac Chinese Patients: A Multicenter Observational Study in University Hospitals
Joint Authors
Fang, Xiang-Ming
Jin, Yue
Xie, Guohao
Wang, Haihong
Jin, Lielie
Li, Jun
Cheng, Baoli
Zhang, Kai
Hoeft, Andreas
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-03-02
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Purpose.
To assess the incidence of postoperative pulmonary complications (PPCs) in Chinese inpatients, and to develop a brief predictive risk index.
Methods.
Between August 6, 2012, and August 12, 2012, patients undergoing noncardiac operations in four university hospitals were enrolled.
The cohort was divided into two subsamples, cohort 1 to develop a predictive risk index of PPCs and cohort 2 to validate it.
Results.
1673 patients were enrolled.
PPCs were recorded for 163 patients (9.7%), of whom the hospital length of stay (LOS) was longer (P<0.001).
The mortality was 1.84% in patients with PPCs and 0.07% in those without.
Logistic Regression modeling in cohort 1 identified nine independent risk factors, including smoking, respiratory infection in the last month, preoperative antibiotic use, preoperative saturation of peripheral oxygen, surgery site, blood lost, postoperative blood glucose, albumin, and ventilation.
The model was validated within cohort 2 with an area under the receiver operating characteristic curve of 0.90 (95% CI 0.86 to 0.94).
Conclusions.
PPCs are common in noncardiac surgical patients and are associated with prolonged LOS in China.
The current study developed a risk index, which can be used to assess individual risk of PPCs and guide individualized perioperative respiratory care.
American Psychological Association (APA)
Jin, Yue& Xie, Guohao& Wang, Haihong& Jin, Lielie& Li, Jun& Cheng, Baoli…[et al.]. 2015. Incidence and Risk Factors of Postoperative Pulmonary Complications in Noncardiac Chinese Patients: A Multicenter Observational Study in University Hospitals. BioMed Research International،Vol. 2015, no. 2015, pp.1-10.
https://search.emarefa.net/detail/BIM-1054814
Modern Language Association (MLA)
Jin, Yue…[et al.]. Incidence and Risk Factors of Postoperative Pulmonary Complications in Noncardiac Chinese Patients: A Multicenter Observational Study in University Hospitals. BioMed Research International No. 2015 (2015), pp.1-10.
https://search.emarefa.net/detail/BIM-1054814
American Medical Association (AMA)
Jin, Yue& Xie, Guohao& Wang, Haihong& Jin, Lielie& Li, Jun& Cheng, Baoli…[et al.]. Incidence and Risk Factors of Postoperative Pulmonary Complications in Noncardiac Chinese Patients: A Multicenter Observational Study in University Hospitals. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-10.
https://search.emarefa.net/detail/BIM-1054814
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1054814