Korean J Thorac Cardiovasc Surg.  1999 Jun;32(6):549-555.

Evaluation of the Risk Factors Predicting Morbidity and Mortality after Major Pulmonary Resection

• Choi H
• Lee CJ
• Soh DM
• Kim JT
• Hong JH
• Ryu HY
• Park JB

Abstract

BACKGROUND: Patients who are considered for major pulmonary resection are generally evaluated by spirometry and clinical assessment to predict morbidity and mortality. Despite this, none has yet proved to be a convenient and reliable estimate of risk. MATERIAL AND METHOD: A retrospective analysis was performed in 167 patients who were diagnosed for lung cancer, bronchiectasis, pulmonary tuberculosis, and other benign pulmonary disease, and who underwent major lung resections. The relationship of 25 preoperative or postoperative variables to 19 postoperative events were classified into categories as operative mortality, pulmonary or cardiovascular morbidity, and other morbidity was assessed. Logistic regression analysis and x2 analysis were used to identify the relationship of the operative risk factors to the grouped postoperative complications. RESULT: The best single predictor of complications was the percent predicted postoperative diffusing capacity (pulmonary morbidity, p<0.009; cardiovascular morbidity, p<0.003: overall morbidity, p<0.004).
CONCLUSION
The diffusing capacity of the lung for carbon monoxide was an important predictor of postoperative complications than the spirometry, and it usually should be a part of the evaluation of patients being considered for pulmonary resection.

Keyword

Lung surgery; Risk factors

MeSH Terms

Bronchiectasis
Carbon Monoxide
Humans
Logistic Models
Lung
Lung Diseases
Lung Neoplasms
Mortality*
Postoperative Complications
Retrospective Studies
Risk Factors*
Spirometry
Tuberculosis, Pulmonary
Carbon Monoxide