J Korean Med Sci.  2020 Apr;35(13):e80. 10.3346/jkms.2020.35.e80.

Impact of Bronchiectasis on Postoperative Pulmonary Complications after Extra-Pulmonary Surgery in Patients with Airflow Limitation

• Yang B
• Choi H
• Chung SJ
• Shin B
• Lee H
• Park HY

• KMID: 2509609
• DOI: http://doi.org/10.3346/jkms.2020.35.e80

Abstract

The impact of bronchiectasis on the occurrence of postoperative pulmonary complications (PPC) after extra-pulmonary surgery in patients with airflow limitation is not well elucidated. A retrospective analysis of 437 patients with airflow limitations, including 62 patients with bronchiectasis, was conducted. The analysis revealed that bronchiectasis was associated with increased PPC (adjusted odds ratio [aOR], 2.73; P = 0.001), which was especially significant in patients who did not use bronchodilators (aOR, 3.24; P = 0.002). Our study indicates that bronchiectasis is associated with an increased risk of PPC following extra-pulmonary surgery in patients with airflow limitation, and bronchodilators may prevent PPC in these patients.

Keyword

Bronchiectasis; Spirometry; Complications; Surgery

Figure

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  Fig. 1 The rate of PPC following extra-pulmonary surgery in patients with airflow limitation according to the presence or absence of bronchiectasis.PPC = postoperative pulmonary complications.

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