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Preoperative pulmonary evaluation: which parameters determine the surgical outcome. 1993

P Charoenpan, and P Vathesatokit, and S Kiatboonsri, and S Saenghiranvattana, and B Aursudkit, and K Vongvivat
Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

In order to find out the correlation between preoperative pulmonary and nonpulmonary variables and the outcome of surgery, one hundred and five cases who had preoperative pulmonary evaluation were included in the study. Of 105 cases, 88 cases underwent surgery. The majority of the cases were old (62.5 +/- 9.63 yrs), with no chest symptoms and signs. The spirometric values in most cases were normal. Most of them were smokers, with the diagnosis of carcinoma of esophagus and underwent thoracoabdominal surgery. Postoperative pulmonary complication was found in 58 cases and mortality was encountered in 12 cases. FEV1, FEF 25-75 per cent and PFEF 25-75 per cent could discriminate survival from death. Duration of surgery (DS) and age factors could predict post-operative pulmonary complication. Only DS could predict prolonged hospital stay, when PFEF 25-75 per cent was coupled with DS, it could predict survival. It was concluded that multiple factors other than spirometric values were responsible for the surgical outcome. They should be taken into consideration for preoperative pulmonary evaluation.

UI MeSH Term Description Entries
D008171 Lung Diseases Pathological processes involving any part of the LUNG. Pulmonary Diseases,Disease, Pulmonary,Diseases, Pulmonary,Pulmonary Disease,Disease, Lung,Diseases, Lung,Lung Disease
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D011300 Preoperative Care Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed) Care, Preoperative,Preoperative Procedure,Preoperative Procedures,Procedure, Preoperative,Procedures, Preoperative
D005069 Evaluation Studies as Topic Works about studies that determine the effectiveness or value of processes, personnel, and equipment, or the material on conducting such studies. Critique,Evaluation Indexes,Evaluation Methodology,Evaluation Report,Evaluation Research,Methodology, Evaluation,Pre-Post Tests,Qualitative Evaluation,Quantitative Evaluation,Theoretical Effectiveness,Use-Effectiveness,Critiques,Effectiveness, Theoretical,Evaluation Methodologies,Evaluation Reports,Evaluation, Qualitative,Evaluation, Quantitative,Evaluations, Qualitative,Evaluations, Quantitative,Indexes, Evaluation,Methodologies, Evaluation,Pre Post Tests,Pre-Post Test,Qualitative Evaluations,Quantitative Evaluations,Report, Evaluation,Reports, Evaluation,Research, Evaluation,Test, Pre-Post,Tests, Pre-Post,Use Effectiveness
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly

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