Year : 2020 | Volume
: 36 | Issue : 1 | Page : 88--93
Perioperative risk factors for pulmonary complications after non-cardiac surgery
Surbhi Gupta1, Roshan Joseph Fernandes1, Joseph Sushil Rao2, Radhika Dhanpal3
1 Department of Anesthesiology, St. John's Medical College and Hospital, Bengaluru, Karnataka, India
2 Department of Surgical Oncology, St. John's Medical College and Hospital, Bengaluru, Karnataka, India
3 Department of Anesthesiology, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India
Background and Aims: Postoperative pulmonary complications (PPCs) lead to increased morbidity, mortality, length of hospital stay, and cost to the patient. This study was conducted to determine the risk factors and assess the incidence of PPC after non-cardiac surgery.
Material and Methods: This prospective, observational study was conducted on 1,170 patients undergoing non-cardiac surgery. Details of patient, surgical, and anesthetic factors were collected and patients were followed up for the entire duration of hospital stay for the occurrence of PPC. Assess Respiratory Risk in Surgical Patients in Catalonia (ARISCAT) score and the length of hospital stay was noted for all the patients. Regression analysis was used to find the risk factors associated with development of respiratory complications.
Results: The incidence of PPC was found to be 59 in 1,170 patients (5%) in our hospital. Multivariate analysis revealed that patients with intermediate and high risk ARISCAT scoring had higher odds of developing PPC. Higher age (>50 years), positive cough test, presence of nasogastric tube, and intraoperative pulmonary complications were identified as independent risk factors associated with the occurrence of PPC.
Conclusion: We found 5% incidence of PPC in our study. Recognition of the delineated risk factors and routine use of ARISCAT score for preoperative assessment may help identify patients at a higher risk of developing postoperative pulmonary complications.
Dr. Surbhi Gupta
Department of Anesthesiology, St. Johnfs Medical College and Hospital, Sarjapur Road, Koramangala, Bengaluru - 560 034, Karnataka
|How to cite this article:|
Gupta S, Fernandes RJ, Rao JS, Dhanpal R. Perioperative risk factors for pulmonary complications after non-cardiac surgery.J Anaesthesiol Clin Pharmacol 2020;36:88-93
|How to cite this URL:|
Gupta S, Fernandes RJ, Rao JS, Dhanpal R. Perioperative risk factors for pulmonary complications after non-cardiac surgery. J Anaesthesiol Clin Pharmacol [serial online] 2020 [cited 2020 Jun 1 ];36:88-93
Available from: http://www.joacp.org/article.asp?issn=0970-9185;year=2020;volume=36;issue=1;spage=88;epage=93;aulast=Gupta;type=0