Gallart Lluís, Canet Jaume
Department of Anaesthesiology, Hospital del Mar, Universitat Autònoma de Barcelona, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Passeig Maritim 25, 08003 Barcelona, Spain.
Department of Anaesthesiology, Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona, Carretera del Canyet s/n, Badalona, 08916 Barcelona, Spain.
Best Pract Res Clin Anaesthesiol. 2015 Sep;29(3):315-30. doi: 10.1016/j.bpa.2015.10.004. Epub 2015 Oct 22.
Post-operative pulmonary complications (PPCs) can have severe consequences and their incidence is high. In recent years, PPCs have been the subject of numerous studies and articles, which have provided a great deal of information that is beneficial but that can cause confusion on a practical level. This review focusses on three main points: (1) the definitions of PPCs, which are heterogeneous and often vary from one report to another, despite emerging consensus; (2) the risk as reflected in the pool of PPC predictors, with each study identifying some but leaving us with a myriad of combinations; and (3) the many PPC prediction scores proposed, each with its strengths and limitations. We attempt to clarify the practical and research implications of the current situation.
术后肺部并发症(PPCs)可能会产生严重后果,且其发生率很高。近年来,PPCs一直是众多研究和文章的主题,这些研究和文章提供了大量有益信息,但在实际应用层面可能会造成混淆。本综述聚焦于三个要点:(1)PPCs的定义,尽管已逐渐达成共识,但这些定义并不统一,且往往因报告而异;(2)PPC预测指标所反映的风险,每项研究都确定了一些指标,但留下了无数种组合;(3)提出的众多PPC预测评分,每个评分都有其优点和局限性。我们试图阐明当前形势在实际应用和研究方面的意义。