Gupta Surbhi, Fernandes Roshan Joseph, Rao Joseph Sushil, Dhanpal Radhika
Department of Anesthesiology, St. John's Medical College and Hospital, Bengaluru, Karnataka, India.
Department of Surgical Oncology, St. John's Medical College and Hospital, Bengaluru, Karnataka, India.
J Anaesthesiol Clin Pharmacol. 2020 Jan-Mar;36(1):88-93. doi: 10.4103/joacp.JOACP_54_19. Epub 2020 Feb 18.
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.
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.
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.
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.
术后肺部并发症（PPCs）会导致发病率、死亡率、住院时间增加以及患者费用上升。本研究旨在确定非心脏手术后PPCs的危险因素并评估其发生率。
本前瞻性观察性研究对1170例接受非心脏手术的患者进行。收集患者、手术和麻醉因素的详细信息，并对患者住院期间PPCs的发生情况进行全程随访。记录所有患者的加泰罗尼亚外科患者呼吸风险（ARISCAT）评分和住院时间。采用回归分析确定与呼吸并发症发生相关的危险因素。
我院1170例患者中PPCs发生率为59例（5%）。多因素分析显示，ARISCAT评分中、高风险的患者发生PPCs的几率更高。年龄较大（>50岁）、咳嗽试验阳性、存在鼻胃管以及术中肺部并发症被确定为与PPCs发生相关的独立危险因素。
我们的研究中PPCs发生率为5%。识别所确定的危险因素并在术前评估中常规使用ARISCAT评分，可能有助于识别发生术后肺部并发症风险较高的患者。
