We have located links that may give you full text access.
Journal Article
Research Support, Non-U.S. Gov't
Review
Systematic Review
Predicting pulmonary complications after nonthoracic surgery: a systematic review of blinded studies.
American Journal of Medicine 2002 Februrary 16
PURPOSE: To determine the performance of variables commonly used in the prediction of postoperative pulmonary complications in patients undergoing nonthoracic surgery.
METHODS: We conducted a systematic review of the literature in English, using MEDLINE (1966-2001), manual searches of identified articles, and contact with content experts. All studies reporting independent and blinded comparisons of preoperative or operative factors with postoperative pulmonary complications were included. Two reviewers independently abstracted inclusion and exclusion criteria, study designs, patient characteristics, predictors of interest, and the nature and occurrence of postoperative pulmonary complications.
RESULTS: Seven studies fulfilled the inclusion criteria. The definition of postoperative pulmonary complications differed among studies, and the incidence of postoperative pulmonary complications varied from 2% to 19%. Of the 28 preoperative or operative predictors that were evaluated in the 7 studies, 16 were associated significantly with postoperative pulmonary complications, although only 2 (duration of anesthesia and postoperative nasogastric tube placement) were significant in more than one study. The positive (2.2 to 5.1) and negative (0.2 to 0.8) likelihood ratios for these 16 variables suggest that they have only modest predictive value. Neither hypercarbia nor reduced spirometry values were independently associated with an increased risk of postoperative pulmonary complications.
CONCLUSION: Few studies have rigorously evaluated the performance of the preoperative or operative variables in the prediction of postoperative pulmonary complications. Prospective studies with independent and blinded comparisons of these variables with postoperative outcomes are needed.
METHODS: We conducted a systematic review of the literature in English, using MEDLINE (1966-2001), manual searches of identified articles, and contact with content experts. All studies reporting independent and blinded comparisons of preoperative or operative factors with postoperative pulmonary complications were included. Two reviewers independently abstracted inclusion and exclusion criteria, study designs, patient characteristics, predictors of interest, and the nature and occurrence of postoperative pulmonary complications.
RESULTS: Seven studies fulfilled the inclusion criteria. The definition of postoperative pulmonary complications differed among studies, and the incidence of postoperative pulmonary complications varied from 2% to 19%. Of the 28 preoperative or operative predictors that were evaluated in the 7 studies, 16 were associated significantly with postoperative pulmonary complications, although only 2 (duration of anesthesia and postoperative nasogastric tube placement) were significant in more than one study. The positive (2.2 to 5.1) and negative (0.2 to 0.8) likelihood ratios for these 16 variables suggest that they have only modest predictive value. Neither hypercarbia nor reduced spirometry values were independently associated with an increased risk of postoperative pulmonary complications.
CONCLUSION: Few studies have rigorously evaluated the performance of the preoperative or operative variables in the prediction of postoperative pulmonary complications. Prospective studies with independent and blinded comparisons of these variables with postoperative outcomes are needed.
Full text links
Related Resources
Trending Papers
The 'Ten Commandments' for the 2023 European Society of Cardiology guidelines for the management of endocarditis.European Heart Journal 2024 April 18
Challenges in Septic Shock: From New Hemodynamics to Blood Purification Therapies.Journal of Personalized Medicine 2024 Februrary 4
A Guide to the Use of Vasopressors and Inotropes for Patients in Shock.Journal of Intensive Care Medicine 2024 April 14
Prevention and treatment of ischaemic and haemorrhagic stroke in people with diabetes mellitus: a focus on glucose control and comorbidities.Diabetologia 2024 April 17
Diagnosis and Management of Cardiac Sarcoidosis: A Scientific Statement From the American Heart Association.Circulation 2024 April 19
Eosinophilic Esophagitis: Clinical Pearls for Primary Care Providers and Gastroenterologists.Mayo Clinic Proceedings 2024 April
Essential thrombocythaemia: A contemporary approach with new drugs on the horizon.British Journal of Haematology 2024 April 9
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app