ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
An Evaluation Of Pulmonary Complication Risk After Abdominal Surgery
Dr. Gülden BİLGİN,a Dr. Ali Ulvi ÖNGÖREN,b Dr. Arif Hakan DEMİREL,b Dr. Yasin ŞAHİN,b Dr. Özcan ÖKTEM,b Dr. Arife VURALa
aGöğüs Hastalıkları Kliniği, b2. Genel Cerrahi Kliniği, Ankara Eğitim ve Araştırma Hastanesi, ANKARA
Objective: The relationship between postoperative pulmonary complications and preoperative risk factors was examined through a prospective study.
Material and Methods: A total of 80 patients with planned abdominal operation at the 2nd Department of General Surgery between October-December 2005 were included. Types of the operations performed were cholecystectomy, gastric resection, amputation of the rectum, hydatid cyst of the liver, appendectomy, haernioplasty etc. In the preoperative period, smoking history, body-mass indexes, types of anesthesia, additional systemic history and the duration of operations were detected. Pre- and postoperative pulmonary function tests and the artery blood values were recorded.
Results: Overall, pulmonary postoperative complications were determined in 10 cases (12.5%). In the univariate analysis, while an accompanying disease was observed in 24.3% of patients without complications, this rate was 90% (p= 0.001) among those with complications. While there was an accompanying disease in 25.9% of the non-obese population, the rate was 50% (p= 0.04) in the obese. In the multivariate analysis, smoking and the accompanying disease seemed to contribute to the complication rate significantly (p= 0.038, p= 0.001). There was no significant correlation between the duration of operations and complications in patients operated under general anesthesia (p= 0.345). A significant decrease was determined in the postoperative pulmonary tests (p= 0.004) in all cases, being independent from the type of anesthesia and operation. Complication rate in American Society of Anesthesiologists (ASA) III patients was significantly higher (p< 0.001).
Conclusion: ASA III patients, smoking and accompanying disease increase the risk of postoperative pulmonary complications. The significant decrease of the postoperative pulmonary tests suggests that operations have an adverse effect on the respiratory reserve.Keywords: Surgery; postoperative complicationsTurkiye Klinikleri J Med Sci 2007, 27:206-213
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