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Can the Melbourne Scoring Scale be used to assess postoperative pulmonary complications in high-risk patients following lung resection?
Department of Occupational Therapy and Physiotherapy, Aalborg University Hospital, Aalborg, Denmark.
Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. Department of Physiotherapy.
Department of Occupational Therapy and Physiotherapy, Aalborg University Hospital, Aalborg, Denmark; Public Health and Epidemiology Group, Department of Health, Science and Technology, Aalborg University, Aalborg, Denmark.
Department of Cardiothoracic Surgery, Aalborg University Hospital, Aalborg, Denmark; Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
2018 (Engelska)Ingår i: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 52, nr Suppl. 62, artikel-id PA1423Artikel i tidskrift, Meeting abstract (Övrigt vetenskapligt) Published
Abstract [en]

Objectives: Postoperative pulmonary complications (PPC) are common following lung resections, but there is no consensus in the literature on the definition of a clinically relevant PPC. This study aimed to use the Melbourne Scoring Scale (MGS) to determine the frequency and predictors of PPC in patients scheduled for lung resection on suspicion of or due to cancer.

Methods: In a prospective observational design, we assessed 87 consecutive patients following lung resections in Aalborg University Hospital, Denmark. Patients were preoperatively classified as being at high PPC-risk (n= 68) or low PPC-risk (n=19), based on the presence of one or more of the items: FEV1 or carbon monoxide diffusion capacity (DLCO) ≤70%, age ≥70 years or scheduled pneumonectomy. Data on PPC was collected daily and re-evaluated two weeks postoperatively. Multivariate regression analysis was used to evaluate variables associated with PPC.

Results: The actual frequency of PPC according to the MGS was 11% (n=10), all cases within the predefined high-risk group, with pneumonia accounting for 10% of the cases. We found that preoperative FEV1 and DLCO ≤60% were significantly associated with a higher PPC risk (area under the ROC curve 0.851), 95% CI 2.2-56.6 and 1.1-36.8 for FEV1 and DLCO, respectively.

Conclusions: The MGS can be used to identify patients at high risk of postoperative clinically relevant PPC after lung resections, in particular in patients with preoperative values of FEV1 ≤ 60% or DLCO ≤ 60%. More research is needed to evaluate the effect of preventable interventions targeting patients at high-risk of developing PPC.

Ort, förlag, år, upplaga, sidor
European Respiratory Society , 2018. Vol. 52, nr Suppl. 62, artikel-id PA1423
Nationell ämneskategori
Lungmedicin och allergi
Identifikatorer
URN: urn:nbn:se:oru:diva-72097DOI: 10.1183/13993003.congress-2018.PA1423ISI: 000455567101483OAI: oai:DiVA.org:oru-72097DiVA, id: diva2:1285785
Konferens
28th International Congress of the European-Respiratory-Society (ERS), Paris, France, September 15-19, 2018
Tillgänglig från: 2019-02-05 Skapad: 2019-02-05 Senast uppdaterad: 2019-02-05Bibliografiskt granskad

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Westerdahl, Elisabeth

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