Yıl 2021, Cilt 14 , Sayı 1, Sayfalar 31 - 41 2021-01-04

Postoperative pulmonary complications in noncardiothoracic surgery
Kardiyotorasik dışı cerrahilerde postoperatif pulmoner komplikasyonlar

Esra BÜYÜK [1] , Derya HOŞGÜN [2] , Evrim AKPINAR [3] , Sümeyye BEKİR [4]


Purpose: Postoperative pulmonary complications (PPCs) are a major cause of mortality and morbidity. The
aim of this study is to evaluate frequencies and determine risk factors of PPCs which developed subsequent to
general surgery and orthopedic surgery in a tertiary university hospital.
Materials-methods: Patients who were operated in Departments of General Surgery and Orthopedics and
Traumatology were retrospectively included to the study.
Results: 683 patients with a mean age of 59.43±18.77 years were included in the study. The ratio of PPC was
10.3%. Most frequent PPC was found to be pneumonia (6.3%). The prevelance of PPC was significantly higher
in patients ≥65 years than who were <65 years old (18.2% vs 4.4%) (p<0.001). PPC was more frequent in
patients who undergone urgent surgery than those who undergone elective surgery (24.1% vs 8%) (p<0.001).
The rates of development of PPC according to the duration of operation (30 min-1 h, 1-2 h, 2-3 h, 3-4 h, >4
h) were respectively as follows 2.8%, 9.5%, 25%, 75% and 100% (p<0.001). Multivariable logistic regression
analysis showed that being ≥65 years, having ASA≥3 and hypoalbuminemia (<3g/dl) were independent risk
factors for development of PPC (OR:2.45, 95% CI (1.14-5.25) p<0.05; OR: 44.5, 95% CI (5.13-386.1) p<0.05;
OR:6.4, 95% CI (3.14-13.1) p<0.05).
Conclusion: The clinicians should be aware of PPCs especially in patients who were ≥65 years, had ASA≥3
and hypoalbuminemia (<3g/dl).

Abstract Purpose:Postoperative pulmonary complications (PPCs) are a majör cause of mortality and morbidity.Aim of the study to evaluate frequencies and determine risk factors of PPCs which developed subsequent to general surgery and orthopedic surgery in a tertiary university hospital. Materials- Methods:Patients who were operated in Departments of General Surgery and Orthopedics and Traumatology were retrospectively included to the study. Results: 683 patients with a mean age of 59.43 ± 18.77 years were included in the study. The ratio of PPC was 10.3%. Most frequent PPC was found to be pneumonia ( 6.3%).The prevelance of PPC was significantly higher in patients ≥ 65 years than who were <65 years old (18.2% vs 4.4%) (p<0.001). PPC was more frequent in patients who undergone urgent surgery than those who undergone elective surgery (24.1% vs 8%) (p<0.001).The rates of development of PPC according to the duration of opera-tion (30 min-1 h, 1-2 h, 2-3 h, 3-4 h, >4 h ) were respectively as follows 2.8%, 9.5%, 25%, 75% and 100% (p<0.001). Multivariable logistic regression analysis showed that being ≥ 65 years, having ASA≥3 and hypoalbuminemia (<3g/dl) were independent risk factors for development of PPC [OR:2.45, 95% CI (1.14-5.25) p<0.05; OR: 44.5, 95% CI (5.13-386.1) p<0.05; OR:6.4, 95% CI (3.14-13.1) p<0.05]. Conclusion: The clinicians should be aware of PPCs especially in patients who were ≥ 65 years, had ASA≥3 and hypoalbuminemia (<3g/dl). Kardiyotorasik dışı cerrahilerde postoperatif pulmoner komplikasyonlar Özet Amaç:Postoperatif pulmoner komplikasyonlar (PPK) önemli mortalite ve morbidite sebebidir. Çalışmamızın amacı ortopedi ve genel cerrahi operasyonlarından sonra gelişen PPK sıklığını ve risk faktörlerini belirlemektir. Gereç ve Yöntem:Genel cerrahi, ortopedi ve travmatoloji kliniklerinde opere edilen haslar retrospektif olarak değerlendirildi. Bulgular: Ortalama yaşı 59.43±18.77 yıl olan 683 hasta çalışmaya alındı.PPK %10.3 idi. Pnömöni (%6.3) en sık görülen PPK olarak tespit edildi.PPK sıklığı 65 yaş ve üs-tünde altında göre belirgin olarak yüksek saptandı. (18.2% vs 4.4%) (p<0.001).Acil cerrahi operasyonlarda elektif operasyonlara göre daha sık tespit edildi (24.1% vs 8%) (p<0.001).Operasyon süresinine göre (30 dk-1 st,1-2 st,2-3 st,4 st, >4st) PPK gelişim oranı sırasıyla %2.8,%9.5,%25,%75 ve %100 olarak bulundu (p<0.001). Çok değiş-kenli logiistik regresyon analizine göre ASA≥3, hipoalbunemi (<3g/dl) ve 65 yaş üstü PPK gelişiminde bağımsız risk faktörü olarak saptandı [OR:2.45, 95% CI (1.14-5.25) p<0.05; OR: 44.5, 95% CI (5.13-386.1) p<0.05; OR:6.4, 95% CI (3.14-13.1) p<0.05]. Sonuç:ASA≥3, hipoalbunemi (<3g/dl) ve 65 yaş üzerinde klinisyenler PPK açısından dikkatli olmalıdır.
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Birincil Dil en
Konular Tıp
Yayınlanma Tarihi Ocak 2021
Bölüm Araştırma Makalesi
Yazarlar

Orcid: 0000-0001-8568-7523
Yazar: Esra BÜYÜK
Kurum: Çankırı Goverment Hospital, Department of Chest Dİseases,Çankırı, Turkey
Ülke: Turkey


Orcid: 0000-0003-1221-3620
Yazar: Derya HOŞGÜN (Sorumlu Yazar)
Kurum: Ankara Ataturk Chest Diseases and Thoracic Surgery Training and Research Hospital,Department of Intensive Care Unit,, Ankara, Turkey.
Ülke: Turkey


Orcid: 0000-0001-9040-9309
Yazar: Evrim AKPINAR
Kurum: Ufuk University Faculty of Medicine, Department of Chest Diseases, Ankara, Turkey.
Ülke: Turkey


Orcid: 0000-0002-3542-8133
Yazar: Sümeyye BEKİR
Kurum: Sureyyapaşa Chest Diseases and Chest Surgery Training and Research Hospital, Department of Chest Diseases, İstanbul, Turkey
Ülke: Turkey


Tarihler

Yayımlanma Tarihi : 4 Ocak 2021

Bibtex @araştırma makalesi { patd737172, journal = {Pamukkale Tıp Dergisi}, issn = {}, eissn = {1308-0865}, address = {Pamukkale Üniversitesi Tıp Fakültesi Eğitim Blokları Kınıklı kampüsü 20070 Kınıklı, Denizli}, publisher = {Pamukkale Üniversitesi}, year = {2021}, volume = {14}, pages = {31 - 41}, doi = {10.31362/patd.737172}, title = {Postoperative pulmonary complications in noncardiothoracic surgery}, key = {cite}, author = {Büyük, Esra and Hoşgün, Derya and Akpınar, Evrim and Beki̇r, Sümeyye} }
APA Büyük, E , Hoşgün, D , Akpınar, E , Beki̇r, S . (2021). Postoperative pulmonary complications in noncardiothoracic surgery . Pamukkale Tıp Dergisi , 14. Cilt 1. Sayı , 31-41 . DOI: 10.31362/patd.737172
MLA Büyük, E , Hoşgün, D , Akpınar, E , Beki̇r, S . "Postoperative pulmonary complications in noncardiothoracic surgery" . Pamukkale Tıp Dergisi 14 (2021 ): 31-41 <https://dergipark.org.tr/tr/pub/patd/issue/56734/737172>
Chicago Büyük, E , Hoşgün, D , Akpınar, E , Beki̇r, S . "Postoperative pulmonary complications in noncardiothoracic surgery". Pamukkale Tıp Dergisi 14 (2021 ): 31-41
RIS TY - JOUR T1 - Postoperative pulmonary complications in noncardiothoracic surgery AU - Esra Büyük , Derya Hoşgün , Evrim Akpınar , Sümeyye Beki̇r Y1 - 2021 PY - 2021 N1 - doi: 10.31362/patd.737172 DO - 10.31362/patd.737172 T2 - Pamukkale Tıp Dergisi JF - Journal JO - JOR SP - 31 EP - 41 VL - 14 IS - 1 SN - -1308-0865 M3 - doi: 10.31362/patd.737172 UR - https://doi.org/10.31362/patd.737172 Y2 - 2020 ER -
EndNote %0 Pamukkale Tıp Dergisi Postoperative pulmonary complications in noncardiothoracic surgery %A Esra Büyük , Derya Hoşgün , Evrim Akpınar , Sümeyye Beki̇r %T Postoperative pulmonary complications in noncardiothoracic surgery %D 2021 %J Pamukkale Tıp Dergisi %P -1308-0865 %V 14 %N 1 %R doi: 10.31362/patd.737172 %U 10.31362/patd.737172
ISNAD Büyük, Esra , Hoşgün, Derya , Akpınar, Evrim , Beki̇r, Sümeyye . "Postoperative pulmonary complications in noncardiothoracic surgery". Pamukkale Tıp Dergisi 14 / 1 (Ocak 2021): 31-41 . https://doi.org/10.31362/patd.737172
AMA Büyük E , Hoşgün D , Akpınar E , Beki̇r S . Postoperative pulmonary complications in noncardiothoracic surgery. Pamukkale Tıp Dergisi. 2021; 14(1): 31-41.
Vancouver Büyük E , Hoşgün D , Akpınar E , Beki̇r S . Postoperative pulmonary complications in noncardiothoracic surgery. Pamukkale Tıp Dergisi. 2021; 14(1): 31-41.
IEEE E. Büyük , D. Hoşgün , E. Akpınar ve S. Beki̇r , "Postoperative pulmonary complications in noncardiothoracic surgery", Pamukkale Tıp Dergisi, c. 14, sayı. 1, ss. 31-41, Oca. 2021, doi:10.31362/patd.737172