Abstract
Background
The incidence of postoperative pulmonary complications (POPCs) in restrictive pulmonary disorders remains indefinite especially in adults. Therefore, this study is structured to evaluate the incidence and risk factors of POPCs in restrictive pulmonary disorders.
Methods
2177 preoperative consultations have been prospectively evaluated from May 2015 to May 2016 in Cukurova University, Department of Chest Diseases. 60 of them (2.8%) met restrictive pulmonary function tests (PFTs) criteria and all of them were enrolled in the study. Each participant was evaluated at the 7th day and has been followed-up until 30th day after surgery. Clinical, surgical, PFT and arterial blood gas analysis parameters were evaluated to analyse risk factors of POPCs.
Results
The incidence of early and late POPCs as 10% and 11.7% in restrictive pulmonary disorders. Preoperative PaO2 ≤ 68 mmHg is an independent risk factor of POPCs. Surgery site, duration of surgery, age, previous or current smoking, preoperative PFT results, physical status, cardiopulmonary risk points, abnormal chest radiography were not significantly related with an increased risk in our study.
Conclusions
The incidence of POPCs in restrictive pulmonary disorders is high. The patients with restrictive pulmonary disorders should be evaluated with particular care perioperatively. Arterial blood gas analysis may give additional knowledge about increased POPCs risk.
The Incidence and Risk Factors of Postoperative Pulmonary Complications in Restrictive Pulmonary Disorders
