scholarly journals Performance in the 6-minute walk test and postoperative pulmonary complications in pulmonary surgery: an observational study

2016 ◽  
Vol 20 (1) ◽  
pp. 66-72 ◽  
Author(s):  
Bruna F. A. Santos ◽  
Hugo C. D. Souza ◽  
Aline P. B. Miranda ◽  
Federico G. Cipriano ◽  
Ada C. Gastaldi
Keyword(s):  
Observational Study ◽  
Pulmonary Complications ◽  
Walk Test ◽  
Postoperative Pulmonary Complications ◽  
Pulmonary Surgery ◽  
6 Minute Walk Test ◽  
Minute Walk

scholarly journals Value of preoperative 6-minute walk test for predicting postoperative pulmonary complications

2015 ◽  
Vol 10 (1) ◽  
pp. 18-25 ◽  
Author(s):  
Warangkana Keeratichananont ◽  
Chokchai Thanadetsuntorn ◽  
Suriya Keeratichananont
Keyword(s):  
Pulmonary Complications ◽  
Walk Test ◽  
Postoperative Pulmonary Complications ◽  
6 Minute Walk Test ◽  
Minute Walk

scholarly journals 6 Minute Walk Test (6-MWT) as a Tool for Predicting Post Operative Pulmonary Complications in Abdominal Surgeries

2021 ◽  
pp. 204-209
Author(s):  
K. Janani ◽  
K. Rajkumaran ◽  
S. Niranjani
Keyword(s):  
Abdominal Surgery ◽  
Pulmonary Complication ◽  
Tertiary Care ◽  
Pulmonary Complications ◽  
Uncontrolled Hypertension ◽  
Walk Test ◽  
Coronary Syndrome ◽  
Six Minute Walk Test ◽  
6 Minute Walk Test ◽  
Minute Walk

Background: Post operative pulmonary complications (PPC) contribute to increased morbidity and mortality. Thus pre operative assessment is required. Six minute walk test (6-MWT) is a simple and reliable test which is recently being included in pre operative evaluation. Objectives: The objective of this study is to determine the value of the six minute walk test as a reliable tool in detecting post operative pulmonary complications in patients undergoing abdominal surgery. Materials and Methods: It is a prospective observational study conducted in a tertiary care centre for a period of 3 months. 66 patients in the age group of 40-60 years undergoing elective abdominal surgery under general anaesthesia were included in this study based on universal sampling method. Patients with recent coronary syndrome, uncontrolled hypertension, cardiac diseases, pregnancy and conditions which impair walking (eg. Arthiritis) were excluded from the study.     6 minute walk test was performed before the surgery. The procedure was explained to the patients and consent was obtained. The test was conducted on a flat surface of 20m near our pre anaesthetic clinic and the patient was asked to walk for a period of 6 minutes in their own comfortable pace. The distance covered by the patients in the 6 minutes was noted. Vitals such a SpO2, heart rate, systolic and diastolic blood pressures were recorded before and after the test. The patients were followed up for the development of pulmonary complications in the post operative period. Results: Out of the 66 patients included in the study, 35 patients did not develop        PPC (Group 1) and 31 patients developed PPC (Group2) including one death due to respiratory failure. The six minute walk distance in the PPC group was significantly less (p=0.0001) when compared to that of the non PPC group. Patients in the PPC group also required prolonged hospital stay. Pneumonia was the most commonly developed post operative pulmonary complication. Conclusion: Six minute walk test is a useful tool in predicting post operative pulmonary complication in patients undergoing abdominal surgery.  

scholarly journals Six minute walk test for predicting postoperative pulmonary complications in high risk patients undergoing major abdominal elective surgery

2021 ◽  
Vol 8 (3) ◽  
pp. 418-421
Author(s):  
Payal P Prajapati ◽  
Pancham H Mehta ◽  
Aniket Aghara ◽  
Kamla H Mehta
Keyword(s):  
High Risk ◽  
Abdominal Surgery ◽  
General Anaesthesia ◽  
Pulmonary Complications ◽  
Walk Test ◽  
Postoperative Pulmonary Complications ◽  
Walk Distance ◽  
Risk Patients ◽  
Minute Walk Distance ◽  
Minute Walk

The morbidity and mortality of patients are increased when postoperative pulmonary complications occurs. To prevent postoperative pulmonary complications, thorough preoperative cardiopulmonary functional assessment is required.To study was the preoperative 6-minute walk test (6MWT) and to determine the association of 6 minute walk distance with postoperative pulmonary complications (PPC) in patients undergoing elective abdominal surgery under general anaesthesia. The study was done in 60 adult high risk patients who were undergoing planned elective abdominal surgery under general anaesthesia. Patients having acute coronary disease, NYHA IV, unable to walk etc. were excluded. Preoperatively 6MWT was conducted according to the American Thoracic Society guidelines and patients were observed for PPC until they discharged from the hospital or died. Statistical analysis was done using SPSS software A total of 60 patients were recruited into the study. 6MWT was done completely in all cases without any complications. Out of the 60 patients, 32 patients had no PPC (group 1) and 28 patients had PPC (group 2). The 6MWD of group with PPCs was significantly less (344 ± 61.927 m) compared to the group without PPCs (442.28 ± 83.194 m, P value = 0.001). The cut off 6MWD obtained was 390 m, which correlated with longer duration of hospital stay and ICU stay (P = 0.001).A multiple regression analysis showed elderly, smoker and shorter 6-minute walk distance (6MWD) were the independent factors associated with PPC. 6MWT is a reliable predictor of postoperative pulmonary complications with a cutoff 6MWD of 390m in the high risk elderly patients posted for upper abdominal surgery patients.

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