Archivos de bronconeumología
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Arch. Bronconeumol. · May 2001
[Postoperative lung complications and mortality in patients with mild-to-moderate COPD undergoing elective general surgery].
To verify the incidence of postoperative pulmonary complications (PPC) and mortality inpatients with mild-to-moderate chronic obstructive pulmonary disease(COPD) who undergo elective general surgery. Incidence of PPC and mortality were studied in relation to sex, age, anesthesia,surgical incision, duration of surgery, smoking, respiratory symptoms, comorbidity, nutritional status, lung examination, abnormal electrocardiogram,and PaO2, PaCO2, FEV1 and FEV1/FVC. ⋯ The incidence of PPC was 33.9% and lung-related mortality was 3.4%. Risk factors were male gender, amount of smoking, duration of surgery over 270 minutes, low FEV1/FVC, and chest or upper abdominal incision. No risk factor was found to predict mortality in this group.