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.
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Arch. Bronconeumol. · Mar 2001
Comparative Study[The physician and the patient in the decision to quit smoking. Effect of the initiative on the result of the intervention].
The results obtained from treatment of smoking addiction are not all that might be desired, such that continued investigation of the various factors that determine treatment success or failure are necessary. The aim of this study was to know the influence of health care providers in the smoking cessation process. ⋯ Intervention among smokers should be as strong among those who ask for help as among those who have not yet contemplated quitting; progress to another phase in the abandonment process, so that efforts to achieve total cessation can be approached at a later time, should be considered a therapeutic success.