Introduction Postoperative pulmonary complications (PPCs) are as common as cardiac complications following non-cardiothoracic surgery and carry significant morbidity and mortality . The incidence of PPCs was higher than cardiac complications (2.7% vs 2.5%) in the cohort of non-cardiac surgical patients used to validate the Revised Cardiac Risk Index . An earlier study of patients undergoing abdominal surgery revealed not only similar results but also longer hospital stays . More recently, Lawrence et al. in a large retrospective cohort study of patients undergoing hip repair showed that serious pulmonary and cardiac complications have similar incidence and significant impact on mortality and length of stay . Postoperative pulmonary complications are a marker of poor prognosis. In patients with or without respiratory failure following vascular and general surgical procedures, mortality at 30 days in the respiratory failure group was 26.5% compared with 1.4% in those without it . Similarly, a prospective study of patients age ≥ 70 years examined predictors of mortality up to 3 years following non-cardiac surgery. Postoperative pulmonary complications were independent predictors of decreased long-term survival . These findings confirm the clinical importance of PPCs.
|Original language||English (US)|
|Title of host publication||Medical Management of the Surgical Patient|
|Subtitle of host publication||A Textbook of Perioperative Medicine, Fifth Edition|
|Publisher||Cambridge University Press|
|Number of pages||14|
|State||Published - Jan 1 2010|
ASJC Scopus subject areas