Predicting postoperative pulmonary complications: Implications for outcomes and costs

Current Opinion in Anaesthesiology

Volumn 27, Issue 2, 2014, Pages 201-209

  Sabaté, Sergi ^a   Mazo, Valentín ^b   Canet, Jaume ^b  

^a FUNDACIÓ PUIGVERT   (Spain)

^b HOSPITAL UNIVERSITARI GERMANS TRIAS I PUJOL   (Spain)

Author keywords

costs and cost analyses; length of stay; mortality; outcome assessment; patient readmissions; postoperative pulmonary complications; risk factors

Indexed keywords

ALCOHOL ABSTINENCE; ARTIFICIAL VENTILATION; ASPIRATION PNEUMONIA; ATELECTASIS; BRONCHOSPASM; HEALTH CARE COST; HOSPITAL READMISSION; HUMAN; INCIDENCE; INTENSIVE CARE UNIT; LENGTH OF STAY; LUNG DISEASE; MORTALITY; OPERATION DURATION; OUTCOME ASSESSMENT; PHYSIOTHERAPY; PLEURA EFFUSION; PNEUMONIA; PNEUMOTHORAX; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; RESPIRATORY FAILURE; RESPIRATORY TRACT INTUBATION; REVIEW; RISK ASSESSMENT; RISK FACTOR; RISK REDUCTION; SMOKING CESSATION; SPIROMETRY; ECONOMICS; HEALTH INSURANCE; LUNG DISEASES; POSITIVE END EXPIRATORY PRESSURE; POSTOPERATIVE COMPLICATIONS; TREATMENT OUTCOME;

HEALTH CARE COSTS; HUMANS; LUNG DISEASES; MANAGED CARE PROGRAMS; POSITIVE-PRESSURE RESPIRATION; POSTOPERATIVE COMPLICATIONS; RISK FACTORS; TREATMENT OUTCOME;

EID: 84896394828     PISSN: 09527907     EISSN: 14736500     Source Type: Journal    
DOI: 10.1097/ACO.0000000000000045     Document Type: Review

References (72)

1. Amar D, Munoz D, Shi W, et al. A clinical prediction rule for pulmonary complications after thoracic surgery for primary lung cancer. Anesth Analg 2010; 110:1343-1348.
2. Rahmanian PB, Krö ner A, Langebartels G, et al. Impact of major noncardiac complications on outcome following cardiac surgery procedures: logistic regression analysis in a very recent patient cohort. Interact Cardiovasc Thorac Surg 2013; 17:319-327.
3. Qaseem A, Snow V, Fitterman N, et al. Risk assessment for and strategies to reduce perioperative pulmonary complications for patients undergoing noncardiothoracic surgery: a guideline from the American College of Physicians. Ann Intern Med 2006; 144:575-580. (Pubitemid 46768148)
4. Smetana GW, Lawrence VA, Cornell JE, et al. Preoperative pulmonary risk stratification for noncardiothoracic surgery: systematic review for the American College of Physicians. Ann Intern Med 2006; 144:581-595. (Pubitemid 46768149)
5. Lawrence VA, Cornell JE, Smetana GW, et al. Strategies to reduce postoperative pulmonary complications after noncardiothoracic surgery: systematic review for the American College of Physicians. Ann Intern Med 2006; 144:596-608. (Pubitemid 46768150)
6. McAlister FA, Bertsch K, Man J, et al. Incidence of and risk factors for pulmonary complications after nonthoracic surgery. Am J Respir Crit Care Med 2005; 171:514-517. (Pubitemid 40444253)
7. Arozullah AM, Khuri SF, Henderson WG, et al. Development and validation of a multifactorial risk index for predicting postoperative pneumonia after major noncardiac surgery. Ann Intern Med 2001; 135:847-857. (Pubitemid 33070681)
8. Lawrence VA, Hilsenbeck SG, Noveck H, et al. Medical complications and outcomes after hip fracture repair. Arch Intern Med 2002; 162:2053-2057. (Pubitemid 35168213)
9. Sabaté S, Mases A, Guilera N, et al. Incidence and predictors of major perioperative adverse cardiac and cerebrovascular events in noncardiac surgery. Br J Anaesth 2011; 107:879-890.
10. Lawson EH, Hall BL, Louie R, et al. Association between occurrence of a postoperative complication and readmission. Ann Surg 2013; 258:10-18.
11. Lawrence VA, Hilsenbeck SG, Mulrow CD, et al. Incidence and hospital stay for cardiac and pulmonary complications after abdominal surgery. J Gen Intern Med 1995; 10:671-678. (Pubitemid 26020430)
12. Shander A, Fleisher LA, Barie PS, et al. Clinical and economic burden of postoperative pulmonary complications: patient safety summit on definition, risk-reducing interventions, and preventive strategies. Crit Care Med 2011; 39:2163-2172.
13. Canet J, Gallart L, Gomar C, et al. Prediction of postoperative pulmonary complications in a population-based surgical cohort. Anesthesiology 2010; 113:1338-1350.
14. Parry S, Denehy L, Berney S, et al. Clinical application of the Melbourne risk prediction tool in a high-risk upper abdominal surgical population: an observational cohort study. Physiotherapy 2013. in press (doi: 10.1016/j.physio. 2013.05.002).
15. Pessaux P, van den Broek MAJ, Wu T, et al. Identification and validation of risk factors for postoperative infectious complications following hepatectomy. J Gastrointest Surg 2013; 17:1907-1916.
16. Marda M, Pandia MP, Rath GP, et al. Postoperative pulmonary complications in patients undergoing transoral odontoidectomy and posterior fixation for craniovertebral junction anomalies. J Anaesthesiol Clin Pharmacol 2013; 29:200-204.
17. Savardekar A, Gyurmey T, Agarwal R, et al. Incidence, risk factors, and outcome of postoperative pneumonia after microsurgical clipping of ruptured intracranial aneurysms. Surg Neurol Int 2013; 4:24.
18. Haines KJ, Skinner EH, Berney S. Association of postoperative pulmonary complications with delayed mobilisation following major abdominal surgery: an observational cohort study. Physiotherapy 2013; 99:119-125.
19. Karam J, Shepard A, Rubinfeld I. Predictors of operative mortality following major lower extremity amputations using the National Surgical Quality Improvement Program public use data. J Vasc Surg 2013; 58:1276-1282.
20. Eappen S, Lane BH, Rosenberg B, et al. Relationship between occurrence of surgical complications and hospital finances. JAMA 2013; 309:1599-1606.
21. Singh JA, Hawn M, Campagna EJ, et al. Mediation of smoking-associated postoperative mortality by perioperative complications in veterans undergoing elective surgery: data from Veterans Affairs Surgical Quality Improvement Program (VASQIP)-a cohort study. BMJ Open 2013; 3:e002157.
22. Solomon ER, Muffly TM, Barber MD. Common postoperative pulmonary complications after hysterectomy for benign indications. Am J Obstet Gynecol 2013; 208:54.e1-54.e5.
23. Enestvedt CK, Diggs BS, Cassera MA, et al. Complications nearly double the cost of care after pancreaticoduodenectomy. Am J Surg 2012; 204:332-338.
24. Nobili C, Marzano E, Oussoultzoglou E, et al. Multivariate analysis of risk factors for pulmonary complications after hepatic resection. Ann Surg 2012; 255:540-550.
25. Schmitges J, Trinh QD, Bianchi M, et al. The effect of annual surgical caseload on the rates of in-hospital pneumonia and other in-hospital outcomes after radical prostatectomy. Int Urol Nephrol 2012; 44:799-806.
26. Campbell PG, Yadla S, Nasser R, et al. Patient comorbidity score predicting the incidence of perioperative complications: assessing the impact of comorbidities on complications in spine surgery. J Neurosurg Spine 2012; 16:37-43.
27. Kim SP, Shah ND, Karnes RJ, et al. The implications of hospital acquired adverse events on mortality, length of stay and costs for patients undergoing radical cystectomy for bladder cancer. J Urol 2012; 187:2011-2017.
28. Semenov YR, Starmer HM, Gourin CG. The effect of pneumonia on short-term outcomes and cost of care after head and neck cancer surgery. Laryngoscope 2012; 122:1994-2004.
29. Whitmore RG, Stephen J, Stein SC, et al. Patient comorbidities and complications after spinal surgery. Spine 2012; 37:1065-1071.
30. Gupta PK, Gupta H, Kaushik M, et al. Predictors of pulmonary complications after bariatric surgery. Surg Obes Relat Dis 2012; 8:574-581.
31. Diez-Sebastian J, Herruzo R, Garcia-Caballero J. Prevention of early-onset pneumonia in surgical patients by chemoprophylaxis. Am J Surg 2012; 204:441-446.
32. Toori KU, Khan JS, Nomani AZ, et al. A prospective study of factors predicting postoperative pulmonary complications (PPC) in patients undergoing noncardiothoracic surgery under general anaesthesia in a developing country. Anaesth Pain Intensive Care 2012; 16:252-256.
33. Hua M, Brady JE, Li G. A scoring system to predict unplanned intubation in patients having undergone major surgical procedures. Anesth Analg 2012; 115:88-94.
34. Gajic O, Dabbagh O, Park PK, et al. Early identification of patients at risk of acute lung injury: evaluation of lung injury prediction score in a multicenter cohort study. Am J Respir Crit Care Med 2011; 183:462-470.
35. Gupta H, Gupta PK, Fang X, et al. Development and validation of a risk calculator predicting postoperative respiratory failure. Chest 2011; 140:1207-1215.
36. Kor DJ, Warner DO, Alsara A, et al. Derivation and diagnostic accuracy of the surgical lung injury prediction model. Anesthesiology 2011; 115:117-128.
37. Carey K, Stefos T, Zhao S, et al. Excess costs attributable to postoperative complications. Med Care Res Rev 2011; 68:490-503.
38. Ferguson MK, Celauro AD, Prachand V. Prediction of major pulmonary complications after esophagectomy. Ann Thorac Surg 2011; 91:1494-1501.
39. Ramachandran SK, Nafiu OO, Ghaferi A, et al. Independent predictors and outcomes of unanticipated early postoperative tracheal intubation after nonemergent, noncardiac surgery. Anesthesiology 2011; 115:44-53.
40. Agostini P, Cieslik H, Rathinam S, et al. Postoperative pulmonary complications following thoracic surgery: are there any modifiable risk factors? Thorax 2010; 65:815e818.
41. Kassin MT, Owen RM, Perez S, et al. Risk factors for 30-day hospital readmission among general surgery patients. J Am Coll Surg 2012; 215:322-330.
42. Fuller RL, McCullough EC, Bao MZ, et al. Estimating the costs of potentially preventable hospital acquired complications. Healthcare Financ Rev 2009; 30:17-32.
43. Vonlanthen R, Slankamenac K, Breitenstein S, et al. The impact of complications on costs of major surgical procedures. Ann Surg 2011; 254:907-913.
44. Sasaki N, Meyer MJ, Eikermann R. Postoperative respiratory muscle dysfunction pathophysiology and preventive strategies. Anesthesiology 2013; 118:961-978.
45. Thompson DA, Makary MA, Dorman T, et al. Clinical and economic outcomes of hospital acquired pneumonia in intra-abdominal surgery patients. Ann Surg 2006; 243:547-552.
46. Canet J, Gallart L. Predicting postoperative pulmonary complications in the general population. Curr Opin Anaesthesiol 2013; 26:107-115.
47. Brueckmann B, Villa-Uribe JL, Bateman BT, et al. Development and validation of a score for prediction of postoperative respiratory complications. Anesthesiology 2013; 118:1275-1285.
48. Li C, Yang WH, Zhou J, et al. Risk factors for predicting postoperative complications after open infrarenal abdominal aortic aneurysm repair: results from a single vascular centre in China. J Clin Anesth 2013; 25:371-378.
49. Cassidy MR, Rosenkranz P, McCabe K, et al. I COUGH: reducing postoperative pulmonary complications with a multidisciplinary patient care program. JAMA Surg 2013; 148:740-745.
50. Musallam KM, Rosendaal FR, Zaatari, et al. Smoking and the risk of mortality and vascular and respiratory events in patients undergoing major surgery. JAMA Surg 2013; 148:755-762.
51. Blum JM, Stenz MJ, Dechert R, et al. Preoperative and intraoperative predictors of postoperative acute respiratory distress syndrome in a general surgical population. Anesthesiology 2013; 118:19-29.
52. Kang CY, Chaudhry OO, Halabi WJ, et al. Outcomes of laparoscopic colorectal surgery: data from the Nationwide Inpatient Sample 2009. Am J Surg 2012; 204:952-957.
53. Kandasamy T, Wright ED, Fuller J, et al. The incidence of early postoperative complications following uvulopalatopharyngoplasty: identification of predictive risk factors. J Otolaryngol Head Neck Surg 2013; 42:15.
54. Yang M, Ahn HJ, Kim JA, et al. Risk score for postoperative complications in thoracic surgery. Korean J Anesthesiol 2012; 63:527-532.
55. Moonesinghe SR, Mythen MG, Das P, et al. Risk stratification tools for predicting morbidity and mortality in adult patients undergoing major surgery qualitative systematic review. Anesthesiology 2013; 119:959-981.
56. Sigakis MJG, Bittner EA, Wanderer JP. Validation of a risk stratification index and risk quantification index for predicting patient outcomes: in-hospital mortality, 30-day mortality, 1-year mortality, and length-of-stay. Anesthesiology 2013; 119:525-540.
57. Moons KG, Kengne AP, Grobbee DE, et al. Risk prediction models: II. External validation, model updating, and impact assessment. Heart 2012; 98:691-698.
58. Justice AC, Covinsky KE, Berlin JA. Assessing the generalizability of prognostic information. Ann Intern Med 1999; 130:515-524. (Pubitemid 29135805)
59. Kim JY, Hildebrandt MA, Pu X, et al. Variations in the vascular endothelial growth factor pathway predict pulmonary complications. Ann Thorac Surg 2012; 94:1079-1085.
60. Smetana GW (2013). Strategies to reduce postoperative pulmonary complications. UpToDate. In: King TE, Aronson MD, editors. Waltham, MA: UpToDate. Highly practical review of preoperative, intraoperative, and postoperative strategies for reducing PPC risk factors.
61. Tønnesen H, Nielsen PR, Lauritzen JB, et al. Smoking and alcohol intervention before surgery: evidence for best practice. Br J Anaesth 2009; 102:297-306.
62. Oppedal K,Møller AM, Pedersen B, et al. Preoperative alcohol cessation prior to elective surgery. Cochrane Database Syst Rev 2012; Issue 7. Art. No.: CD008343.
63. Nandwani N, Raphael JH, Langton JA. Effect of an upper respiratory tract infection on upper airway reactivity. Br J Anaesth 1997; 78:352-355. (Pubitemid 27179880)
64. Reeve JC, Nicol K, Stiller K, et al. Does physiotherapy reduce the incidence of postoperative pulmonary complications following pulmonary resection via open thoracotomy? A preliminary randomised single-blind clinical trial. Eur J Cardiothorac Surg 2010; 37:1158-1166.
65. Scholes RL, Browning L, Sztendur EM, et al. Duration of anaesthesia, type of surgery, respiratory comorbidity, predicted VO2max and smoking predict postoperative pulmonary complications after upper abdominal surgery: an observational study. Aust J Physiother 2009; 55:191-198.
66. Rodgers A, Walker N, Schug S, et al. Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials. BMJ 2000; 321:1493.
67. Imberger G, McIlroy D, Pace NL, et al. Positive end-expiratory pressure (PEEP) during anaesthesia for the prevention of mortality and postoperative pulmonary complications (review). Cochrane Database Syst Rev 2010; Issue 9. Art. No.: CD007922.
68. Severgnini P, Selmo G, Lanza C, et al. Protective mechanical ventilation during general anesthesia for open abdominal surgery improves postoperative pulmonary function. Anesthesiology 2013; 118:1307-1321.
69. Futier E, Constantin JM, Paugam-Burtz C, et al. A trial of intraoperative lowtidal-volume ventilation in abdominal surgery. N Engl J Med 2013; 369:428-437.
70. Grosse-Sundrup M, Henneman JP, Sandberg WS, et al. Intermediate acting nondepolarizing neuromuscular blocking agents and risk of postoperative respiratory complications: prospective propensity score matched cohort study. BMJ 2012; 345:e6329.
71. Smetana GW (2013). Evaluation of preoperative pulmonary risk. UpToDate. In: King TE, Aronson MD, editors. Waltham, MA: UpToDate.
72. Makhabah DN, Martino F, Ambrosino N. Peri-operative physiotherapy. Multidiscip Respir Med 2013; 8:4.