HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when Rapid Responses are posted Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Hulzebos, E. H. Articles by Helders, P. J. Search for Related Content PubMed PubMed Citation Articles by Hulzebos, E. H. Articles by Helders, P. J.

Prediction of Postoperative Pulmonary Complications on the Basis of Preoperative Risk Factors in Patients Who Had Undergone Coronary Artery Bypass Graft Surgery

EHJ Hulzebos, PT, MSc, is Physiotherapist and Human Movement Scientist, Rudolf Magnus Institute for Neuroscience, Department of Rehabilitation, Section of Physical Therapy, University Medical Center Utrecht, Room F 00.810, PO Box 85500, 3508 GA Utrecht, the Netherlands (h.hulzebos{at}pmbr.azu.nl).
NLU Van Meeteren, PT, PhD, is Associate Professor, Rudolf Magnus Institute for Neuroscience, Department of Rehabilitation, Section of Physical Therapy, University Medical Center Utrecht, and Head, Department of Physiotherapy, Academy of Health Sciences Utrecht, Utrecht, the Netherlands
RA De Bie, PT, PhD, is Epidemiologist, Department of Epidemiology, University of Maastricht, Maastricht, the Netherlands
PC Dagnelie, PhD, is Nutritional Epidemiologist, Department of Epidemiology, University of Maastricht
PJM Helders, PT, PhD, is Clinical Professor, Department of Paediatric Physical Therapy, University Medical Center Utrecht, and Professor, Department of Physiotherapy, Academy of Health Sciences Utrecht

Address all correspondence to Mr Hulzebos

Background and Purpose. Pulmonary complications are among the most frequently reported complications after coronary artery bypass graft (CABG) surgery. However, the risks of postoperative pulmonary complications (PPCs) are not equal for all patients. The aim of this study was to develop a model, based on preoperative factors, for classifying patients with high and low risks for PPCs in order to implement tailored interventions. Subjects and Methods. Postoperative pulmonary complications were examined in 117 adult patients who had undergone elective CABG surgery at the University Medical Centre Utrecht, Utrecht, the Netherlands. The presence of preoperative risk factors (N=12) that have been described in the literature was noted for each patient. A risk model was developed by use of logistic regression analysis. Results. Preoperative risk factors for developing PPCs were an age of 70 years, productive cough, diabetes mellitus, and a history of cigarette smoking. Protective factors against the development of PPCs were a predicted inspiratory vital capacity of 75% and a predicted maximal expiratory pressure of 75%. These risk and protective factors were included in the model (sensitivity=87% and specificity=56%), and a sum score for its clinical use was generated. Discussion and Conclusion. Six factors that can be determined easily before surgery, with need for only simple pulmonary testing, can provide a model for identifying patients at risk of developing PPCs after CABG surgery.

Key Words: Coronary artery bypass graft surgery • Postoperative pulmonary complications • Preoperative risk factors • Risk model

This article has been cited by other articles:

				E. H. J. Hulzebos, P. J. M. Helders, N. J. Favie, R. A. De Bie, A. Brutel de la Riviere, and N. L. U. Van Meeteren Preoperative intensive inspiratory muscle training to prevent postoperative pulmonary complications in high-risk patients undergoing CABG surgery: a randomized clinical trial. JAMA, October 18, 2006; 296(15): 1851 - 1857. [Abstract] [Full Text] [PDF]

				M. Vitacca, M. Paneroni, L. Bianchi, E. Clini, A. Vianello, P. Ceriana, L. Barbano, B. Balbi, and S. Nava Maximal inspiratory and expiratory pressure measurement in tracheotomised patients Eur. Respir. J., February 1, 2006; 27(2): 343 - 349. [Abstract] [Full Text] [PDF]