Dergiler / Medicine Science / 2021 / Cilt: 10 - Sayı: 1

Relationship between preoperative pulmonary risk assessment and postoperative pulmonary complications in patients undergoing cranial surgery in the presence of chronic disease

Sayfa
191–195
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Since most of the complications are seen in patients given high risk in the preoperative period, close follow-up of high-risk patients in the postoperative period is important.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Postoperative complications are becoming more and more important than the risk given in preoperative pulmonary evaluation due to the increase in patients requiring surgical intervention.
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Temel Bulgular & Veri:Preoperative pulmonary consultation data and postoperative pulmonary consultations, if any, of cranial surgery patients who were operated on in the neurosurgery clinic of a tertiary hospital were retrospectively analyzed. 85 (43.8%) of the surgical patients were male and 109 (56.2%) were female, and the average age of 194 people was 74 (35-90). 83 (42.7%) of the patients had at least one chronic disease.
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Sonuç & Katkı:Since most of the complications are seen in patients given high risk in the preoperative period, close follow-up of high-risk patients in the postoperative period is important.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Postoperative complications are becoming more and more important than the risk given in preoperative pulmonary evaluation due to the increase in patients requiring surgical intervention. Patients undergoing craniotomy are routinely evaluated preoperatively, but the role of these evaluations in predicting outcomes has not been adequately studied. We aimed to investigate the effect of preoperative pulmonary risk assessment and the type of operation performed on postoperative complications and mortality concerning the presence of chronic disease in patients undergoing cranial surgery in the light of the literature. Preoperative pulmonary consultation data and postoperative pulmonary consultations, if any, of cranial surgery patients who were operated on in the neurosurgery clinic of a tertiary hospital were retrospectively analyzed. 85 (43.8%) of the surgical patients were male and 109 (56.2%) were female, and the average age of 194 people was 74 (35-90). 83 (42.7%) of the patients had at least one chronic disease. Considering the preoperative pulmonary risks, 72 (37.1%) patients were given medium risk. Statistically, the mortality rate was higher in those with ICU beds. Atelectasis in 10 (5.15%) patients, pneumonia in 7 (3.608%) patients, embolism in 3 (1.5%) patients, respiratory failure in 3 (1.5%) and bronchospasm in 2 (1%) patients, respectively. Postoperative pulmonary complications developed in 25 (12.9%) patients. Prediction of respiratory complications with effective preoperative pulmonary evaluation is important in terms of decreasing morbidity and mortality and decreasing the length of hospital stay. Since most of the complications are seen in patients given high risk in the preoperative period, close follow-up of high-risk patients in the postoperative period is important.

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Bu Makaleye Atıf Yap

RAKİP, U., BALCI, A. (2021). Relationship between preoperative pulmonary risk assessment and postoperative pulmonary complications in patients undergoing cranial surgery in the presence of chronic disease. Medicine Science, Cilt: 10 - Sayı: 1, 191–195. https://ajindex.com/articles/276729

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Kaynakça (9)

  1. Delisser HM, Grippi MA. Ch 40 Perioperative respiratory considerations in the surgical patient. Fishman’s Pulmonary Diseases and Disorders,third ed. Fishman AP., Elias JA., Fishman JA., Grippi MA., Kaiser LR., Senior RM. (ed) McGraw-Hill1998;Sf: 619-629
  2. Boden I, Skinner EH, Browning L, et al. Preoperative physiotherapy for the prevention of respiratory complications after upper abdominal surgery: pragmatic, double blinded, multicentre randomised controlled trial. BMJ 2018;360:j5916.10. Okada S, Shimada J, Kato D, et al. Long-term prognostic impact of severe postoperative complications after lung cancer surgery. Ann Surg Oncol 2019;26:230–7 3. Manku K, Bacchetti P, Leung J. Prognostic significance of postoperative in-hospital complications in elderly patients. I. Long Term Survival. Anesth Analg. 2003;96:583-9 4. Harari D, Hopper A, Dhesi J et al. Proactive care of older people undergoing surgery(‘POPS’): designing, embedding, evaluating and funding a comprehensive geriatric assessment service for older elective surgical patients. Age and Ageing. 2007;36:190- 6 5. Lawrence VA, Dhanda R, Hilsenbeck SG et al. Risk of pulmonary complications after elective abdominal surgery. Chest. 1996;110:744-50
  3. Vetter TR, Ivankova NV, Goeddel LA, et al Perioperative Surgical Home Group. An analysis of methodologies that can be used to validate if a perioperative surgical home improves the patient-centeredness, evidencebased practice, quality, safety, and value of patient care. Anesthesiology. 2013;119:1261–74
  4. Anderson AD, McNaught CE, MacFie J, et al. Randomized clinical trial of multimodal optimization and standard perioperative surgical care. Br J Surg. 2003;90:1497–504
  5. Smetana GW, Conde MV. Preoperative pulmonary update. Clin Geriatr Med 2008;24:607-24
  6. Zamani A. Selçuk üniversitesi araştırma hastanesi’nde göğüs hastalıkları konsültasyonu yapılan olguların değerlendirilmesi. Tüberküloz Ve Toraks Dergisi 1996;44:139-44 10. Woerlee GM. Common perioperative problems and the anasesthetist: Kluwer academic Publishers 1988;179
  7. Nijbroek SG, Schultz MJ, Hemmes SNT. Prediction of postoperative pulmonary complications. Curr Opin Anaesthesiol. 2019;32:443-51
  8. Erdinç E. Preoperatif Pulmoner Değerlendirme. TTDO Mesleki Gelişim Kursu. 2007:24-7
  9. Balci A, Rakip U, Cengiz A. Preoperative pulmonary evaluation and evaluation of postoperative pulmonary complications in geriatric patients undergoing spinal surgery. Journal of Health, Medicine and Nursing.