Prediction of cardiopulmonary morbidity after resection for lung cancer: Stair climbing test complications after lung cancer surgery

Toker A., Ziyade S., Bayrak Y., Tanju S., Senturk M., Dilege S., ...Daha Fazla

THORACIC AND CARDIOVASCULAR SURGEON, cilt.55, sa.4, ss.253-256, 2007 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 55 Sayı: 4
  • Basım Tarihi: 2007
  • Doi Numarası: 10.1055/s-2006-955941
  • Dergi Adı: THORACIC AND CARDIOVASCULAR SURGEON
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.253-256
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Hayır

Özet

Background: The objective of this study was to assess the role of a modified stair climbing test in predicting postoperative cardiopulmonary complications. Methods: A consecutive series of 150 patients who had undergone pulmonary resection for lung carcinoma formed the prospective database of this study. All patients performed a preoperative modified stair climbing test. Univariate and multivariate analyses were performed to identify predictors of postoperative cardiopulmonary complications. Results: With univariate analysis, the patients with complications had a lower pre-exercise and postexercise percentage of oxygen saturation. PaO2 levels were found to be lower and a greater change in oxygen desaturation during exercise was noted. Logistic regression analysis showed that the percent of oxygen saturation pre-exercise and the change in percent of oxygen desaturation during exercise were independent and reliable predictors of cardiopulmonary morbidity. Conclusions: A modified stair climbing test is a safe, economical and simple test capable of predicting cardiopulmonary complications.