Inspiratory capacity as a preoperative assessment of patients undergoing thoracic surgery
Inspiratory capacity as a preoperative assessment of patients undergoing thoracic surgery
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DOI：
10.1093/icvts/ivr090
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发表时间：
2012-05-01
影响因子：
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通讯作者：
Hasegawa, Yoshinori
中科院分区：
文献类型：
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作者：
Matsuo, Masaki;Hashimoto, Naozumi;Hasegawa, Yoshinori
虽然深吸气量（IC）与慢性阻塞性肺疾病的疾病严重程度密切相关，但没有合适的公式来计算IC的预测值。此外，IC评估是否可以识别接受胸外科手术的患者术后住院时间延长（PPS）的风险仍不清楚。为了评价是否可以应用新公式计算IC预测值的%IC预测值来识别PPS的风险，我们回顾性分析了在名古屋大学医院接受胸外科手术的412例患者的病例。多变量分析表明，%IC预测值< 85%是PPS最关键的风险预测因子之一（比值比，1.65; 95%置信区间，1.03-2.648），特别是，与1秒用力呼气量预测值百分比（%FEV1）<80%无关。ICFEV 1低的综合评估，定义为IC预测值%
Although inspiratory capacity (IC) is strongly associated with the disease severity of chronic obstructive pulmonary disease, there was no appropriate equation to compute predicted values for IC. Furthermore, whether assessment of IC can identify the risk of prolonged postoperative stay (PPS) in patients undergoing thoracic surgery also remains unclear. To evaluate whether %IC predicted, for which the new equation to compute the predicted values for IC was utilized, could be applied to identify the risk of PPS, we retrospectively analysed the cases of 412 patients who underwent thoracic surgery in Nagoya University Hospital. The multivariate analysis demonstrated that %IC predicted < 85% was one of the most critical risk predictors for PPS (odds ratio, 1.65; 95% confidence intervals, 1.03-2.648) and, in particular, was independent of percentage predicted forced expiratory volume in 1 s (%FEV1)< 80%. A combined assessment of ICFEV1 Low, defined as %IC predicted