[The occurrence of intra- and postoperative cardiovascular and pulmonary complications in relation to the preoperative condition of patients. A prospective study].
700 patients were prospectively studied and their development analysed from date of premedication to 28 days postoperative or date of discharge. Concomitant diseases and intra- and/or postoperative complications were documented. Analysing the patients an increasing frequency of risk classes 3 to 5 depending on age were found. Cardiac disorders were more frequently observed after the age of 41.33% of the observed patients were recompensated in respect to the myocardium, 4.5% suffered from angina pectoris and 1.5% showed clinical signs of cardial insufficiency. ECG abnormalities were registered particularly after the age of 41; nevertheless 2.5% of young patients to the age of 20 showed pathological electrocardiograms (ECG). More than 33% of the patients studied were hypertensive and 15% suffered from concomitant lung or airway diseases. Analysing the complications of the cardiocirculatory system an overall frequency of 70% was found, depending on corresponding side diseases and their underlying therapy. Intraoperative complications of the respiratory system are rare; in the postoperative course they became important and were 3 times more common in patients with lung or airway disorders. We conclude that one may achieve a risk diminution by appreciating the risk and by very careful preoperative examination and therapy.
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000758:Anesthesia / Q000009:adverse effects; D001794:Blood Pressure / Q000187:drug effects; D002318:Cardiovascular Diseases / Q000209:etiology*; D002648:Child; D004562:Electrocardiography; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008171:Lung Diseases / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012129:Respiratory Function Tests; D012306:Risk
Häufigkeit intra- und postoperativer Herzkreislauf- und Atmungskomplikationen in Abhängigkeit vom präoperativen Zustand des Patienten. Eine prospektive Studie.