[Evaluation of risks for postoperative pulmonary complications using a preoperative consultation system].
We retrospectively investigated the perioperative management and postoperative pulmonary complications of patients who had preoperative respiratory problems and consultations with anesthesiologists. These patients numbered eight hundred, 23.7% of all patients who had preoperative consultations, and 40.9% and 62.0% of the 800 had preoperative and postoperative respiratory management, respectively. Forty eight patients (6.0%) received postoperative artificial respiration. One hundred and twenty four patients (15.5%) had some respiratory complications post-operatively, and 5 patients (0.7%) died mainly because of the complications. In an evaluation of these patients with the modified predicted risk factors of Okutsu including the obesity factor and smoking history, there was no respiratory complication in patients under 14 points. Patients with high points of more than 20 included almost all of the patients (114 patients, 91.9%) who had postoperative respiratory complications. We conclude that our preoperative consultation system works well and that the modified predicted-risk factors for postoperative pulmonary complications is useful for the standardization and objectivity of preoperative patient evaluation.
Toriyabe
M
M
Department of Anesthesiology, Sapporo Medical University School of Medicine.
Yamakage
M
M
Kawamata
T
T
Homma
Y
Y
Kurosawa
S
S
Susa
Y
Y
Namiki
A
A
D006801:Humans; D009765:Obesity / Q000150:complications; D011183:Postoperative Complications / Q000209:etiology*; D012017:Referral and Consultation; D012131:Respiratory Insufficiency / Q000209:etiology*; D012189:Retrospective Studies; D018570:Risk Assessment; D012907:Smoking / Q000009:adverse effects