Prediction of cardiopulmonary morbidity after resection for lung cancer: stair climbing test complications after lung cancer surgery.
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. PaO (2) 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.
Toker
A
A
Department of Thoracic Surgery, Istanbul Universty, Istanbul Medical School, Istanbul, Turkey.
Ziyade
S
S
Bayrak
Y
Y
Tanju
S
S
Senturk
M
M
Dilege
S
S
Kalayci
G
G
D000704:Analysis of Variance; D005080:Exercise Test; D006331:Heart Diseases / Q000175:diagnosis; D006801:Humans; D016015:Logistic Models; D008171:Lung Diseases / Q000175:diagnosis; D008175:Lung Neoplasms / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis*; D011379:Prognosis; D011446:Prospective Studies