Open AccessJournal Article
Predicting postoperative cardio-pulmonary complications by a test of stair climbing.
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TLDR
Stair climbing can be a useful pre-operative tool to predict the risk of postoperative cardiopulmonary complications, and was carried out on consecutive, adult patients presenting for elective thoracic or abdominal surgery under general anesthesia.Abstract:
OBJECTIVE To assess whether a test of stair climbing ability could be used to predict the risk of developing postoperative cardiopulmonary complications in patients undergoing general anesthesia. DESIGN Cohort study. PLACE AND DURATION OF STUDY The Aga Khan University Hospital, Karachi. The duration of the study was from December 2003 to December 2004. PATIENTS AND METHODS This study was carried out on consecutive, adult patients presenting for elective thoracic or abdominal surgery under general anesthesia. Pre-operatively, patients were asked to climb a standard staircase. Number of steps climbed was recorded. Those unable to climb stairs due to debilitating cardiac, pulmonary or rheumatologic disease were categorized as 0 stairs climbed. Outcome variables were postoperative cardiopulmonary complications or mortality. Period of follow-up was until hospital discharge. RESULTS Seventy-eight patients were enrolled, 59 (75.6%) climbed 1 flight of stairs, 19 (24.3%) climbed < 1 flight. All-cause cardiopulmonary complications rate was 26 %. The most frequent complication was lobar atelectasis, followed by bronchospasm and acute MI. The complication rate was 22.8% in those able to climb 1 flight and 40% in those patients who climbed < 1 flight. The group that climbed < 1 flight tended to have complications associated with poor reserves of the cardiopulmonary systems, i.e. pulmonary edema, exacerbation of underlying lung disease. The relative risk of developing complications, if unable to climb at least 1 flight of stairs, was calculated to be 1.8 (95% CI 0.7 - 4.6). CONCLUSION Stair climbing can be a useful pre-operative tool to predict the risk of postoperative cardiopulmonary complications.read more
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Journal ArticleDOI
Performance at stair-climbing test is associated with postoperative complications after lung resection: a systematic review and meta-analysis
Fairuz Boujibar,André Gillibert,Francis Edouard Gravier,Timothée Gillot,Tristan Bonnevie,Antoine Cuvelier,Jean-Marc Baste +6 more
TL;DR: The results indicate that the stair-climbing test could be used as a first-line functional screening test to predict postoperative morbidity following thoracic surgery and that patients with a poor test result (<10 m) should be referred to formal cardiopulmonary exercise testing.
Journal ArticleDOI
Association between self-reported functional capacity and major adverse cardiac events in patients at elevated risk undergoing noncardiac surgery: a prospective diagnostic cohort study
Giovanna Lurati Buse,Christian Puelacher,Danielle Menosi Gualandro,Danielle Menosi Gualandro,Alessandro S. Genini,Reka Hidvegi,Daniel Bolliger,Ketina Arslani,Luzius A. Steiner,Christoph H. Kindler,Christian Mueller,Johanna Gueckel,Ivo Strebel,Marcel Liffert,Thomas Wolff,EdinMujagic,Lorenz Guerke,Angelika Hammerer-Lercher,Katharina Rentsch,Jasper Boeddinghaus,Thomas Nestelberger,Karin Wildi,Tobias Zimmermann,Alexandra Prepoudis,Andreas Lampart,Stefan Osswald,Esther Seeberger,Luca Koechlin,Andreas Buser,Daniel Rikli +29 more
TL;DR: In patients at high cardiovascular risk undergoing in-patient noncardiac surgery, self-reported functional capacity less than two flights of stairs was independently associated with major adverse cardiac events and all-cause mortality at 30 days and 1 yr.
Journal ArticleDOI
Mediation of smoking-associated postoperative mortality by perioperative complications in veterans undergoing elective surgery: data from Veterans Affairs Surgical Quality Improvement Program (VASQIP)—a cohort study
Jasvinder A. Singh,Mary T. Hawn,Mary T. Hawn,Elizabeth J. Campagna,Elizabeth J. Campagna,William G. Henderson,Joshua S. Richman,Thomas K. Houston,Thomas K. Houston +8 more
TL;DR: P pulmonary complications, followed by cardiovascular complications and SSIs were mediators of smoking-associated 6-month and 1-year mortality, which has the likelihood of reducing postoperative mortality after elective surgery.
Journal ArticleDOI
Estimating VO2peak in 18–90 Year-Old Adults: Development and Validation of the FitMáx©-Questionnaire
TL;DR: FitMáx© as mentioned in this paper is a self-reported questionnaire to estimate cardiovascular fitness (CRF), which was developed to assess walking, stair climbing, and cycling capacity of individuals.
Posted ContentDOI
Estimating VO2peak in 18-91 year-old adults: Development and Validation of the FitMáx© - Questionnaire
Renske Meijer,Martijn van Hooff,Nicole E. Papen-Botterhuis,Charlotte J L Molenaar,Marta Regis,Thomas Timmers,Lonneke V. van de Poll-Franse,Lonneke V. van de Poll-Franse,Hans H.C.M. Savelberg,Goof Schep +9 more
TL;DR: FitMax(C) as mentioned in this paper is a self-reported questionnaire to estimate cardiorespiratory fitness in healthcare, consisting of three questions assessing walking, stair climbing, and cycling capacity.
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The Physiologic Evaluation of Patients With Lung Cancer Being Considered for Resectional Surgery
TL;DR: The preoperative physiologic assessment of a patient being considered for surgical resection of lung cancer must consider the immediate perioperative risks from comorbid cardiopulmonary disease, the long-term risks of pulmonary disability, and the threat to survival due to inadequately treated lung cancer.
Journal ArticleDOI
Exercise testing, 6-min walk, and stair climb in the evaluation of patients at high risk for pulmonary resection.
TL;DR: Exercise testing showed that preoperative exercise testing is a useful adjunct to traditional spirometric testing in evaluation of the high-risk surgical patients.
Journal ArticleDOI
Assessment of Exercise Oxygen Consumption as Preoperative Criterion for Lung Resection
Daniel E. Bechard,Lewis Wetstein +1 more
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