Impact of GOLD groups of chronic pulmonary obstructive disease on surgical complications.

Abstract

PURPOSE:

Chronic obstructive pulmonary disease (COPD) is associated with increased postoperative complications. Recently, the Global Initiative for Chronic Obstructive Lung Disease (GOLD) classified COPD patients into four groups based on spirometry results and the severity of symptoms. The objective of this study was to evaluate the impact of GOLD groups on postoperative complications.

PATIENTS AND METHODS:

We reviewed the medical records of COPD patients who underwent preoperative spirometry between April and August 2013 at a tertiary hospital in Korea. We divided the patients into GOLD groups according to the results of spirometry and self-administered questionnaires that assessed the symptom severity and exacerbation history. GOLD groups, demographic characteristics, and operative conditions were analyzed.

RESULTS:

Among a total of 405 COPD patients, 70 (17.3%) patients experienced various postoperative complications, including infection, wound, or pulmonary complications. Thoracic surgery, upper abdominal surgery, general anesthesia, large estimated blood loss during surgery, and longer anesthesia time were significant risk factors for postoperative complications. Patients in high-risk group (GOLD groups C or D) had an increased risk of postoperative complications compared to those in low-risk group (GOLD groups A or B).

CONCLUSION:

COPD patients in GOLD groups representing a high exacerbation risk have an increased risk of postoperative complications compared to those with low risk.

• Authors: Hyung-Jun Kim, Jinwoo Lee, Young Sik Park, Chang-Hoon Lee, Sang-Min Lee, Jae-Joon Yim, Chul-Gyu Yoo, Young Whan Kim, Sung Koo Han, Sun Mi Choi
• Journal: International journal of chronic obstructive pulmonary disease (Int J Chron Obstruct Pulmon Dis) Vol. 11 Pg. 281-7 ( 2016) ISSN: 1178-2005 [Electronic] New Zealand
• PMID: 26929613 (Publication Type: Journal Article)

Topics

• Aged
• Aged, 80 and over
• Humans
• Male
• Medical Records, Problem-Oriented
• Middle Aged
• Postoperative Complications (diagnosis, epidemiology, etiology, physiopathology)
• Preoperative Care (methods, statistics & numerical data)
• Pulmonary Disease, Chronic Obstructive (complications, diagnosis, epidemiology, physiopathology)
• Republic of Korea (epidemiology)
• Risk Assessment
• Risk Factors
• Severity of Illness Index
• Spirometry (methods, statistics & numerical data)
• Surgical Procedures, Operative (adverse effects, methods)
• Surveys and Questionnaires
• Symptom Flare Up