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Risk factors for pulmonary complications after abdominal surgery.

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Title: Risk factors for pulmonary complications after abdominal surgery.
Alternate Title: Factores de riesgo de complicaciones pulmonar después de la cirugía abdominal.
Authors: Flores Fiallos, Joselyn Vanessa1 joss1109@yahoo.es, Calle Guaña, Gabriela Alexandra2, Redroban Lara, Jhonatan Enrique3, Cumbicos Beltrán, Tatiana Katherine4, Chimbolema Chimbolema, José Rolando5, Guaman Pulgarin, Erika Tatiana6, Buele Sanchez, Angelica Daniela7, Burbano Luzuriaga, Ivan Alberto8, Gómez Gómez, Luis Orlando9
Source: Revista Latinoamericana de Hipertensión. 2024, Vol. 19 Issue 2, p90-93. 4p.
Subjects: ABDOMINAL surgery, ADULT respiratory distress syndrome, SURGICAL complications, OPERATIVE surgery, PREDICTION models
Abstract (English): While pulmonary complications are infrequent compared to infectious complications after abdominal surgery, they significantly increase the patients' morbidity and cost of care. Moreover, postoperative pulmonary complications (PPC) include other elements beyond pneumonia. These conditions encompass atelectasis, pneumothorax, acute respiratory distress syndrome, pulmonary emboli, and many others. Considering the substantial impact of PPC, preventive measures are highly suggested to increase patients' survival rates. Proper risk management can significantly influence the outcomes of surgical procedures. Evidence suggests that preoperative preventive measures positively influence surgical outcomes. Nonetheless, risk factors for PPC are highly heterogeneous and difficult to fit within only one predictive model. As a result, currently available predictive models have a narrow perspective regarding this issue. Further research is needed to adapt and optimize older predictive models, or to develop new ones. An increased pool of predictive tools would allow a more precise analysis of risk factors, in order to implement suitable measures. This review aims to identify risk factors independently associated with the appearance of PPC. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Si bien las complicaciones pulmonares son poco frecuentes en comparación con las complicaciones infecciosas después de la cirugía abdominal, aumentan significativamente la morbilidad y el costo de la atención de los pacientes. Además, las complicaciones pulmonares posoperatorias (CPP) incluyen otros elementos más allá de la neumonía. Estas afecciones abarcan atelectasia, neumotórax, síndrome de distrés respiratorio agudo, embolia pulmonar y muchas otras. Teniendo en cuenta el impacto sustancial de la CPP, se recomiendan encarecidamente medidas preventivas para aumentar las tasas de supervivencia de los pacientes. La gestión adecuada de riesgos puede influir significativamente en los resultados de los procedimientos quirúrgicos. La evidencia sugiere que las medidas preventivas preoperatorias influyen positivamente en los resultados quirúrgicos. No obstante, los factores de riesgo para CPP son muy heterogéneos y difíciles de encajar en un solo modelo predictivo. Como resultado, los modelos predictivos disponibles actualmente tienen una perspectiva estrecha sobre este tema. Se necesita más investigación para adaptar y optimizar modelos predictivos más antiguos o desarrollar otros nuevos. Un mayor conjunto de herramientas predictivas permitiría un análisis más preciso de los factores de riesgo para implementar medidas adecuadas. Esta revisión tiene como objetivo identificar factores de riesgo asociados de forma independiente con la aparición de CPP. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:While pulmonary complications are infrequent compared to infectious complications after abdominal surgery, they significantly increase the patients' morbidity and cost of care. Moreover, postoperative pulmonary complications (PPC) include other elements beyond pneumonia. These conditions encompass atelectasis, pneumothorax, acute respiratory distress syndrome, pulmonary emboli, and many others. Considering the substantial impact of PPC, preventive measures are highly suggested to increase patients' survival rates. Proper risk management can significantly influence the outcomes of surgical procedures. Evidence suggests that preoperative preventive measures positively influence surgical outcomes. Nonetheless, risk factors for PPC are highly heterogeneous and difficult to fit within only one predictive model. As a result, currently available predictive models have a narrow perspective regarding this issue. Further research is needed to adapt and optimize older predictive models, or to develop new ones. An increased pool of predictive tools would allow a more precise analysis of risk factors, in order to implement suitable measures. This review aims to identify risk factors independently associated with the appearance of PPC. [ABSTRACT FROM AUTHOR]
ISSN:18564550
DOI:10.5281/zenodo.10870412