Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 이현 | - |
dc.date.accessioned | 2019-05-22T07:29:07Z | - |
dc.date.available | 2019-05-22T07:29:07Z | - |
dc.date.issued | 2017-01 | - |
dc.identifier.citation | RESPIROLOGY, v. 22, no. 5, page. 935-941 | en_US |
dc.identifier.issn | 1323-7799 | - |
dc.identifier.issn | 1440-1843 | - |
dc.identifier.uri | https://onlinelibrary.wiley.com/doi/full/10.1111/resp.12988 | - |
dc.identifier.uri | https://repository.hanyang.ac.kr/handle/20.500.11754/105643 | - |
dc.description.abstract | Background and objectiveThe association between airflow limitation severity and post-operative pulmonary complications (PPCs) among COPD patients undergoing extra-pulmonary surgery is unknown. We evaluated the association between forced expiratory volume in 1s (FEV1 ) and PPC in COPD patients undergoing extra-pulmonary surgery.MethodsUsing prospective cohort of PPC evaluation for extra-pulmonary surgery, we identified 694 COPD patients who conducted PPC evaluation before extra-pulmonary surgery between March 2014 and January 2015 at a tertiary hospital, Seoul, Korea.ResultsThe overall incidence of PPC was 24.4%. The incidence of PPC in quintiles 1-5 of FEV1 (% predicted) was 31.4, 25.8, 23.7, 21.6 and 19.7%, respectively (P for trend: 0.019). In fully adjusted multivariable models, the relative risks (RRs, 95% CI) for PPC comparing participants in quintiles 1-4 of FEV1 (% predicted) with those in quintile 5 were 1.69 (1.03-2.79), 1.41 (0.83-2.37), 1.26 (0.75-2.11) and 1.30 (0.76-2.22), respectively (P for trend: 0.046). The association of severe airflow limitation with respiratory failure and post-operative exacerbations was stronger in participants who did not use bronchodilators compared with those who did.ConclusionWe found a progressive and significant relationship between severity of airflow limitation and the incidence of PPC in COPD patients undergoing extra-pulmonary surgery. Furthermore, perioperative bronchodilator use was associated with a reduced risk of respiratory failure and post-operative exacerbations in patients with severe airflow limitation. | en_US |
dc.description.sponsorship | We would like to express our appreciation to Professor O Jung Kwon and Professor Gee Young Suh for their guidance during the work. Without their valuable assistance, this work would not have been completed. We would also be grateful to Dr Jung Soo Kim for insightful discussions. This study was supported by the Samsung Medical Center Foundation for Medical Research (SMO1140211). | en_US |
dc.language.iso | en | en_US |
dc.publisher | WILEY | en_US |
dc.subject | chronic obstructive pulmonary disease | en_US |
dc.subject | complications | en_US |
dc.subject | spirometry | en_US |
dc.subject | surgery | en_US |
dc.title | Airflow limitation severity and post-operative pulmonary complications following extra-pulmonary surgery in COPD patients | en_US |
dc.type | Article | en_US |
dc.relation.no | 5 | - |
dc.relation.volume | 22 | - |
dc.identifier.doi | 10.1111/resp.12988 | - |
dc.relation.page | 935-941 | - |
dc.relation.journal | RESPIROLOGY | - |
dc.contributor.googleauthor | Shin, Beomsu | - |
dc.contributor.googleauthor | Lee, Hyun | - |
dc.contributor.googleauthor | Kang, Danbee | - |
dc.contributor.googleauthor | Jeong, Byeong-Ho | - |
dc.contributor.googleauthor | Kang, Hyung Koo | - |
dc.contributor.googleauthor | Chon, Hae Ri | - |
dc.contributor.googleauthor | Koh, Won-Jung | - |
dc.contributor.googleauthor | Chung, Man Pyo | - |
dc.contributor.googleauthor | Guallar, Eliseo | - |
dc.contributor.googleauthor | Cho, Juhee | - |
dc.relation.code | 2017009174 | - |
dc.sector.campus | S | - |
dc.sector.daehak | COLLEGE OF MEDICINE[S] | - |
dc.sector.department | DEPARTMENT OF MEDICINE | - |
dc.identifier.pid | namuhanayeyo | - |
dc.identifier.researcherID | G-1336-2018 | - |
dc.identifier.orcid | http://orcid.org/0000-0002-1269-0913 | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.