Correlation of Preoperative Pulmonary Function Testing with Clinical Course in Patients after Pneumonectomy
Postoperative morbidity and mortality were correlated with the preoperative results of three widely used tests of pulmonary function in 90 patients who underwent pneumonectomy for carcinoma of the lung. Factors analyzed following operation included thirty-day mortality, the incidence of arrhythmias,...
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| Veröffentlicht in: | The Annals of thoracic surgery 1983-09, Vol.36 (3), p.253-257 |
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| container_title | The Annals of thoracic surgery |
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| creator | Keagy, Blair A. Schorlemmer, Gilbert R. Murray, Gordon F. Starek, Peter J.K. Wilcox, Benson R. |
| description | Postoperative morbidity and mortality were correlated with the preoperative results of three widely used tests of pulmonary function in 90 patients who underwent pneumonectomy for carcinoma of the lung. Factors analyzed following operation included thirty-day mortality, the incidence of arrhythmias, the frequency of respiratory complications, and the number of individuals requiring prolonged mechanical ventilation. Fourteen patients had a forced vital capacity (FVC) of 70% or less of predicted normal value. Eleven had a one-second forced expiratory volume (FEV
1) of 1.5 liters or less, and 32 had an FEV
1 of less than 2 liters. Twenty-six had an FEV
1/FVC ratio of 0.6 or less. There were no differences in morbidity or mortality between these individuals and the patients whose test scores exceeded these criteria. As a general rule, decisions regarding operability and extent of resection cannot be made solely on the basis of the three spirometry tests reviewed. |
| doi_str_mv | 10.1016/S0003-4975(10)60125-7 |
| format | Article |
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1) of 1.5 liters or less, and 32 had an FEV
1 of less than 2 liters. Twenty-six had an FEV
1/FVC ratio of 0.6 or less. There were no differences in morbidity or mortality between these individuals and the patients whose test scores exceeded these criteria. As a general rule, decisions regarding operability and extent of resection cannot be made solely on the basis of the three spirometry tests reviewed.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/S0003-4975(10)60125-7</identifier><identifier>PMID: 6615062</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Arrhythmias, Cardiac - etiology ; Biological and medical sciences ; Child ; Female ; Forced Expiratory Volume ; Humans ; Lung Neoplasms - physiopathology ; Lung Neoplasms - surgery ; Male ; Medical sciences ; Middle Aged ; Pneumology ; Pneumonectomy ; Postoperative Complications ; Preoperative Care ; Respiration Disorders - etiology ; Respiratory Function Tests ; Spirometry ; Tumors of the respiratory system and mediastinum ; Ventilation-Perfusion Ratio ; Vital Capacity</subject><ispartof>The Annals of thoracic surgery, 1983-09, Vol.36 (3), p.253-257</ispartof><rights>1983 The Society of Thoracic Surgeons</rights><rights>1984 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-f1612b6e673f0151aaf886278e0abf6a139ff83028543554a2f2956c780328c23</citedby><cites>FETCH-LOGICAL-c471t-f1612b6e673f0151aaf886278e0abf6a139ff83028543554a2f2956c780328c23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=9313063$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6615062$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Keagy, Blair A.</creatorcontrib><creatorcontrib>Schorlemmer, Gilbert R.</creatorcontrib><creatorcontrib>Murray, Gordon F.</creatorcontrib><creatorcontrib>Starek, Peter J.K.</creatorcontrib><creatorcontrib>Wilcox, Benson R.</creatorcontrib><title>Correlation of Preoperative Pulmonary Function Testing with Clinical Course in Patients after Pneumonectomy</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>Postoperative morbidity and mortality were correlated with the preoperative results of three widely used tests of pulmonary function in 90 patients who underwent pneumonectomy for carcinoma of the lung. Factors analyzed following operation included thirty-day mortality, the incidence of arrhythmias, the frequency of respiratory complications, and the number of individuals requiring prolonged mechanical ventilation. Fourteen patients had a forced vital capacity (FVC) of 70% or less of predicted normal value. Eleven had a one-second forced expiratory volume (FEV
1) of 1.5 liters or less, and 32 had an FEV
1 of less than 2 liters. Twenty-six had an FEV
1/FVC ratio of 0.6 or less. There were no differences in morbidity or mortality between these individuals and the patients whose test scores exceeded these criteria. As a general rule, decisions regarding operability and extent of resection cannot be made solely on the basis of the three spirometry tests reviewed.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Arrhythmias, Cardiac - etiology</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Female</subject><subject>Forced Expiratory Volume</subject><subject>Humans</subject><subject>Lung Neoplasms - physiopathology</subject><subject>Lung Neoplasms - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pneumology</subject><subject>Pneumonectomy</subject><subject>Postoperative Complications</subject><subject>Preoperative Care</subject><subject>Respiration Disorders - etiology</subject><subject>Respiratory Function Tests</subject><subject>Spirometry</subject><subject>Tumors of the respiratory system and mediastinum</subject><subject>Ventilation-Perfusion Ratio</subject><subject>Vital Capacity</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1983</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1r3DAQhkVoSDfb_IQFHUpJDm71Ycn2qQSTTQKBGJqehVY7atXa0layt-TfR_vBXnMSo3ne0ehBaEHJV0qo_PaDEMKLsqnENSU3klAmiuoMzagQrJBMNB_Q7IR8RJcp_ckly-0LdCElFUSyGfrbhhih16MLHgeLuwhhAzHXW8Dd1A_B6_iKl5M3e-QF0uj8L_zfjb9x2zvvjO5xG6aYADuPu5wEPyas7QgRdx6mPALMGIbXT-jc6j7B1fGco5_Lu5f2oXh6vn9sb58KU1Z0LCyVlK0kyIpbQgXV2ta1ZFUNRK-s1JQ31tacsFqUXIhSM8saIU1VE85qw_gcfTnM3cTwb8oLq8ElA32vPYQpqZrIspI5PEfiAJoYUopg1Sa6If9XUaJ2ktVestoZ3F3tJasq5xbHB6bVAOtT6mg19z8f-zplPTZqb1w6YQ2nnEiese8HDLKMrYOoksnyDKxdzMbUOrh3FnkDJYKZAQ</recordid><startdate>198309</startdate><enddate>198309</enddate><creator>Keagy, Blair A.</creator><creator>Schorlemmer, Gilbert R.</creator><creator>Murray, Gordon F.</creator><creator>Starek, Peter J.K.</creator><creator>Wilcox, Benson R.</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198309</creationdate><title>Correlation of Preoperative Pulmonary Function Testing with Clinical Course in Patients after Pneumonectomy</title><author>Keagy, Blair A. ; Schorlemmer, Gilbert R. ; Murray, Gordon F. ; Starek, Peter J.K. ; Wilcox, Benson R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-f1612b6e673f0151aaf886278e0abf6a139ff83028543554a2f2956c780328c23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1983</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Arrhythmias, Cardiac - etiology</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Female</topic><topic>Forced Expiratory Volume</topic><topic>Humans</topic><topic>Lung Neoplasms - physiopathology</topic><topic>Lung Neoplasms - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pneumology</topic><topic>Pneumonectomy</topic><topic>Postoperative Complications</topic><topic>Preoperative Care</topic><topic>Respiration Disorders - etiology</topic><topic>Respiratory Function Tests</topic><topic>Spirometry</topic><topic>Tumors of the respiratory system and mediastinum</topic><topic>Ventilation-Perfusion Ratio</topic><topic>Vital Capacity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Keagy, Blair A.</creatorcontrib><creatorcontrib>Schorlemmer, Gilbert R.</creatorcontrib><creatorcontrib>Murray, Gordon F.</creatorcontrib><creatorcontrib>Starek, Peter J.K.</creatorcontrib><creatorcontrib>Wilcox, Benson R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Keagy, Blair A.</au><au>Schorlemmer, Gilbert R.</au><au>Murray, Gordon F.</au><au>Starek, Peter J.K.</au><au>Wilcox, Benson R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Correlation of Preoperative Pulmonary Function Testing with Clinical Course in Patients after Pneumonectomy</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>1983-09</date><risdate>1983</risdate><volume>36</volume><issue>3</issue><spage>253</spage><epage>257</epage><pages>253-257</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><coden>ATHSAK</coden><abstract>Postoperative morbidity and mortality were correlated with the preoperative results of three widely used tests of pulmonary function in 90 patients who underwent pneumonectomy for carcinoma of the lung. Factors analyzed following operation included thirty-day mortality, the incidence of arrhythmias, the frequency of respiratory complications, and the number of individuals requiring prolonged mechanical ventilation. Fourteen patients had a forced vital capacity (FVC) of 70% or less of predicted normal value. Eleven had a one-second forced expiratory volume (FEV
1) of 1.5 liters or less, and 32 had an FEV
1 of less than 2 liters. Twenty-six had an FEV
1/FVC ratio of 0.6 or less. There were no differences in morbidity or mortality between these individuals and the patients whose test scores exceeded these criteria. As a general rule, decisions regarding operability and extent of resection cannot be made solely on the basis of the three spirometry tests reviewed.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>6615062</pmid><doi>10.1016/S0003-4975(10)60125-7</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The Annals of thoracic surgery, 1983-09, Vol.36 (3), p.253-257 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Aged Arrhythmias, Cardiac - etiology Biological and medical sciences Child Female Forced Expiratory Volume Humans Lung Neoplasms - physiopathology Lung Neoplasms - surgery Male Medical sciences Middle Aged Pneumology Pneumonectomy Postoperative Complications Preoperative Care Respiration Disorders - etiology Respiratory Function Tests Spirometry Tumors of the respiratory system and mediastinum Ventilation-Perfusion Ratio Vital Capacity |
| title | Correlation of Preoperative Pulmonary Function Testing with Clinical Course in Patients after Pneumonectomy |
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