Pre-operative Pulmonary Assessment and Risk Factors for Post-operative Pulmonary Complications in Elective Abdominal Surgery in Nigeria

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Pre-operative Pulmonary Assessment and Risk Factors for Post-operative Pulmonary Complications in Elective Abdominal Surgery in Nigeria

May 5, 2020 Health and Medical Science 0

Post-operative pulmonary complications (PPCs) are recurring causes of rising morbidity and mortality in surgeries. This study sought to evaluate pre-operative risk factors for PPCs in abdominal surgery patients in Nigeria. This was a prospective study in patients booked for surgery in 2014. Biodata, medical history, pre-operative respiratory and cardiovascular examination findings, body mass index, serum albumin, serum urea, ventilatory function, chest x-rays and oxygen saturation were obtained. The association between pre-operative variables and PPCs was determined. The pre-operative spirometry was predominantly restrictive (62%). Overall, the prevalence of PPCs was 52%. This included non-productive cough (14%), isolated productive cough (10%), productive cough with abnormal chest finding (16%), pneumonia (8%), pleural effusion (5%), ARDS (2%). Percentage predicted FEV1 and FVC were lower in participants with PPCs. (p= 0.03 and p=0.01 respectively). Pre-operative cough, shortness of breath and consolidation were associated with PPCs (p< 0.05). Post-operative respiratory rate and pulse rate in participants with PPCs were higher than the values in those without PPCs (p=0.03 and p=0.05). The prevalence of PPCs was high in this study. Preoperative cough, shortness of breath, consolidation, abnormally low percentage predicted FEV1 and FVC were associated with PPCs.

Author(s) Details

Chinyelu Uchenna Ufoaroh
Department of Medicine, Chukwuemeka Odumegwu Ojukwu University Teaching Hospital, Nigeria

Prince Udegbunam Ele

Department of Medicine, Nnamdi Azikiwe University Teaching Hospital Nnewi, Nigeria

Arthur Ebelenna Anyabolu
Department of Medicine, Nnamdi Azikiwe University Teaching Hospital Nnewi, Nigeria

Emeka Hyacinth Enemuo
Department of Medicine, Nnamdi Azikiwe University Teaching Hospital Nnewi, Nigeria.

Chiemelu Dickson Emegoakor
Department of Surgery, Nnamdi Azikiwe University, Nigeria.

Chinedu Christian Okoli
Department of Surgery, Nnamdi Azikiwe University, Nigeria

Eric Okechukwu Umeh
Department of Radiology, Nnamdi Azikiwe University Teaching Hospital, Nigeria

Ernest Ndukaife Anyabolu
Department of Medicine, Chukwuemeka Odumegwu Ojukwu University, Imo State University, Nigeria

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