Can the lung ultrasound score predict pulmonary complications after non-thoracic surgery in patients with blunt thoracic trauma: A single-center observational study
Authors' conclusion
Postoperative lung ultrasound scores reliably predicted pulmonary complications after non-thoracic surgery in patients with blunt thoracic trauma. ASA classification III, preoperative anemia, excessive intraoperative fluid infusion, higher ARISCAT, and postoperative lung ultrasound scores were significant risk factors associated with PPCs.
Study context
- Population
- Patients with blunt thoracic trauma undergoing surgery for pelvic and upper or lower extremity fractures, Chinese tertiary orthopedic hospital
- Participants
- 369 patients
- Exposure
- PPC vs non-PPC groups; perioperative lung ultrasound score and risk factors for predicting postoperative pulmonary complications (PPCs)
- Outcome
- PPCs
- Follow-up
- 1 week
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Prediction of PPCs (ROC analysis) and PPC incidence
- PPC incidence
- 36.58 %
- Postoperative lung ultrasound score AUC (cutoff: 10)
- 0.810
- Preoperative hemoglobin level AUC (cutoff: 97)
- 0.627
- Intraoperative infusion volume AUC (cutoff: 886.51 mL/h)
- 0.701
- ARISCAT score AUC (cutoff: 33)
- 0.718
Observational data: associations, not effects.
Further findings
Independent risk factors for PPCs (multivariate logistic regression)
- American Society of Anesthesiologists (ASA) III, higher postoperative lung ultrasound scores, preoperative anemia, higher intraoperative infusion volume and higher ARISCAT scores were independent risk factors
Differences between PPC and non-PPC groups
- Groups differed significantly in Injury Severity Scores, ASA classification, COPD, hydrothorax, preoperative hypoxemia, lung ultrasound score, preoperative hemoglobin, intraoperative infusion volume and ARISCAT scores
- P < 0.05
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Can the lung ultrasound score predict pulmonary complications after non-thoracic surgery in patients with blunt thoracic trauma: A single-center observational study. J Clin Anesth. Published 5 November 2024. doi:10.
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