Cardiothoracic & vascular anesthesia
Comparison of Tools for Postoperative Pulmonary Complications After Cardiac Surgery
Authors' conclusion
The incidence of PPCs after cardiac surgery was highly prevalent. Both the Kroenke Score and the Melbourne Group Scale are effective in identifying patients with PPCs. Kroenke Score can identify patients with mild pulmonary adverse events, whereas the Melbourne Group Scale is more dominant in identifying moderate-to-severe pulmonary complications.
Study context
- Population
- Patients who underwent elective cardiac surgery, West China Hospital of Sichuan University, March 2021–December 2021
- Participants
- 508 patients
- Exposure
- Kroenke Score vs Melbourne Group Scale for identifying Postoperative Pulmonary Complications (PPCs)
- Outcome
- Incidence of PPCs and diagnostic validity (AUC)
Methodological detailssingle-centre, Three independent physiotherapists evaluated PPCs daily after surgery at midday
- Single-centre
- Three independent physiotherapists evaluated PPCs daily after surgery at midday
Main finding
As reported in the abstract
| Group | Value | AUC atelectasis | AUC pneumonia | AUC respiratory failure |
|---|---|---|---|---|
| Kroenke Score | 51.6% | 91.5% | 80.0% | 75.9% |
| Melbourne Group Scale | 21.9% | 71.3% | 99.4% | 88.5% |
Value
Kroenke Score51.6%
Melbourne Group Scale21.9%
AUC atelectasis
Kroenke Score91.5%
Melbourne Group Scale71.3%
AUC pneumonia
Kroenke Score80.0%
Melbourne Group Scale99.4%
AUC respiratory failure
Kroenke Score75.9%
Melbourne Group Scale88.5%
Observational data: associations, not effects.
Further findings
Clinically observed incidence of atelectasis, pneumonia and respiratory failure
- Atelectasis
- 51.4%
- Pneumonia
- 20.9%
- Respiratory failure
- 6.5%
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Comparison of Tools for Postoperative Pulmonary Complications After Cardiac Surgery. J Cardiothorac Vasc Anesth. Published 26 March 2023. doi:10.
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