Cardiothoracic & vascular anesthesia
Lung ultrasound on first postoperative day predicts out-of-hospital pulmonary complications following video-assisted thoracic surgery: A prospective cohort study
Authors' conclusion
LUSS on POD 1 emerged as an independent risk factor for PPCs in fast-track VATS patients and reliably predicted the occurrence of PPCs within 30 days of hospital discharge.
Study context
- Population
- Adults scheduled for elective video-assisted thoracic surgery (VATS) under GA, academic tertiary care centre, November 2022 to January 2023182 completed follow-up
- Participants
- 200 adults
- Exposure
- Postoperative pulmonary complications (PPCs) vs no PPCs within 30 days after discharge
- PPCsn = 66
- Outcome
- Association between lung ultrasound score (LUSS) on POD 1 and PPCs
- Follow-up
- Within 30 days after discharge
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
LUSS on POD 1 and PPCs
PPCs
36.2%
66
PPCs vs No PPCs: P < 0.001 · PPCs vs No PPCs: P < 0.001
- Optimal lung ultrasound score (LUSS) cut-off for predicting PPCs (points)
- 6
- AUC of LUSS for PPCs
- 0.838 (95% CI 0.768 to 0.909)
Observational data: associations, not effects.
Further findings
Other perioperative factors
- PPCs: more immune system diseases, higher ARISCAT score, longer hospital stay, higher procalcitonin, more lobar resection, longer surgery and mechanical ventilation, more unplanned readmissions within 30 days (all P < 0.001)
Independent risk factors (multivariable logistic regression)
- Immune system disease and postoperative 24 h LUSS independent risk factors for PPCs within 30 days after VATS
Original publication
Lung ultrasound on first postoperative day predicts out-of-hospital pulmonary complications following video-assisted thoracic surgery: A prospective cohort study. Eur J Anaesthesiol. Published 18 December 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →