Cardiothoracic & vascular anesthesia

Postoperative Complications After Thoracic Surgery—An Analysis From the German Thorax Registry

J Cardiothorac Vasc AnesthPublished Retrospective registry analysis

Authors' conclusion

Postoperative complications in thoracic surgery remain common, particularly respiratory complications, which significantly affect hospital mortality and length of stay.

Study context

Population
Adults undergoing thoracic surgery, 12 hospitals in Germany (German Thorax Registry), 2016–2023
Participants
7,923 adults · 12 hospitals
Exposure
Wedge resection vs Lobectomy vs Bilobectomy vs Pneumonectomy
Outcome
Postoperative complications
Methodological detailsmulticentre registry
  • Multicentre registry

Main finding

As reported in the abstract

Any complication, all patients
27.7%
Respiratory insufficiency
8.3%
Prolonged air leaks
8.1%

Observational data: associations, not effects.

Further findings

Hospital mortality by complication type

Respiratory complications, OR for mortality
13.3
Cardiac complications, OR for mortality
4.0

Hospital LOS

Average extension of hospital stay with complications (days)
8.7

Original publication

Postoperative Complications After Thoracic Surgery—An Analysis From the German Thorax Registry. J Cardiothorac Vasc Anesth. Published 29 May 2025. doi:10.1053/j.jvca.2025.05.034

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