Short-Physical Performance Battery (SPPB) score is associated with postoperative pulmonary complications in elderly patients undergoing lung resection surgery: A prospective multicenter cohort study.

The Short Physical Performance Battery physical performance physiotherapy postoperative complication thoracic surgery

Journal

Chronic respiratory disease
ISSN: 1479-9731
Titre abrégé: Chron Respir Dis
Pays: England
ID NLM: 101197408

Informations de publication

Date de publication:
Historique:
entrez: 28 9 2020
pubmed: 29 9 2020
medline: 26 10 2021
Statut: ppublish

Résumé

Elderly patients awaiting lung resection surgery often have poor physical function, which puts them at a high risk of postoperative pulmonary complications. The aim of this study was to investigate the impact of preoperative physical performance on postoperative pulmonary complications in patients awaiting lung resection surgery. In this prospective multicenter cohort study, the characteristics of patients and postoperative pulmonary complications were compared between subjects with low (<10) and high (≥10) Short Physical Performance Battery (SPPB) scores. Postoperative pulmonary complications were defined as over grade II in Clavien-Dindo classification system. We estimated the effects of physical performance on postoperative pulmonary complications using multivariable hierarchical logistic regression. The postoperative pulmonary complications were compared between 331 patients in the high and 33 patients in the low SPPB group. Patients in the low SPPB score group had a significantly higher rate of postoperative pulmonary complications (p < 0.001). Low SPPB score was associated with a higher risk of postoperative pulmonary complications (odds ratio, 8.80; p < 0.001). The SPPB is a clinically useful evaluation tool to assess surgical patients' physical performance. The low physical performance indicated by the SPPB may be predictive of postoperative pulmonary complications after lung resection surgery.

Identifiants

pubmed: 32985263
doi: 10.1177/1479973120961846
pmc: PMC7545757
doi:

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

1479973120961846

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Auteurs

Masatoshi Hanada (M)

Department of Rehabilitation Medicine, 88380Nagasaki University Hospital, Nagasaki, Japan.
Department of Cardiopulmonary Rehabilitation Science, 200674Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

Kota Yamauchi (K)

Department of Rehabilitation Medicine, 36946Steel Memorial Yawata Hospital, Kitakyushu, Japan.

Shinjiro Miyazaki (S)

Rehabilitation Center, 157686KKR Takamatsu Hospital, Takamatsu, Japan.

Yohei Oyama (Y)

Department of Rehabilitation, 36849Japan Community Health care Organization Hokkaido Hospital, Sapporo, Japan.

Yorihide Yanagita (Y)

Department of Rehabilitation Medicine, Seirei Mikatahara General Hospital, Hamamatsu, Japan.

Shuntaro Sato (S)

Clinical Research Center, 88380Nagasaki University Hospital, Nagasaki, Japan.

Takuro Miyazaki (T)

Department of Surgical Oncology, 200674Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

Takeshi Nagayasu (T)

Department of Surgical Oncology, 200674Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

Ryo Kozu (R)

Department of Rehabilitation Medicine, 88380Nagasaki University Hospital, Nagasaki, Japan.
Department of Cardiopulmonary Rehabilitation Science, 200674Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

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