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Postoperative pulmonary complications after gynecologic surgery
Author(s) -
Pappachen S.,
Smith P.R.,
Shah S.,
Brito V.,
Bader F.,
Khoury B.
Publication year - 2006
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2006.01.014
Subject(s) - medicine , surgery , retrospective cohort study , prospective cohort study
Objective: Investigate the frequency of, and risks for postoperative pulmonary complications after surgery for non‐malignant gynecologic disorders. Method: A retrospective component included medical record data for one year. A prospective component enrolled 300 patients consecutively who were scheduled for gynecologic surgeries. Result: Postoperative pulmonary complications occurred in 1.22% of 328 open abdominal procedures in the retrospective study, and 2.16% of 232 in the prospective study. Pooling the data yielded a frequency estimate of 1.61%. Mean hospital length of stay (pooled data) increased 1.75 days in those with postoperative pulmonary complications. Smoking was the only significant risk factor (relative risk = 3.9 using pooled data). Conclusion: Postoperative pulmonary complications after surgery for non‐malignant gynecologic disorders are infrequent but increase hospital length of stay. Smokers are at increased risk.