PT  - JOURNAL ARTICLE
AU  - Naozumi Hashimoto
AU  - Masaki Matsuo
AU  - Noriaki Usami
AU  - Kohei Yokoi
AU  - Yoshinori Hasegawa
TI  - Inspiratory capacity is a new preoperative risk predictor in the patients with lung cancer undergoing surgical resection
DP  - 2011 Sep 01
TA  - European Respiratory Journal
PG  - p4322
VI  - 38
IP  - Suppl 55
4099  - http://erj.ersjournals.com/content/38/Suppl_55/p4322.short
4100  - http://erj.ersjournals.com/content/38/Suppl_55/p4322.full
SO  - Eur Respir J2011 Sep 01; 38
AB  - Since surgical complications implicate an enormous economic burden as a result of patient's unexpected treatments and prolonged postoperative stay (PPS), we face an urgent need to establish preoperative pulmonary assessment to prevent pulmonary complications. We retrospectively evaluated 412 cases of the patients who underwent major lung resection in Nagoya University hospital to determine the new predictor to elucidate the risk for PPS. Chronic obstructive lung disease (COPD), irrespective of the degree of symptoms, was confirmed to be one of the most important risk factors in PPS, for patients with major lung resection. Since mounting evidences suggested that the disease severity of COPD might be strongly associated with inspiratory capacity (IC), we evaluated whether IC, measured by spirometry, could be applied to elucidate the risk for PPS in the patients. The multivariate analysis demonstrated that%IC was one of the most critical and independent risk predictors for PPS. Our data suggested that%IC might be an additional risk predictor for PPS in patients undergoing major lung resection, irrespective of COPD status.