RT Journal Article
SR Electronic
T1 Evaluating lung function in patients being considered for resectional surgery
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P1267
VO 42
IS Suppl 57
A1 Stefan Wesolowski
A1 Piotr Boros
A1 Tadeusz Orlowski
A1 Philip Quanjer
YR 2013
UL http://erj.ersjournals.com/content/42/Suppl_57/P1267.abstract
AB Objectives: Pulmonary function tests are important in assessing eligibility for lung resection surgery. The aim of the study was to assess the prevalence and type of pulmonary dysfunction in patients referred for lung resection. We also studied how the limit of normal (80%predicted versus lower limit of normal (LLN) as -1.645SD) affected the incidence of functional disorders. Methods and material: Retrospective analysis of lung function tests, spirometry, lung volumes, transfer factor for CO (TL,CO) in 493 consecutive patients referred for resectional surgery. Results: Spirometry was within the normal range in 255 (51.7%) patients. Airway obstruction was diagnosed in 210 (42.6%), and a restrictive pattern in 28 (5.7%) patients. FEV1 <LLN occurred in 154 (31%), and FEV1<80%pred. in 223 (45%) patients. In 275 (56.6%) cases TL,CO was <LLN, and in 350 (72%) patients <80%pred. In 151 (31%) cases with FEV1 within the normal range TL,CO was reduced. FEV1 or TL,CO was <LLN in 302 (62%) patients, and <80%pred. in 371 (76%) patients, (p<0.0001). Conclusions: Lung functional disorders are common in candidates for lung resection. Using the true LLN diminishes the incidence of disorders by 14% comparing to a lower limit at 80% of predicted; this reduces the number of additional diagnostic tests, the duration and the cost of hospitalization.