RT Journal Article
SR Electronic
T1 Comparison of post-operative hospital stay and pulmonary complications between patients with and without COPD:From evaluation of fast-track recovery program after cardiovascular surgery
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P2337
VO 44
IS Suppl 58
A1 Koji Iwai
A1 Hideki Hayashsi
A1 Tetsuya Oguma
A1 Tohru Asai
YR 2014
UL http://erj.ersjournals.com/content/44/Suppl_58/P2337.abstract
AB BackgroundChronic obstructive pulmonary disease (COPD) is a clinical entity that is characterized by reduced pulmonary function. In addition, COPD is associated with an increase in cardiovascular mortality and morbidity, and complicated by osteoporosis, muscle weakness, and others. After cardiovascular surgery, pulmonary complications are an important determinant for recovery. To assess whether COPD independently affects postoperative status, we compared patients with and without COPD in fast-track recovery program after cardiovascular surgery.MethodsThis study consisted of 72 patients (all men, 72.3±7.1 years old): 27 COPD patients and 45 non-COPD patients. In fast-track recovery program after cardiovascular surgery, we evaluated postoperative hospital stay and pulmonary complications.Fast-track recovery program:60-m walk load test was performed on the next day, 200-m walk load test was performed on the second day, and bicycle ergometer training was performed from the third day after surgery to the discharge.ResultsPulmonary functions (FEV1, FEV1%predicted, FEV1/FVC) were significantly lower COPD than non-COPD patients before surgery. We performed after surgery, there was no significant difference in the postoperative hospital stay (11.7 vs 12.6 days), the occurrence of postoperative atelectasis (51% vs 52%), and the duration of resolution of atelectasis (4.7 vs 6.1 days) between the 2 groups.ConclusionThis study indicates that the postoperative fast-track recovery program achieved short hospital stay and quick recovery from pulmonary complications irrespective of the presence of COPD.