Risk for Postoperative Respiratory Failure

Calculator Estimates Risk for Postoperative Respiratory Failure

Five strong predictors for PRF emerged from evaluation of the data:

  • surgery type,
    • The riskiest surgeries were those of the brain, aorta, and foregut/hepatopancreatobiliary region.
  • emergency case,
  • dependent functional status,
  • preoperative sepsis,
  • higher American Society of Anesthesiologists class.

“PRF develops in approximately 3% of patients, and more than 25% of them die within 30 days. Up to 40% of postoperative complications after abdominal and vascular surgeries are pulmonary in nature.

The study, from Himani Gupta, MD and colleagues from the University of Pittsburgh in Pennsylvania and Creighton University in Omaha, Nebraska, considers all surgeries and distinguishes PRF from other pulmonary complications. Data are from the American College of Surgeons’ National Surgical Quality Improvement Program, which represents more than 180 hospitals.”











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