Back to Search
Start Over
Effect of perioperative systemic steroid treatment on patients with obstructive lung disease undergoing elective abdominal surgery.
- Source :
- Clinical Respiratory Journal; Jan2018, Vol. 12 Issue 1, p227-233, 7p
- Publication Year :
- 2018
-
Abstract
- Abstract: Introduction: Chronic obstructive pulmonary disease is an independent risk factor of postoperative pulmonary complications (PPCs). It is unknown whether a perioperative systemic corticosteroid would be beneficial in patients with obstructive airway disease. Objectives: The present study was conducted to determine the effect of a perioperative systemic corticosteroid on PPCs in patients who showed airway obstruction in preoperative spirometry. Methods: Retrospective medical record reviews were performed on records from January 2010 to December 2011 in a referral hospital. We analyzed the data of patients who were referred to pulmonologists before elective abdominal surgery and had a prebronchodilator FEV1/FVC of <70%. We compared the PPCs between the steroid group and the non‐steroid group. Results: A total of 270 patients were referred to pulmonologists and, of these, 86 had a FEV1/FVC of <70% in the preoperative spirometry. In the 30 patients in the steroid group, the mean FEV1 was 52.2% and half of these had previously used a bronchodilator. Use of a perioperative systemic corticosteroid was significantly associated with reduced incidence of PPCs in the multivariate logistic regression with adjustment by propensity score (adjusted odds ratio = 0.036, 95% confidence interval [CI] = 0.003–0.505; <italic>P</italic> = 0.014). Conclusion: In our retrospective study we showed that those treated with steroids had better outcomes. However, future prospective and randomized controlled trials are needed. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 17526981
- Volume :
- 12
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Clinical Respiratory Journal
- Publication Type :
- Academic Journal
- Accession number :
- 127287226
- Full Text :
- https://doi.org/10.1111/crj.12520