J Med Assoc Thai 2000; 83 (10):1253

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Preoperative Spirometry to Predict Postoperative Complications in Thoracic Surgery Patients
Phunmanee A Mail, Tuntisirin C , Zaeoue U

ANAKAPONG PHUNMANEE, M.D.*,
CHERDCHAI TUNTISIRIN, M.D.**,
URAIW AN ZAEOUE, M.Sc. in Nursing.*
Spirometry is a simple and basic test that can provide more information about pulmonary
function. Many thoracic surgeons do a spirometry test to assess the pulmonary status of their
patients before surgery.
Objective: To determine if preoperative spirometry can predict postoperative compli-
cations following thoracic surgery.
Design: Retrospective case control study.
Setting: Srinagarind Hospital Medical School, Khon Kaen University, Khon Kaen Thailand.
Participants: Adult patients who had spirometry before thoracic surgery.
Measurement and results: From 1995 to 1998, we reviewed thoracic surgery patients
who had spirometry testing before thoracic surgery. Fifty-six patients were enrolled in our
study. Postoperative complications of these patients were determined by a systemic extraction of
medical record data. The postoperative complications were classified into two groups, respira-
tory and non-respiratory complications. Eighteen patients experienced at least one respiratory
and other complications. There was a sixfold or greater increase in non-respiratory compli-
cations (cardiac arrhythmia, congestive heart failure, prolonged hospital stay, upper gastrointestinal
bleeding and wound infection), which were associated with moderate and severe impairment of
FEY
1
and FVC (

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