POPCsPile of PCs
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As the type of surgical incision was separated as cardiothoracic and noncardiothoracic to investigate the POPC among these subgroups, there was no difference in groups (P = 0.25).
The most frequent pulmonary complications in patients with POPC were respiratory tract infection (13%), respiratory failure (59%), pleural effusion (45%), and atelectasis (42%).
The effect of the variables on POPC was investigated by "Multiple Binary Logistic Regression.
The probability of having POPC for those with COPD was observed as 2.5 ( times higher than those without COPD.
POPC were seen in 58.2% of those with RI changes in the chest X.ray, in 53.8% of those with COPD, in 70.0% of those with a history of upper respiratory tract infection in the preoperative period, in 2.4% of those with thoracic surgery, in 59.1% of those with cardiac surgery, in 40.5% of those with shortness of breath, and in the 22.4% of those with snoring.
SFT (obstructive/restrictive) and FEV1 reduction showed no correlation with POPC (P = 0.27, P = 0.564, respectively).
In the present study, POPC was found in 32.6% of the study group.
Most common POPC is respiratory failure characterized by impaired pulmonary gas change.
[2] In our study, the most common complications for the patients with POPC were respiratory failure (%59), pleural effusion (45%), atelectasis (42%), and respiratory tract infection (13%).
Smoking history has been reported as an independent risk factor for POPC. [11,12] However, in our study, smoking history is not associated with POPC.
Many studies indicated that POPC such as postoperative pneumonia and prolonged mechanical ventilation is more common in patients receiving general anesthesia.
[11] In our study, a relationship between ASA classification and POPC was determined.