Impact of COPD on postoperative outcomes: Results from a national database

Himani Gupta, Bala Ramanan, Prateek K. Gupta, Xiang Fang, Ann Polich, Ariel Modrykamien, Dan Schuller, Lee E. Morrow

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

Background: Although COPD affects large sections of the population, its effects on postoperative outcomes have not been rigorously studied. The objectives of this study were to describe the prevalence of COPD in patients undergoing surgery and to analyze the associations between COPD and postoperative morbidity, mortality, and hospital length of stay. Methods: Patients with COPD who underwent surgery were identified from the National Surgical Quality Improvement Program database (2007-2008). Univariate and multivariate analyses were performed on this multicenter, prospective data set (N = 468,795). Results: COPD was present in 22,576 patients (4.82%). These patients were more likely to be older, men, white, smokers, and taking corticosteroids and had a lower BMI (P 50 comorbidities through logistic regression modeling, COPD was independently associated with higher postoperative morbidity (OR, 1.35; 95% CI, 1.30-1.40; P

Original languageEnglish
Pages (from-to)1599-1606
Number of pages8
JournalChest
Volume143
Issue number6
DOIs
StatePublished - Jun 2013

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Chronic Obstructive Pulmonary Disease
Databases
Length of Stay
Morbidity
Quality Improvement
Comorbidity
Adrenal Cortex Hormones
Multivariate Analysis
Logistic Models
Mortality
Population

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Gupta, H., Ramanan, B., Gupta, P. K., Fang, X., Polich, A., Modrykamien, A., ... Morrow, L. E. (2013). Impact of COPD on postoperative outcomes: Results from a national database. Chest, 143(6), 1599-1606. https://doi.org/10.1378/chest.12-1499

Impact of COPD on postoperative outcomes : Results from a national database. / Gupta, Himani; Ramanan, Bala; Gupta, Prateek K.; Fang, Xiang; Polich, Ann; Modrykamien, Ariel; Schuller, Dan; Morrow, Lee E.

In: Chest, Vol. 143, No. 6, 06.2013, p. 1599-1606.

Research output: Contribution to journalArticle

Gupta, H, Ramanan, B, Gupta, PK, Fang, X, Polich, A, Modrykamien, A, Schuller, D & Morrow, LE 2013, 'Impact of COPD on postoperative outcomes: Results from a national database', Chest, vol. 143, no. 6, pp. 1599-1606. https://doi.org/10.1378/chest.12-1499
Gupta H, Ramanan B, Gupta PK, Fang X, Polich A, Modrykamien A et al. Impact of COPD on postoperative outcomes: Results from a national database. Chest. 2013 Jun;143(6):1599-1606. https://doi.org/10.1378/chest.12-1499
Gupta, Himani ; Ramanan, Bala ; Gupta, Prateek K. ; Fang, Xiang ; Polich, Ann ; Modrykamien, Ariel ; Schuller, Dan ; Morrow, Lee E. / Impact of COPD on postoperative outcomes : Results from a national database. In: Chest. 2013 ; Vol. 143, No. 6. pp. 1599-1606.
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