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

doi:10.1378/chest.12-1499

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

Department of Medicine

Research output: Contribution to journal › Article › peer-review

59 Scopus citations

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 language	English (US)
Pages (from-to)	1599-1606
Number of pages	8
Journal	Chest
Volume	143
Issue number	6
DOIs	https://doi.org/10.1378/chest.12-1499
State	Published - Jun 2013

All Science Journal Classification (ASJC) codes

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

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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",

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T2 - Results from a national database

AU - Gupta, Himani

AU - Ramanan, Bala

AU - Gupta, Prateek K.

AU - Fang, Xiang

AU - Polich, Ann

AU - Modrykamien, Ariel

AU - Schuller, Dan

AU - Morrow, Lee E.

PY - 2013/6

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