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

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52 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 languageEnglish (US)
Pages (from-to)1599-1606
Number of pages8
JournalChest
Volume143
Issue number6
DOIs
StatePublished - 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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    Gupta, H., Ramanan, B., Gupta, P. K., Fang, X., Polich, A., Modrykamien, A., Schuller, D., & 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