Self-reported functional status predicts post-operative outcomes in non-cardiac surgery patients with pulmonary hypertension

摘要: BACKGROUND Pulmonary hypertension (PHTN) is associated with increased post-procedure morbidity and mortality. Pre-procedure echocardiography (ECHO) a widely used tool for evaluation of these patients, but its accuracy in predicting outcomes unproven. Self-reported exercise tolerance has not been evaluated operative risk stratification PHTN patients. OBJECTIVE We analyzed whether self-reported predicts (hospital length-of-stay [LOS], mortality morbidity) patients (WHO Class I-V) undergoing anesthesia surgery. METHODS AND FINDINGS reviewed 550 non-cardiac, non-obstetric procedures performed on 370 at single institution between 2007 2013. All had cardiac ECHO documented within 1 year prior to the procedure. comorbidities data were collected. Functional status ( 7 days (p 2 hours < .001), absence systemic = .012). PHORS Score ≥2 was an 30-day major complication rate (28.7% vs. 19.2%; p 0.001) ICU admission (8.6% s 2.8%; .007), no statistical difference hospital readmissions (17.6% 14.0%; .29), or (3.5% 1.4%; .75). Similar findings did further improve outcome prediction. CONCLUSIONS Poor functional severe LOS complications moderate pulmonary different etiologies. A assessment model fair accuracy. thorough underlying etiologies should be undertaken every patient.