Prediction of cardiac and pulmonary complications related to elective abdominal and noncardiac thoracic surgery in geriatric patients

摘要: Abstract purpose: Major cardiac and pulmonary complications associated with abdominal noncardiac thoracic surgery are a common cause of mortality serious morbidity in elderly patients. We postulated that simple, inexpensive bicycle exercise test could provide objective documentation cardiopulmonary reserve and, therefore, predict perioperative as well complications. patients methods: Prior to elective surgery, 177 aged 65 years or older had assessment the clinical history, results physical examination, electrocardiogram, chest radiograph, blood chemistries, function findings, supine results, Dripps classification, Goldman risk factors. Observations without major and/or were compared using univariate analysis followed by multivariate logistic regression procedure. results: 24 patients, 25 either 39 By analysis, inability perform two minutes raising heart rate above 99 beats/minute was best predictor pulmonary, cardiac, combined (p conclusion: Objective measurement capacity ergometry appears be value for preoperative stratification both prior