Simone Scarlata1, Simona
Santangelo1, Gilda Giannunzio1 and Raffaele Antonelli Incalzi1
Bio Medico University and Teaching Hospital, Rome, Italy
pulmonary function evaluation in candidates to thoracic surgery is
required to assess the risk of cardiorespiratory complications and
long-term disability, to predict postoperative lung volumes and to
eventually maximize respiratory function before surgery. Although the
association between COPD and surgical risk is well documented, a large
amount of high risk of COPD patients never performed a spirometry
assessment before the pre-operative risk evaluation.
Aims and objectives:
to investigate the prevalence of unrecognized COPD diagnosis in a
sample of subjects referred for pre thoracic-surgery respiratory
evaluation and verify whether a concealed COPD may interfere with
operative risks and survival rates.
comprehensive lung function, dyspnea score, surgical outcomes, length
of postoperative hospitalization, postoperative pulmonary
complications (PPCs), and in-hospital mortality were retrospective
assessed in 200 patients undergoing pulmonary resection. When newly
diagnosed, COPD patients started inhaled treatment before surgery.
the median age cohort was 69±9, one hundred and fifty (75%)
were male, 169/200 (85%) were former-smokers or current smokers. Out of
COPD patients (85/200; 43%), 64% showed a concealed COPD diagnosis.
Despite the high rate of undertreated COPD, no increased risk of
complication was associated with having a concealed diagnosis of COPD.
a high prevalence of concealed COPD was observed. A delay of COPD
diagnosis in lung cancer patients’ candidates to thoracic
surgery can increase operative risks, delay the procedure or abrupt the
surgical process. More awareness on this issue is needed by surgeons,
cancer and respiratory specialists.
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