ArticleEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery2016
External validation of the Ferguson pulmonary risk score for predicting major pulmonary complications after oesophagectomy†.
Article in European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
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15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Prediction models for postoperative pulmonary complications: a systematic review and meta-analysis.British journal of anaesthesia · 2025Pooled it
- Prediction of Morbidity and Mortality After Esophagectomy: A Systematic Review.Annals of surgical oncology · 2024Pooled it
- Pulmonary Function Tests for the Prediction of Postoperative Pulmonary Complications.Deutsches Arzteblatt international · 2022Pooled it
- Trial
- Applications of artificial intelligence in postoperative surveillance and management of esophageal squamous cell carcinoma.Frontiers in artificial intelligence · 2026Review
- Simultaneous transmediastinal esophagectomy and thoracoscopic lobectomy for synchronous double cancers of the esophagus and lung: a case report.General thoracic and cardiovascular surgery cases · 2024Article
- Preoperative risk modelling for oesophagectomy: A systematic review.World journal of gastrointestinal surgery · 2023Article
- Risk stratification for post-operative pulmonary complications following major cardiothoracic or abdominal surgery: Validation of the PPC Risk Prediction Score for physiotherapist's clinical decision-making.The clinical respiratory journal · 2023Article
- Preoperative maximal voluntary ventilation, hemoglobin, albumin, lymphocytes and platelets predict postoperative survival in esophageal squamous cell carcinoma.World journal of gastroenterology · 2021Article
- Effect of the Active Cycle of Breathing Technique on Perioperative Outcome in Individuals With Esophagectomy: A Quasi-Experimental Study.Frontiers in surgery · 2021Article
- Article
- Spirometric Lung Age Predicts Postoperative Pneumonia After Esophagectomy.World journal of surgery · 2016Article
- Assessment of a predictive score for pulmonary complications in cancer patients after esophagectomy.World journal of emergency medicine · 2016Article
- Understanding Complete Pathologic Response in Oesophageal Cancer: Implications for Management and Survival.Gastroenterology research and practice · 2015Review
- Influence of the Oral Health Assessment Tool Score on Survival of Patients With Esophageal Cancer.In vivo (Athens, Greece)Article
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Authors and funding
8 authors at 2 institutions in 1 country.
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Abstract
objectivesPulmonary complications remain a frequent cause of morbidity in patients undergoing oesophagectomy. Risk screening tools assist in patient stratification. Ferguson proposed a risk score system to predict major pulmonary complications after oesophagectomy. Our objective was to externally validate this risk score system.
methodsWe analysed our institutional database for patients undergoing oesophagectomy for cancer from August 2009 to December 2012. We analysed patients who had complete documentation of variables used in the Ferguson risk score calculation: forced expiratory volume in the 1 s, diffusion capacity of the lung for carbon monoxide, performance status and age. One hundred and thirty-six patients qualified for analysis in the validation study. Outcome variables measured included major pulmonary complications, defined as need for reintubation for respiratory failure and pneumonia. The risk score was then calculated for each individual based on the model. Incidence of major pulmonary events was assessed in the five risk class groupings to assess the discriminative ability of the Ferguson score.
resultsMajor pulmonary complications occurred in 35% of patients (47/136). Overall mortality was 6% (8/136). Patients were grouped into five risk categories according to their Ferguson pulmonary risk score: 0-2, 8 patients (6%); 3-4, 24 patients (18%); 5-6, 49 patients (36%); 29 patients (21%); 9-14, 26 patients (19%). The incidence of major pulmonary complications in these categories was 0, 17, 20, 41 and 77%, respectively. The accuracy of the risk score system for predicting major pulmonary complications was 76% (P < 0.0001).
conclusionsThis pulmonary risk scoring system is a reliable instrument to be used during the preoperative phase to differentiate patients who may be at higher risk for pulmonary complications after oesophagectomy. These data can assist in patient selection, and in patient education/informed consent and can guide postoperative management.
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