Observational studyBioMed research international2015
Incidence and risk factors of postoperative pulmonary complications in noncardiac Chinese patients: a multicenter observational study in university hospitals.
Observational study in BioMed research international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Prediction models for postoperative pulmonary complications: a systematic review and meta-analysis.British journal of anaesthesia · 2025Pooled it
- Weaning from mechanical ventilation in the operating room: a systematic review.British journal of anaesthesia · 2024Pooled it
- Sugammadex Reduced the Incidence of Postoperative Pulmonary Complications in Susceptible Patients Identified by ARISCAT Risk Index: Systematic Review and Meta-analysis.Advances in therapy · 2023Pooled it
- Protective Effect of Dexmedetomidine Combined with Butorphanol on Perioperative Pulmonary Function in Patients Undergoing Laparoscopic Colorectal Cancer Resection: A Randomized, Double-Blind, 2 * 2 Factorial-Controlled Trial.Drug design, development and therapy · 2025Trial
- Continuous infusion of high-dose ulinastatin during surgery does not improve early postoperative clinical outcomes in patients undergoing radical lung cancer surgery: A pilot study.Thoracic cancer · 2016Trial
- Prediction of postoperative pulmonary complications in geriatric patients with hip fracture using a nomogram incorporating bedside ultrasonography and clinical parameters.BMC geriatrics · 2026Observational
- A web-based two-stage prediction model for postoperative pulmonary complications using preoperative and intraoperative data.Journal of anesthesia and translational medicine · 2026Article
- An integrated random forest- and LASSO-derived nomogram for predicting postoperative nosocomial infections in colorectal cancer patients.Perioperative medicine (London, England) · 2026Article
- Prediction of Postoperative Pulmonary Complications in Geriatric Patients with Hip Fracture Using Lung Ultrasonography Score and Diaphragmatic Mobility.Clinical interventions in aging · 2026Observational
- A clinically useful nomogram integrating bedside lung ultrasound and clinical parameters for pulmonary complications after non-thoracic surgery in blunt chest trauma patients.Frontiers in medicine · 2026Article
- Development and multicenter validation of machine learning models for predicting postoperative pulmonary complications after neurosurgery.Chinese medical journal · 2025Article
- Association between preoperative oxygen reserve index and postoperative pulmonary complications: a prospective observational study.Korean journal of anesthesiology · 2025Observational
- Review
- A predictive model for post-thoracoscopic surgery pulmonary complications based on the PBNN algorithm.Scientific reports · 2024Article
- Intraoperative mechanical power and postoperative pulmonary complications in low-risk surgical patients: a prospective observational cohort study.BMC anesthesiology · 2024Observational
- Smoking cessation in Chinese patients undergoing thoracic surgery: A multicenter prospective observational study.Tobacco induced diseases · 2024Article
- Post-operative pulmonary complications after thoracic and upper abdominal procedures at referral hospitals in Amhara region, Ethiopia: a multi-center study.Frontiers in surgery · 2023Article
- Evidence-based Practice Interventions for Reducing Postoperative Pulmonary Complications: A Narrative Review.The open respiratory medicine journal · 2023Review
- Post-laparotomy Hypoxia: A Case Series.Cureus · 2022Article
- Incidence and Associated Factors of Postoperative Pulmonary Complications after Abdominal Surgery in the Public Hospital, Addis Ababa, Ethiopia.Anesthesiology research and practice · 2022Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo assess the incidence of postoperative pulmonary complications (PPCs) in Chinese inpatients, and to develop a brief predictive risk index.
methodsBetween August 6, 2012, and August 12, 2012, patients undergoing noncardiac operations in four university hospitals were enrolled. The cohort was divided into two subsamples, cohort 1 to develop a predictive risk index of PPCs and cohort 2 to validate it.
results1673 patients were enrolled. PPCs were recorded for 163 patients (9.7%), of whom the hospital length of stay (LOS) was longer (P < 0.001). The mortality was 1.84% in patients with PPCs and 0.07% in those without. Logistic Regression modeling in cohort 1 identified nine independent risk factors, including smoking, respiratory infection in the last month, preoperative antibiotic use, preoperative saturation of peripheral oxygen, surgery site, blood lost, postoperative blood glucose, albumin, and ventilation. The model was validated within cohort 2 with an area under the receiver operating characteristic curve of 0.90 (95% CI 0.86 to 0.94).
conclusionsPPCs are common in noncardiac surgical patients and are associated with prolonged LOS in China. The current study developed a risk index, which can be used to assess individual risk of PPCs and guide individualized perioperative respiratory care.
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