ArticleCureus2025
Impact of Theater Recovery Time on the Incidence of Postoperative Pneumonia in Patients Undergoing Major Lung Resection.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Background and hypothesis Postoperative pneumonia (POP) is a significant cause of morbidity and mortality following thoracic surgery and across various surgical specialties. We hypothesized that increased time spent in postoperative theater recovery may be associated with a higher incidence of POP and could serve as a potential marker for identifying vulnerable patients. Method Data on postoperative recovery time and subsequent POP diagnosis were obtained from an automated departmental database. A total of 577 patients who underwent lobectomy, bi-lobectomy, or pneumonectomy for non-small cell lung cancer between January 2019 and October 2021 were included in this study. A power calculation (beta = 0.2, power = 0.8) indicated a required sample size of at least 360 patients. Data analysis was performed using Microsoft Excel (Microsoft Corp., Redmond, WA, US) and IBM SPSS Statistics for Windows (IBM Corp., Armonk, NY, US). Results The data showed that patients diagnosed with POP spent a mean of 21 minutes 23 seconds longer in the theater recovery compared to those without POP; however, this difference did not reach statistical significance (p = 0.204). The distribution of recovery times was more skewed among POP patients (skewness = 3.68) compared to non-POP patients (skewness = 1.33). This prompted further analysis focused on patients who spent more than seven hours in postoperative recovery; again, no statistically significant difference was found between POP and non-POP patients (p = 0.224). Conclusion Although statistical significance was not demonstrated in this study, prolonged recovery time may still reflect an underlying vulnerability to POP, or it may simply represent inefficiencies in postoperative patient flow.
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