Evidence map›Paper›PMID 42374236›Full record

ArticleBMC geriatrics2026

Can we predict postoperative complications in octogenarians undergoing lung resection?

Gizem Kececi Ozgur, Hasan Yavuz, Saltuk Burhan Dal, Ahmet Kayahan Tekneci, Ufuk Cagirici, Tevfik Ilker Akcam, Kutsal Turhan, Ali Ozdil, Ayse Gul Ergonul, Alpaslan Cakan

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Article in BMC geriatrics, 2026. 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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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Gizem Kececi OzgurYüksekova State Hospital, Thoracic Surgery Clinic, Hakkari, Türkiye.
Hasan YavuzMardin Training and Research Hospital, Thoracic Surgery Clinic, Mardin, 47100, Türkiye. hasanyavuzdr@gmail.com.
Saltuk Burhan DalDepartment of Thoracic Surgery, Ege University Faculty of Medicine, Izmir, Türkiye.
Ahmet Kayahan TekneciDepartment of Thoracic Surgery, Ege University Faculty of Medicine, Izmir, Türkiye.
Ufuk CagiriciDepartment of Thoracic Surgery, Ege University Faculty of Medicine, Izmir, Türkiye.
Tevfik Ilker AkcamDepartment of Thoracic Surgery, Ege University Faculty of Medicine, Izmir, Türkiye.
Kutsal TurhanAcıbadem University Kent Hospital, Thoracic Surgery Clinic, Izmir, Türkiye.
Ali OzdilTınaztepe University Galen Hospital, Thoracic Surgery Clinic, Izmir, Türkiye.
Ayse Gul ErgonulDepartment of Thoracic Surgery, Ege University Faculty of Medicine, Izmir, Türkiye.
Alpaslan CakanDepartment of Thoracic Surgery, Ege University Faculty of Medicine, Izmir, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to determine the parameters that should be taken into consideration to predict the development of postoperative complications in patients aged 80 years and over (octogenarians) who underwent lung resection.

methodsThe data of 49 octogenarian patients who underwent lung resection between January 2016 and June 2025 were retrospectively analyzed. Patient demographics, operative parameters, and predictive indices and scores for postoperative complications (Charlson Comorbidity Index (CCI), Simplified Comorbidity Index (SCI), American Society of Anesthesiologists (ASA), Glasgow Prognostic Score (GPS), The Assess Respiratory Risk in Surgical Patients in Catalonia (ARISCAT) and Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity (POSSUM)) were calculated. Postoperative complications were recorded according to the Clavien-Dindo classification.

resultsThe mean age of the patients, 79.6% of whom were male, was 81.98 ± 2.07 years. Statistically significantly fewer complications were observed in those who underwent sublobar resection compared to lobar resection (38.9% vs. 76.9%, p = 0.019). No correlation was found between CCI, SCI, ASA, and GPS scores and the development of complications (p = 0.170, p = 0.246, p = 0.774, p = 0.158, respectively), while ARISCAT and POSSUM scores were found to be predictive of complication development (p < 0.001, p < 0.001). In the multivariate analysis, while the extent of resection lost its status as an independent risk factor (p = 0.222), the classified ARISCAT score and the POSSUM score grouped according to the cut-off value determined by ROC analysis remained independent factors in predicting the development of complications. Patients in the high-risk group according to the ARISCAT score (OR = 16.482, 95% CI = 1.376-197.339, p = 0.027) and those with a POSSUM score above 31.100 (OR = 36.308, 95% CI = 3.889-338.952, p = 0.002) had a significantly higher incidence of postoperative complications.

conclusionsIn this single-centre study, higher ARISCAT and POSSUM scores were associated with the development of postoperative complications in octogenarians. Given the limited sample size, the wide confidence intervals, and the predominance of minor (Clavien-Dindo grade I-II) complications, these scores should be regarded as promising adjuncts for risk stratification that require validation in larger, prospective, multicentre studies before being applied to patient selection.

Indexed as

PneumonectomyPostoperative ComplicationsAged, 80 and overFemaleHumansMalePredictive Value of TestsPrognosisRetrospective StudiesRisk FactorsComplicationsLung resectionOctogenarianRisk factors

Identifiers

PMID42374236
PMCPMC13587328

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