caa a22 4500 606206841 CHVBK 20210128101013.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s10353-015-0359-z doi (NATIONALLICENCE)springer-10.1007/s10353-015-0359-z Cardiopulmonary exercise testing versus spirometry as predictors of cardiopulmonary complications after colorectal surgery [Elektronische Daten] [I. Nikolopoulos, M. Ellwood, M. George, E. Carapeti, A. Williams] Summary: Background: To determine the predictive value of spirometry and cardiopulmonary exercise testing (CPET) preoperatively in patients scheduled to undergo elective colorectal surgery. We compared the preoperative results with the incidence of postoperative cardiopulmonary complications. Methods: A total of 103 patients were scheduled to undergo preoperative CPET and spirometry; 14 patients did not attend their appointments and another 20 were unable to perform the test. In all, 69 patients (median age 60 years (range 25-85), 35 males) successfully completed cycle ergometry and lung function tests. Forced expiratory volume in 1s (FEV1), percent forced expiratory volume in 1s (FEV1/forced vital capacity (FVC)) and anaerobic threshold (AT) were measured. Patients were divided postoperatively according to whether cardiopulmonary complications were absent (group A) or present (group B). Results: Postoperative cardiopulmonary complications developed in 8 of the 69 patients (12 %). Thirty day mortality was 3 %. AT was significantly higher in group A (mean AT = 13.8; SD ± 3.0; range = 8.1-20.8) than in group B (mean = 10.91; SD ± 3.0; Range = 7.9-12), (p = 0.0006). Spirometric pulmonary function tests (FEV1, p = 0.09) and (FEV1/FVC, p = 0.08) showed no intergroup differences. The median hospital length of stay (HLOS) was significantly higher in the group of patients that suffered cardiopulmonary complications (p = 0.0282). Conclusions: CPET allows the prediction of postoperative cardiopulmonary complications which cannot be anticipated by spirometry. Early detection of high risk patients facilitates the planning of patient specific management strategies which are likely to improve outcome through invasive monitoring and optimisation of cardio-respiratory function. Springer-Verlag Wien, 2015 Cardiopulmonary exercise testing nationallicence Spirometry nationallicence Enhance recovery programme nationallicence Cardiopulmonary complications nationallicence Nikolopoulos I. Department of General Surgery, Lewisham and Greenwich NHS Trust, Stadium Road, Woolwich, SE18 4QH, London, UK aut Ellwood M. Department of General Surgery, Guy's and St Thomas' Foundation NHS Trust, Westminster Bridge Road, SE1 7EH, London, UK aut George M. Department of General Surgery, Guy's and St Thomas' Foundation NHS Trust, Westminster Bridge Road, SE1 7EH, London, UK aut Carapeti E. London Bridge Hospital, SE1 2PR, London, UK aut Williams A. Department of General Surgery, Guy's and St Thomas' Foundation NHS Trust, Westminster Bridge Road, SE1 7EH, London, UK aut European Surgery Springer Vienna 47/6(2015-12-01), 324-330 1682-8631 47:6<324 2015 47 10353 https://doi.org/10.1007/s10353-015-0359-z text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10353-015-0359-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nikolopoulos I. Department of General Surgery, Lewisham and Greenwich NHS Trust, Stadium Road, Woolwich, SE18 4QH, London, UK aut NATIONALLICENCE 700 1- Ellwood M. Department of General Surgery, Guy's and St Thomas' Foundation NHS Trust, Westminster Bridge Road, SE1 7EH, London, UK aut NATIONALLICENCE 700 1- George M. Department of General Surgery, Guy's and St Thomas' Foundation NHS Trust, Westminster Bridge Road, SE1 7EH, London, UK aut NATIONALLICENCE 700 1- Carapeti E. London Bridge Hospital, SE1 2PR, London, UK aut NATIONALLICENCE 700 1- Williams A. Department of General Surgery, Guy's and St Thomas' Foundation NHS Trust, Westminster Bridge Road, SE1 7EH, London, UK aut NATIONALLICENCE 773 0- European Surgery Springer Vienna 47/6(2015-12-01), 324-330 1682-8631 47:6<324 2015 47 10353