Postoperative pulmonary complications occurred in 39.9% of adult patients undergoing major emergency abdominal surgery and were associated with a 30-day mortality rate of 21.0%, increasing to 46.3% in patients with severe PPCs defined by Clavien–Dindo grade ≥3a.
Observational (n=1,080)
No
Postoperative pulmonary complications are highly prevalent (39.9%) following major emergency abdominal surgery and are strongly associated with increased 30-day mortality, with protracted postoperative ileus identified as a novel independent risk factor.
Absolute Event Rate: 39.9% vs 60.1%
Several independent risk factors, beyond those already established, were associated with an increased risk of PPCs.
Nærum et al. (Thu,) conducted a observational in Adult patients undergoing major emergency abdominal surgery including bowel obstruction, perforation, ischemia, intraabdominal bleeding, or negative laparotomy (n=1,080). Postoperative pulmonary complications occurred in 39.9% of adult patients undergoing major emergency abdominal surgery and were associated with a 30-day mortality rate of 21.0%, increasing to 46.3% in patients with severe PPCs defined by Clavien–Dindo grade ≥3a.