J Korean Acad Fundam Nurs.  2019 Feb;26(1):32-41. 10.7739/jkafn.2019.26.1.32.

Surgical Intensive Care Unit Patients' Risk Factors for Postoperative Pulmonary Complications after Abdominal Surgery

• Joo SY
• Kim HS

• KMID: 2441487
• DOI: http://doi.org/10.7739/jkafn.2019.26.1.32

Abstract

PURPOSE
The purpose of this study was to identify the risk factors for postoperative pulmonary complications (PPCs) after upper or lower abdominal digestive tract surgery.
METHODS
Participants in this retrospective observational study had undergone upper or lower digestive tract surgery and entered the surgical intensive care unit between March 1, 2016 and February 28, 2017. Data were collected from the medical records, operative records, results of laboratory test, and the nursing records of the hospitals.
RESULTS
Of the patients, 544 patients were enrolled in the study and PPCs -developed in 335 (61.6%) patients. On multivariate logistic regression analysis, significant risk factors of PPCs were identified: BMI (Body Mass Index; kg/m2), preoperative serum BUN (Blood Urea Nitrogen; mg/dL), abdominal open surgery, or blood transfusion during operation.
CONCLUSION
These risk factors could be used to help identify patients at risk for PPCs and then appropriate nursing interventions could be provided for patients at risk of PPCs.

Keyword

Postoperative complications; Risk factors; General surgery; Intensive care units

MeSH Terms

Blood Transfusion
Critical Care*
Gastrointestinal Tract
Humans
Intensive Care Units
Logistic Models
Medical Records
Nitrogen
Nursing
Nursing Records
Observational Study
Postoperative Complications
Retrospective Studies
Risk Factors*
Urea
Nitrogen
Urea