Authors

Cristina Subirana-Ferrés1, Carlos Déniz Armangol2, Nuria Romero Navarrete3, Isabel Díaz-Martos4, Francisco Rivas Doyague5, Jordi Adamuz Tomás6

Position

1Diplomada en Enfermería. Área médica y cirugía Torácica. Hospital Universitario de Bellvitge. L’Hospitalet de Llobregat. Barcelona 2Tesis doctoral en proceso. Hospital Universitario de Bellvitge. L’Hospitalet de Llobregat. Barcelona3Diplomada en Enfermería. Hospital Universitario de Bellvitge. L’Hospitalet de Llobregat. Barcelona4Máster en Gestión Hospitalaria y de Servicios Sanitarios. Cap de área. Hospital Universitario de Bellvitge. L’Hospitalet de Llobregat. Barcelona5Doctorado. Hospital Universitario de Bellvitge. L’Hospitalet de Llobregat. Barcelona6Doctorado. Instituto de Investigación Biomédica de Bellvitge (HUB-IDIBELL). L’Hospitalet de Llobregat. Barcelona

Contact address

Cristina Subirana-Ferrés. Área médica y cirugía torácica. Hospital Universitario de Bellvitge. C/ Feixa Llarga, s/n. 08907 L’Hospitalet del Llobregat.

Contact email: csubirana@bellvitgehospital.cat

Abstract

Objective: to understand the incidence of complications, and identify the risk factors associated with post-surgical complications developed after pneumonectomy.
Method: a retrospective observational study was conducted; the sample was obtained from the group of >18-year-old patients hospitalized at the Pulmonology and Thoracic Surgery Unit of the Hospital Universitario de Bellvitge (Barcelona), between January, 2016 and June, 2020, who had undergone pneumonectomy (right or left). Study variables: complications during hospitalization, comorbidities and risk factors, besides other demographical and clinical variables. Data were collected through review of electronic clinical records. Descriptive and analytical analysis was conducted. The difference was considered significant if p< 0.05.
Results: the study included 24 patients: 75% were male (n=1 8); 46% were smokers; and their mean age (interquartile range) was 66 (62-74) years. The main comorbidities detected were: hypertension (46%; n= 11), diabetes mellitus (25%; n= 6) and COPD (25%; n= 6); 83% (n= 20) underwent thoracotomy, and 79% (n= 19) underwent left pneumonectomy; 42% (n= 10) presented post-surgical complications. The complication with the highest incidence was cardiac arrythmia (17%; n= 4). Right pneumonectomy was associated with the development of complications (p= 0,05). The mean hospital stay was higher in the group with complications (9.5 vs. 7 days; p= 0.005).
Conclusion: post-surgical complications were detected in 4 out of each ten subjects; the most frequent was cardiac arrythmia. Right pneumonectomy was significantly associated with the development of complications.

Keywords:

Pneumonectomy; nursing care; patient care; pulmonary complications; post-surgical period

Versión en Español

Título:

Incidencia de complicaciones y factores de riesgo asociados en pacientes intervenidos de neumonectomía