TY - JOUR
T1 - Stair climbing test predicts cardiopulmonary complications after lung resection
AU - Brunelli, Alessandro
AU - Refai, Majed A.
AU - Monteverde, Marco
AU - Borri, Alessandro
AU - Salati, Michele
AU - Fianchini, Aroldo
PY - 2002
Y1 - 2002
N2 - Study objective: To evaluate the capability of the stair climbing test to predict cardiopulmonary complications after lung resection for lung cancer. Design: A prospective cohort of candidates for lung resection. Spirometric assessment and the stair climbing test were performed the day before operation. Univariate and multivariate analyses were performed to identify predictors of postoperative complications. Setting: Tertiary referral center. Patients: A consecutive series of 160 candidates for lung resection with lung carcinoma from January 2000 through March 2001. Results: At univariate analysis, the patients with complications were significantly older (p = 0.02), had a significantly lower FEV1 percentage (p = 0.007) and predicted postoperative FEV1 percentage (p = 0.01), had a greater incidence of a concomitant cardiac disease (p = 0.02), climbed a lower altitude at the stair climbing test (p <0.0001), and had a lower calculated maximum oxygen consumption (VO2max) [p = 0.03] and predicted postoperative VO2max (p = 0.006) compared to the patients without complications. At multivariate analysis, the altitude reached at the stair climbing test remained the only significant independent predictor of complications. Conclusions: The stair climbing test is a safe and economical exercise test, and it was the best predictor of cardiopulmonary complications after lung resection.
AB - Study objective: To evaluate the capability of the stair climbing test to predict cardiopulmonary complications after lung resection for lung cancer. Design: A prospective cohort of candidates for lung resection. Spirometric assessment and the stair climbing test were performed the day before operation. Univariate and multivariate analyses were performed to identify predictors of postoperative complications. Setting: Tertiary referral center. Patients: A consecutive series of 160 candidates for lung resection with lung carcinoma from January 2000 through March 2001. Results: At univariate analysis, the patients with complications were significantly older (p = 0.02), had a significantly lower FEV1 percentage (p = 0.007) and predicted postoperative FEV1 percentage (p = 0.01), had a greater incidence of a concomitant cardiac disease (p = 0.02), climbed a lower altitude at the stair climbing test (p <0.0001), and had a lower calculated maximum oxygen consumption (VO2max) [p = 0.03] and predicted postoperative VO2max (p = 0.006) compared to the patients without complications. At multivariate analysis, the altitude reached at the stair climbing test remained the only significant independent predictor of complications. Conclusions: The stair climbing test is a safe and economical exercise test, and it was the best predictor of cardiopulmonary complications after lung resection.
KW - Complication
KW - Exercise test
KW - Lung resection
KW - Maximum oxygen consumption
KW - Stair climbing test
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U2 - 10.1378/chest.121.4.1106
DO - 10.1378/chest.121.4.1106
M3 - Article
C2 - 11948039
AN - SCOPUS:0036208839
VL - 121
SP - 1106
EP - 1110
JO - Chest
JF - Chest
SN - 0012-3692
IS - 4
ER -