Development of a prediction model for postoperative pneumonia: A multicentre prospective observational study
BACKGROUND
Postoperative pneumonia is associated with increased morbidity, mortality and costs. Prediction models of pneumonia that are currently available are based on retrospectively collected data and administrative coding systems.
OBJECTIVE
To identify independent variables associated with the occurrence of postoperative pneumonia.
DESIGN
A prospective observational study of a multicentre cohort (Prospective Evaluation of a RIsk Score for postoperative pulmonary COmPlications in Europe database).
SETTING
Sixty-three hospitals in Europe.
PATIENTS
Patients undergoing surgery under general and/or regional anaesthesia during a 7-day recruitment period.
MAIN OUTCOME MEASURE
The primary outcome was postoperative pneumonia. Definition: the need for treatment with antibiotics for a respiratory infection and at least one of the following criteria: new or changed sputum; new or changed lung opacities on a clinically indicated chest radiograph; temperature more than 38.3 °C; leucocyte count more than 12 000 μl−1.
RESULTS
Postoperative pneumonia occurred in 120 out of 5094 patients (2.4%). Eighty-two of the 120 (68.3%) patients with pneumonia required ICU admission, compared with 399 of the 4974 (8.0%) without pneumonia (P
Source: European Journal of Anaesthesiology - Category: Anesthesiology Tags: Perioperative medicine Source Type: research
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