Turkish Thoracic Journal
Original Article

Is the perioperative period no longer a problem for adult asthmatics under control?-OPERA study

1.

Hacettepe University School of Medicine, Department of Chest Diseases, Immunology and Allergy Division, Ankara, Turkey

2.

Ege University School of Medicine, Department of Pulmonary Medicine, İzmir, Turkey

3.

Fırat University Hospital, Department of Chest Diseases, Elazığ, Turkey

4.

Kocaeli University School of Medicine, Department of Chest Diseases, Kocaeli, Turkey

5.

İstanbul University-Cerrahpaşa, Cerrahpaşa of Medicine, Department of Chest Diseases, İstanbul, Turkey

6.

Ufuk University School of Medicine, Department of Chest Diseases, Ankara, Turkey

7.

Atatürk University School of Medicine, Department of Chest Diseases, Erzurum, Turkey

8.

Mersin University School of Medicine, Department of Chest Diseases, Mersin, Turkey

9.

Ankara University School of Medicine, Department of Chest Diseases, Ankara, Turkey

10.

Gazi University School of Medicine, Department of Pulmonary Diseases, Ankara, Turkey

11.

Hacettepe University School of Medicine, Department of Chest Diseases, Ankara, Turkey

Turk Thorac J 0; 5: 0-0
DOI: 10.5152/TurkThoracJ.2019.18051
Read: 379 Downloads: 16 Published: 18 July 2019

Abstract

BACKGROUND: Asthma is a global health problem and a chronic condition that persists through a patients’s entire life, during which the possibility of a surgical procedure is common. An accurate clinical and functional evaluation of respiratory functions and asthma control are needed in patients undergoing surgical procedures and requiring general anesthesia.

 

OBJECTIVE: The aim of this study was to disclose any possible relation between postoperative complications and some pre and postoperative factors including clinical complaints and findings, asthma control test (ACT), pulmonary functions, oxygen saturation, the location of surgery and the type of anesthesia.

 

METHOD: In this prospective cross-sectional study, randomly selected 111 asthmatic patients that presented to 10 different tertiary centers were included in the study. The patients were evaluated at three different period; any day between 1-7 days before surgery, postoperative third and seven-tenth days.

 

RESULTS: Among the patients included in the study, 77.5% were women and mean age was 52.2±13.8 years. General anesthesia was the most common anesthesia type (89.2%) and 33.3% of patients have had thoraco-abdominal surgery. There was statistically significant difference betwwen in preoperative and postoperative 3rd day values including ACT scores (22.2±3.16 and 21.59±3.84, respectively, p<0.001) ; FEV1% (84.92±19.12 and 78.26±18.47, 83,respectively p<0.001) ; PEF% (79.51±21.12 and 70.01±19.72, respectively p<0.001) and oxygen saturation (96.95±1.82 and 95.8±3.32, respectively p<0.001). Bronchospasm and pain were the most common complications during the postoperative period.

 

CONCLUSION: Controlled asthma under treatment step 1-2-3 does not cause any serious postoperative pulmonary complications. So, to achieve To achieve optimal control level of asthma at the preoperative period must be considered as ‘gold standard’ to reduce the risk of postoperative pulmonary complications in asthmatic patients.

 

Cite this article as: Erdoğan T, Göksel Ö, Kırkıl G, et al. Is the perioperative period no longer a problem for adult asthmatics under control?-OPERA study. Turk Thorac J 2019; DOI: 10.5152/TurkThoracJ.2019.18051

EISSN 2149-2530
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