Correlation of lung ultrasound score with postoperative pulmonary complications in older adults undergoing thoracoscopic lobectomy: a prospective observational study.

IF 3.4 3区医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL

European Journal of Medical Research Pub Date : 2025-10-21 DOI:10.1186/s40001-025-03271-2

Dongsheng Wang, Yang Zhang, Shasha Wang, Yanan Xue, Xiaoyi Hu, Jiaojiao Gao, Ru Yu, Qin Zhuang, Erdeng Cheng, Xiaohong Li

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引用次数: 0

Abstract

Background: It is unclear whether postoperative pulmonary complications (PPC) can be early predicted by lung ultrasound (LUS) score in older adults undergoing thoracoscopic lobectomy. This study aimed to evaluate the validity of lung ultrasound application.

Methods: Two physicians performed lung ultrasonography on patients preoperatively, 30 min postoperatively and 72 h postoperatively to obtain LUS score. Pulmonary complications occurred within 10 days postoperatively were recorded. The correlation between lung ultrasound results and PPC was analyzed using logistic regression model. ROC curve were applied to assess the prediction accuracy.

Results: PPC occurred in 115 of 292 patients (39.38%) in this study. Independent risk factors for PPC included higher age (OR 1.16, 95% CI 1.04-1.29, p = 0.007), COPD comorbidity (OR 5.03, 95% CI 1.29-19.59, p = 0.020), lower preoperative hemoglobin level (OR 0.96, 95% CI 0.93-1.00, p = 0.043), and higher postoperative 30 min LUS score (OR 1.32, 95% CI 1.22-1.43, p < 0.001). Postoperative 30 min lung ultrasound score (AUC: 0.811, cut-off: 14) shown in the ROC curve analysis was effective in predicting postoperative outcomes.

Conclusions: Postoperative 30 min lung ultrasound score is a risk factor for PPC in older adults undergoing thoracoscopic lobectomy in this study. The value of lung ultrasound as a predictive tool for PPC is warranted.

Trial registry: This study was registered in China Clinical Trial Registry (ChiCTR2100053449).

查看原文本刊更多论文

老年人胸腔镜肺叶切除术后肺部超声评分与术后肺部并发症的相关性：一项前瞻性观察研究。

背景：目前尚不清楚胸腔镜肺叶切除术后肺部并发症（PPC）是否可以通过肺超声（LUS）评分早期预测。本研究旨在评价肺部超声应用的有效性。方法：术前、术后30 min、72 h分别由两名医师对患者进行肺部超声检查，获取LUS评分。记录术后10天内肺部并发症发生情况。采用logistic回归模型分析肺超声结果与PPC的相关性。采用ROC曲线评估预测准确率。结果：292例患者中有115例（39.38%）发生PPC。PPC的独立危险因素包括年龄较大（OR 1.16, 95% CI 1.04-1.29, p = 0.007）、COPD合病（OR 5.03, 95% CI 1.29-19.59, p = 0.020）、术前血红蛋白水平较低（OR 0.96, 95% CI 0.93-1.00, p = 0.043）、术后30分钟LUS评分较高（OR 1.32, 95% CI 1.22-1.43, p）。结论：本研究中接受胸腔镜肺叶切除术的老年人术后30分钟肺超声评分是发生PPC的危险因素。肺超声作为PPC的预测工具是有价值的。试验注册：本研究已在中国临床试验注册中心注册（ChiCTR2100053449）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Medical Research 医学-医学：研究与实验

CiteScore

3.20

自引率

0.00%

发文量

247

审稿时长

>12 weeks

期刊介绍： European Journal of Medical Research publishes translational and clinical research of international interest across all medical disciplines, enabling clinicians and other researchers to learn about developments and innovations within these disciplines and across the boundaries between disciplines. The journal publishes high quality research and reviews and aims to ensure that the results of all well-conducted research are published, regardless of their outcome.