Table 1 Comorbidities associated with specific post-operative complications
UNDER 85 | Complications and percentages | |||||||
|---|---|---|---|---|---|---|---|---|
AF (%) | CVA (%) | PAL (%) | Chest infection (%) | HDU/ITU admission (%) | Reintubation (%) | Renal failure (%) | Chronic pain (%) | |
Overall | 10.4 | 1.6 | 15.9 | 15.4 | 2.2 | 1.6 | 2.2 | 1.1 |
Performance status 1 | 10.4 | 1.3 | 14.3 | 16.9 | 2.6 | 2.6 | 2.6 | 1.3 |
Current or ex-smoker | 10.7* | 2 | 18 ** | 16.7 | 2.7 | 2* | 2.7** | 0** |
Hypertension | 11.5 | 2.1 | 16.8 | 15.6 | 2.1 | 2.1 | 2.1 | 0 |
Diabetes | 12 | 0 | 12 | 24 | 0 | 0 | 0 | 4 |
COPD | 14 | 2 | 26* | 28** | 4 | 4 | 6* | 2 |
AF | – | 0 | 10 | 15 | 5 | 0 | 0 | 5 |
CKD | 8.5 | 4.3 | 11.6 | 17.0 | 4.3 | 4.3 | – | 2.1 |
Anaemia | 12.1 | 0 | 12.1 | 13.8 | 5.2 | 1.7 | 5.2 | 1.7 |
Other CVS | 8.9 | 1.1 | 14.4 | 16.7 | 2.2 | 2.2 | 3.3 | 2.2 |
Pre-op WCC > 12 | 7.1 | 0 | 7.1 | 28.6 | 0 | 0 | 0 | 7.1* |
Pre-op CRP > 10 | 7.0 | 0 | 25.6* | 11.6 | 0 | 0 | 0 | 0 |
Obese (BMI > 30) | 10.3 | 0 | 10.3 | 13.8 | 6.9 | 3.4 | 0 | 0 |
Laterality | ||||||||
Left | 5.6 | 0 | 21.2 | 12.7 | 0 | 1.4 | 2.8 | 0 |
Right | 13.5 | 2.7 | 12.6 | 17.1 | 3.6 | 1.8 | 1.8 | 1.8 |
Extent of resection | ||||||||
Pneumonectomy | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Bilobectomy | 1.1 | 1.1 | 0 | 1.1 | 1.1 | 1.1 | 0 | 0 |
Lobectomy | 13.4 | 0.8 | 18.5 | 17.6 | 2.5 | 1.7 | 2.5 | 1.7 |
Segmentectomy | 0 | 0 | 14.3 | 14.3 | 0 | 0 | 0 | 0 |
Wedge | 4.4 | 2.2 | 13.3 | 11.1 | 0 | 0 | 2.2 | 0 |
Surgical Approach | ||||||||
RATS | 10 | 5 | 15 | 10 | 5 | 0 | 0 | 0 |
VATS | 11.5 | 0.8 | 15.0 | 14.2 | 1.8 | 1.8 | 3.5 | 0.9 |
Thoracotomy | 8.2 | 2.0 | 18.4 | 20.4 | 2.0 | 2.0 | 0 | 2.0 |
Histological subtype | ||||||||
Adenocarcinoma | 9.0 | 2.2 | 15.7 | 12.4 | 1.1 | 1.1 | 1.1 | 0 |
Adenosquamous | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Squamous | 17.2 | 1.7 | 19.0 | 29.3 | 5.2 | 3.4 | 5.2 | 0 |
Lung mets | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Benign | 0 | 0 | 30 | 0 | 0 | 0 | 0 | 0 |
Other | 11.8 | 0 | 11.8 | 5.9 | 0 | 0 | 0 | 11.8 |
Post-op Stage | * | * | ** | ** | ||||
IA1 | 7.7 | 15.3 | 0 | 0 | 0 | 0 | 7.7 | 7.7 |
IA2 | 7.9 | 0 | 21.1 | 18.4 | 0 | 0 | 0 | 2.6 |
IA3 | 16.7 | 0 | 16.7 | 38.9 | 16.7 | 16.7 | 1.1 | 0 |
IB | 3.6 | 0 | 17.9 | 14.3 | 0 | 0 | 0 | 0 |
IIA | 7.7 | 0 | 7.7 | 7.7 | 0 | 0 | 0 | 0 |
IIB | 20.8 | 0 | 8.3 | 20.8 | 0 | 0 | 0 | 0 |
IIIA | 5 | 5 | 20 | 10 | 0 | 0 | 5 | 0 |
IIIB | 50 | 0 | 50 | 33.3 | 0 | 0 | 0 | 0 |
85 AND OVER | ||||||||
Overall | 18.8 | 0 | 9.4 | 21.9 | 3.1 | 3.1 | 3.1 | 3.1 |
Performance status 1 | 16.7 | – | 0 | 66.7** | 8.3 | 8.3 | 8.3 | 0 |
Current or ex-smoker | 25 | – | 10 | 25 | 5 | 5 | 5 | 0 |
Hypertension | 27.8 | – | 16.7 | 22.2 | 0 | 0 | 5.6 | 0 |
Diabetes | 37.5 | – | 25 | 37.5 | 0 | 0 | 0 | 0 |
COPD | 66.7 | – | 66.7* | 66.7 | 33.3* | 33.3* | 0 | 0 |
AF | – | – | 0 | 28.6 | 14.2 | 14.2 | 0 | 0 |
CKD | 22.2 | – | 0 | 22.2 | 0 | 0 | – | 0 |
Anaemia | 11.1 | – | 11.1 | 22.2 | 0 | 0 | 11.1 | 0 |
Other CVS | 12.5 | – | 12.5 | 18.8 | 0 | 0 | 0 | 6.3 |
Pre-op WCC > 12 | – | – | – | – | – | – | – | – |
Pre-op CRP < 10 | 0 | – | 0 | 0 | 0 | 0 | 0 | 0 |
Obese (BMI > 30) | 0 | – | 0 | 42.9 | 0 | 0 | 0 | 14.2 |
Laterality | – | |||||||
Left | 23.1 | 7.7 | 23.1 | 0 | 0 | 0 | 0 | |
Right | 15.8 | 10.5 | 21.1 | 5.3 | 5.3 | 5.3 | 5.3 | |
Extent of resection | – | |||||||
Pneumonectomy | – | – | – | – | – | – | – | |
Bilobectomy | – | – | – | – | – | – | – | |
Lobectomy | 27.3 | 13.6 | 22.7 | 4.5 | 4.5 | 4.5 | 4.5 | |
Segmentectomy | 0 | 0 | 100 | 0 | 0 | 0 | 0 | |
Wedge | 0 | 0 | 11.1 | 0 | 0 | 0 | 0 | |
Surgical approach | – | |||||||
RATS | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
VATS | 14.3 | 7.1 | 7.1 | 17.9 | 0 | 3.6 | 3.6 | |
Thoracotomy | 66.7 | 33.3 | 33.3 | 66.7 | 33.3** | 0 | 0 | |
Histological subtype | – | |||||||
Adenocarcinoma | 17.6 | 17.6 | 17.6 | 0 | 0 | 0 | 5.9 | |
Adenosquamous | – | – | – | – | – | – | – | |
Squamous | 27.3 | 0 | 36.4 | 9.1 | 9.1 | 9.1 | 0 | |
Lung mets | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
Benign | – | – | – | – | – | – | – | |
Other | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
Post-op stage | – | |||||||
IA1 | – | – | – | – | – | – | – | |
IA2 | 11.1 | 11.1 | 44.4 | 0 | 0 | 0 | 11.1 | |
IA3 | 33.3 | 33.3 | 33.3 | 33.3 | 33.3 | 0 | 0 | |
IB | 21.4 | 7.1 | 7.1 | 0 | 0 | 7.1 | 0 | |
IIA | – | – | – | – | – | – | – | |
IIB | 100 | 0 | 100 | 0 | 0 | 0 | 0 | |
IIIA | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
IIIB | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |