Performance in the shuttle walk test is associated with cardiopulmonary complications after lung resections

Fennelly, Joseph; Potter, Lauren M.; Pompili, Cecilia; Brunelli, Alessandro

doi:10.21037/jtd.2017.03.22

Cited by 24 publications

(16 citation statements)

References 11 publications

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“…All patients were selected for pulmonary resection according to current functional guidelines and after discussion during a multidisciplinary tumour board meeting [13]. A preoperative symptom-limited CPET on an electronically braked cycle ergometer was performed to detect the deficit in their oxygen transport system when the postoperative predicted (ppo) FEV1 or ppoDLCO (or both) are <30%, or if the distance walked during shuttle walk test was shorter than 400 meters, according to the locally 5 5 accepted guidelines [1,14].…”

Section: Methodsmentioning

confidence: 99%

Minute ventilation-to-carbon dioxide slope is associated with postoperative survival after anatomical lung resection

et al. 2018

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Objectives:The aim of the study was to identify whether ventilation-to-carbon dioxide output (VE/V CO2) slope obtained from cardiopulmonary exercise test (CPET) as part of the preoperative functional workup was an independent prognostic factor for short and long-term survival after major lung resection. Patients and Methods: 974 consecutive patients undergoing lobectomy (n=887) or segmentectomy (n=87) between April 2014 to March 2018 were included. 209 (22%) underwent CPET, and pulmonary function tests and several clinical factors including age, sex, performance status and comorbidities were retrospectively investigated to identify the prognostic factors with a multivariable Cox regression analysis.Results: Among the patients with measured VE/V CO2, the incidence of cardiopulmonary complications in patients with high VE/V CO2 slope (>40) was 37% (19 of 51) vs. 27% (33 of 121) in those with lower slope values (p=0.19). The 90-day mortality in patients with high VE/V CO2 slope (n=8) was 16% vs. 5% (n=6) in those with lower slope values (p=0.03). No overall difference in 2-year mortality was identified between the two groups (VE/VCO2 >40: 70% (54-80) vs. VE/VCO2 ≤40: 72% (63-80), log-rank test, p=0.39). In a Cox regression analysis VE/VCO2 values were associated with poorer 2-year survival (HR 1.05, 95% CI 1.01-1.10, p=0.030). Conclusions:We found that VE/V CO2 slope was an independent prognostic factor for the 90-day mortality and 2-year survival after anatomic pulmonary resection. This finding may assist during the multidisciplinary treatment decision-making process in high-risk patients with lung cancer.

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Section: Methodsmentioning

confidence: 99%

Minute ventilation-to-carbon dioxide slope is associated with postoperative survival after anatomical lung resection

et al. 2018

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“…Three studies (Erdoǧan et al, 2013;Win et al, 2004;Fennelly et al, 2016) investigated the association between preoperative iSWT performance and postoperative complications. One study reported that oxygen desaturation ≥4% during the iSWT, and distance walked <400 m were associated with a higher risk of postoperative complications (Fennelly et al, 2016). In two studies, no associations were found between outcomes of the preoperative iSWT and postoperative complications (Erdoǧan et al, 2013;Win et al, 2004).…”

Section: Incremental Shuttle Walk Testmentioning

confidence: 99%

Associations between pretreatment physical performance tests and treatment complications in patients with non-small cell lung cancer: A systematic review

Voorn

Franssen

Verlinden

et al. 2021

Critical Reviews in Oncology/Hematology

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“…Pre-operatively in thoracic surgery, this manifests through several objective functional tests which are performed in addition to pulmonary function tests, (particularly in those with poor or borderline pulmonary function tests) to augment the decision-making process in terms of assessing suitability for surgery. These functional tests include the six-minute walk, the shuttle test and the cardiopulmonary exercise test (CPET) and have been proven to correlate well with postoperative outcomes (27)(28)(29)(30).…”

Section: Pulmonary Function Tests and Objective Functional Testingmentioning

confidence: 99%

Aetiology, management and strategies for prevention of postoperative respiratory failure (PORF) after thoracic surgery

Taylor¹,

Charlesworth²,

Hayes³

et al. 2021

Shanghai Chest

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BackgroundLung cancer is the third most common cancer in the UK with over 47,000 new diagnoses each year. The National Cancer Registration and Analysis Service has quoted that the proportion of patients with non-small cell lung cancer (NSCLC) undergoing surgery each year in the UK was approximately 16% between 2013 and 2015, which represents a marked increase from the 8.8% and 10.6% quoted for 1998 and 2008 respectively (1). Following surgery for lung cancer, the 30-day mortality rate is approximately 2%, and rises to around 5% at 90 days. Oneyear survival after lung cancer surgery is around 88% (2).Reduction of mortality and morbidity after lung cancer surgery is as an important component of improving lung cancer survival. This is because most patients undergoing surgery are early stage (stage I and II) lung cancer patients. Hence, if survival in this group of patients can be optimised, it is likely to have a significant (and disproportionate) impact on overall lung cancer survival rates, because if these patients survive the perioperative period they are much more likely to survive to five years and beyond as compared with patients with more advanced lung cancer. Complications after thoracic surgeryDevelopment of post-operative complications is associated with poor patient satisfaction (3), prolonged critical care and overall hospital stay, increased healthcare costs and increased mortality. Post-operative complications after thoracic surgery occur in around 15-40% of patients (4). Moreover, the incidence of even a single post-operative complication can lead to additional adverse outcomes (5). Studies looking to reduce rates of complications in this patient group have identified several risk factors associated with complications after thoracic surgery. Interventions aimed at modifying these risk factors could therefore logically lead to better outcomes and improved survival

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Performance in the shuttle walk test is associated with cardiopulmonary complications after lung resections

Cited by 24 publications

References 11 publications

Minute ventilation-to-carbon dioxide slope is associated with postoperative survival after anatomical lung resection

Minute ventilation-to-carbon dioxide slope is associated with postoperative survival after anatomical lung resection

Associations between pretreatment physical performance tests and treatment complications in patients with non-small cell lung cancer: A systematic review

Aetiology, management and strategies for prevention of postoperative respiratory failure (PORF) after thoracic surgery

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