Restrictive Spirometric Pattern and Postoperative Pulmonary Complications Following Non-cardiothoracic Surgery

Shin, Sun Hye; Shin, Beomsu; Kang, Danbee; Cho, Juhee; Kang, Hyung Koo; Chon, Hae Ri; Kim, Jung Soo; Park, Hye Yun; Lee, Sang‐Do

doi:10.1038/s41598-019-49158-1

Cited by 7 publications

(5 citation statements)

References 36 publications

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“…Normal spirometry was defined as pre-bronchodilator FEV 1 /FVC ≥ 0.70 and FVC ≥ 80% predicted, and the obstructive spirometric pattern was defined as pre-bronchodilator FEV 1 /FVC < 0.70 irrespective of FVC values 16 . RSP was defined as pre-bronchodilator FEV 1 /FVC ≥ 0.70 and FVC < 80% predicted 1 and was subdivided into mild-to-moderate RSP (60% predicted ≤ FVC < 80% predicted) and severe RSP (FVC < 60% predicted) 17 .…”

Section: Measurementsmentioning

confidence: 99%

Impact of the severity of restrictive spirometric pattern on nutrition, physical activity, and quality of life: results from a nationally representative database

Chung

Kim

Yang

et al. 2020

Sci Rep

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The general disease burden associated with the restrictive spirometric pattern (RSP) is substantial. However, the impact of RSP by its severity on general health problems and quality of life has not been well elucidated. This study aimed to analyse nutrition, physical activity, and quality of life in subjects who participated in the Korea National Health and Nutrition Examination Survey 2007–2016 according to severity of RSP. Participants were classified as subjects with normal spirometry, those with mild-to-moderate RSP, and those with severe RSP. Poor quality of life was defined as 25th percentile value on the EuroQoL five dimensions (Eq5D) questionnaire index, i.e., 0.90. This study included 23,615 subjects composed of 20,742 with normal spirometry, 2758 with mild-to-moderate RSP, and 115 with severe RSP. The subjects with severe RSP were more likely to have attained lower education levels, had a lower total caloric intake, had less physical activity, had experienced a higher prevalence of comorbidities, and poorer quality of life than those with normal spirometry (P < 0.001 for all). In multivariable analysis, subjects with a mild-to-moderate RSP and severe RSP were more likely to show decreased total calories (coefficient for change in calorie = − 56.6 kcal and − 286.7 kcal, respectively) than those with normal spirometry; subjects with mild-to-moderate RSP and those with severe RSP were 1.26 times and 1.96 times more likely, respectively, to have a poorer quality of life than those with normal spirometry. Additionally, subjects with mild-to-moderate RSP and those with severe RSP were 0.84 times and 0.36 times less likely, respectively, to have high-intensity physical activity than those with normal spirometry in univariable analysis. The trends of a poorer quality of life and physical activity were only significant in the male subgroups. In conclusion, our study revealed that the severity of general health problems and quality of life reductions are correlated with the severity of RSP, especially in males.

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Section: Measurementsmentioning

confidence: 99%

Impact of the severity of restrictive spirometric pattern on nutrition, physical activity, and quality of life: results from a nationally representative database

Chung

Kim

Yang

et al. 2020

Sci Rep

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“…Bartlett et al 9 reported that the correction of the deformity could relieve bronchial obstruction associated with thoracic lordoscoliosis. Furthermore, Shin et al 10 demonstrated a significant association between a restrictive spirometry pattern and postoperative pulmonary complications in patients undergoing noncardiothoracic surgery. Therefore, we decided to perform corrective surgeries in both the cervical and thoracic spine.…”

Section: Discussionmentioning

confidence: 99%

Staged Corrective Surgery for a Patient With Sagittal Malalignment Related to Noonan Syndrome

Iwamae

Matsumura

Namikawa

et al. 2022

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Case:A 20-year-old man with Noonan syndrome had rigid cervical kyphosis caused by cervical myelopathy and thoracic lordosis caused by pulmonary disfunction. Two-staged corrective surgery, which involved initial posterior spinal fusion (PSF) in T2-L2 followed by PSF in C3-T2, had been performed without any complications. The radiographs before surgery and 2 years after surgery showed that cervical lordosis (C2-7) changed form −56° to −29°, and thoracic kyphosis (T5-12) improved from −49° to 10°.Conclusion:Initial realignment surgery in the caudal lesion should be better for improving global spinal alignment in patients with rigid spinal deformities at different locations.

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“…A restrictive ventilatory disorder was defined as FEV 1 /FVC of 70% or higher and FVC less than 0% predicted, and an obstructive ventilatory disorder was defined as FEV 1 /FVC less than 70% 22,23 . The severity of the restrictive ventilatory disorder was further categorized as an FVC of 70% of 80% predicted versus FVC less than 70% predicted because there were too few participants with FVC less than 60% predicted to obtain precise estimates for this group 24 . The severity of the obstructive ventilatory disorder was categorized by FEV 1 (≥80% predicted vs <80% predicted) 23 .…”

Section: Methodsmentioning

confidence: 99%

“…22,23 The severity of the restrictive ventilatory disorder was further categorized as an FVC of 70% of 80% predicted versus FVC less than 70% predicted because there were too few participants with FVC less than 60% predicted to obtain precise estimates for this group. 24 The severity of the obstructive ventilatory disorder was categorized by FEV 1 (!80% predicted vs <80% predicted). 23 Abnormal lung function was defined as having either a restrictive or an obstructive ventilatory disorder.…”

Section: Hong Et Almentioning

confidence: 99%

Stages of menopause and abnormal lung function: a cross-sectional study of middle-aged women

et al. 2021

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Objective: Whether hormonal changes during menopausal transition postmenopause stages influence pulmonary function is not clearly understood. We evaluated the association between each stage of menopause and the prevalence of abnormal lung function in healthy middle-aged women. We hypothesized that the prevalence of abnormal lung function would increase from the late menopausal transition stage during menopausal transition postmenopause stages. Methods: The study population included women 40 to 65 years of age who underwent comprehensive health screening examination at the Kangbuk Samsung Hospital Total Healthcare Centers from January 2015 to December 2017. Stages of menopause (premenopausal, early menopausal transition, late menopausal transition, and postmenopausal) were defined using the 2011 Stages of Reproductive Aging Workshop (STRAW + 10) criteria. Abnormal lung function was defined based on spirometry as forced expiratory volume in 1 second/forced vital capacity less than70% or forced vital capacity less than 80% predicted. Prevalence ratios (PRs) for abnormal lung function by stages of menopause were estimated from logistic regression models adjusted for age, anthropometric measurements, lifestyle factors, medical history, lipid and inflammatory biomarkers, and reproductive factors. Results: Among 43,822 participants, there were 4,615 participants (10.5%) with restrictive ventilatory disorder and 653 participants (1.5%) with obstructive ventilatory disorder. The fully adjusted PRs (95% confidence interval) for abnormal ventilatory disorder comparing early menopausal transition, late menopausal transition, and postmenopausal stage to premenopausal stage were 1.01 (0.94-1.08), 1.13 (1.03-1.22), and 1.10 (0.98-1.22), respectively. The fully adjusted PRs for restrictive ventilatory disorder comparing early menopausal transition, late menopausal transition, and postmenopausal stages to premenopausal stage were 1.02 (0.94-1.11), 1.18 (1.06-1.30), and 1.15 (1.00-1.31), respectively. There was, however, no clear association between stages of menopause and obstructive ventilatory disorder. Conclusions: In this large study of middle-aged women, the fully adjusted prevalence of abnormal lung function, particularly that of restrictive ventilatory disorder, was higher in women in late menopausal transition and menopausal stages compared to women in premenopausal stage.

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Restrictive Spirometric Pattern and Postoperative Pulmonary Complications Following Non-cardiothoracic Surgery

Cited by 7 publications

References 36 publications

Impact of the severity of restrictive spirometric pattern on nutrition, physical activity, and quality of life: results from a nationally representative database

Impact of the severity of restrictive spirometric pattern on nutrition, physical activity, and quality of life: results from a nationally representative database

Staged Corrective Surgery for a Patient With Sagittal Malalignment Related to Noonan Syndrome

Stages of menopause and abnormal lung function: a cross-sectional study of middle-aged women

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