Stair climbing test as a predictor of cardiopulmonary complications after pulmonary lobectomy in the elderly

Brunelli, Alessandro; Monteverde, Marco; Refai, Majed; Fianchini, Aroldo

doi:10.1016/s0003-4975(03)01327-4

Cited by 59 publications

(38 citation statements)

References 28 publications

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“…In elderly patients undergoing lobectomy, performance on symptom-limited stair climbing was the most potent multivariate predictor of postoperative complications (45). From the strictly pulmonary standpoint, Datta and Lahiri (46) advocate a stepped approach that tests forced expiratory volume in 1 s and diffusing capacity, estimates postoperative forced expiratory volume in 1 s and diffusing capacity by lung scanning in selected patients, and then performs cardiopulmonary exercise testing in still fewer patients.…”

Section: Thoracic Surgerymentioning

confidence: 99%

Myocardial Perfusion Imaging for Preoperative Risk Stratification: TABLE 1

Weinstein¹,

Steingart²

2011

J Nucl Med

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Learning Objectives: On successful completion of this activity, participants should be able to (1) describe the role of myocardial perfusion imaging in preoperative risk assessment and (2) integrate current guidelines into the application of preoperative myocardial perfusion imaging.Financial Disclosure: The authors of this article have indicated no relevant relationships that could be perceived as a real or apparent conflict of interest. CME Credit: SNM is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to sponsor continuing education for physicians. SNM designates each JNM continuing education article for a maximum of 1.0 AMA PRA Category 1 Credit. Physicians should claim only credit commensurate with the extent of their participation in the activity.For CE credit, participants can access this activity through the SNM Web site (http://www.snm.org/ce_online) through May 2012.This review considers the changing nature of surgical risk assessment and the definition of risk; discusses the pathophysiology of perioperative myocardial infarction in relation to tests of coronary flow reserve; surveys the extensive literature on preoperative myocardial perfusion imaging (MPI) and outlines key trends; presents practical points on image interpretation; addresses the needs of special populations; compares MPI with other modalities; and integrates recommendations from practice guidelines on the effective use of MPI in the preoperative patient.

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Section: Thoracic Surgerymentioning

confidence: 99%

Myocardial Perfusion Imaging for Preoperative Risk Stratification: TABLE 1

Weinstein¹,

Steingart²

2011

J Nucl Med

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“…Though only a detailed analysis of the individual patient data would identify statistical significance in these values, it does seem to be a clinically significant difference. Most studies [2][3][4] have shown exercise testing to be a useful tool in identifying patients with poor postoperative outcome and the results of this study do not mandate a change from this view.…”

mentioning

confidence: 80%

Does the shuttle walk test correlate with postoperative morbidity in lung surgery?

Pramesh

Mistry

Rangole

2005

European Journal of Cardio-Thoracic Surgery

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“…12 In a series of 109 patients more than 70 years of age who underwent pulmonary lobectomy for lung carcinoma, Brunelli determined that preoperative "low height climbed," along with concurrent cardiac disease were the most significant predictors of postoperative complications. 13 While not widespread, limited use of stair climbing is still practiced by experienced surgeons who appreciate its global character and simplicity.…”

Section: Stair Climbingmentioning

confidence: 99%

Exercising Your Patient: Which Test(s) and When?

Pichurko

2012

Respir Care

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With the introduction of the stair climb test of surgical patients in the 1950s, the role of exercisebased testing as a useful diagnostic tool and an adjunct to conventional cardiopulmonary testing was established. Since then, we have witnessed a rapid development of numerous tests, varying in their protocols and clinical applications. The relatively simple "field tests" (shuttle walks, stair climb, 6-minute walk test) require minimal equipment and technical support, and so are generally available to physicians and patients. At the other end of the spectrum is the cardiopulmonary exercise test (CPET), more complex in its equipment requirements, technical support, and with an often complex interpretive strategy. The 6-minute walk test (6MWT), in particular, has evolved into a versatile study with diagnostic utility in many disorders, including COPD, pulmonary hypertension, interstitial lung disease, congestive heart failure, and in the pre-surgical evaluation of patients, among others. With the added dimensions of optional O 2 saturation monitoring and calculated post-exercise heart rate recovery, the 6MWT is providing important clinical information well beyond the measure of distance walked. Is it sufficiently robust and informative to replace the more demanding and less available CPET? In many instances, the clinical applications are overlapping, with the 6MWT functioning as an adequate surrogate. However, in the initial evaluation of unexplained dyspnea, in formal evaluation of impairment and disability, in detailed evaluation of congestive heart failure, and in the selected lung cancer patient prior to resection, CPET remains superior. Investigations of portable metabolic and cardiovascular monitoring devices aiming to enhance the diagnostic capabilities of 6MWT may further narrow or close the remaining gap between these two exercise studies.

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Stair climbing test as a predictor of cardiopulmonary complications after pulmonary lobectomy in the elderly

Cited by 59 publications

References 28 publications

Myocardial Perfusion Imaging for Preoperative Risk Stratification: TABLE 1

Myocardial Perfusion Imaging for Preoperative Risk Stratification: TABLE 1

Does the shuttle walk test correlate with postoperative morbidity in lung surgery?

Exercising Your Patient: Which Test(s) and When?

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