| Preoperative shuttle walking testing and outcome after oesophagogastrectomy. | |
| | |
MedLine Citation:
|
PMID: 17959592 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Objective assessment of cardiorespiratory reserve has been recommended before major surgery to identify patients with impaired oxygen delivery who may be at increased operative risk. Access to formal cardiopulmonary exercise (CPX) testing is limited outside larger centres. Following a previous audit of morbidity and mortality after oesophagectomy, we decided to add a simpler form of exercise test to our preoperative screen and review the outcomes. METHODS: Fifty-one patients who had surgical resection of an oesophageal cancer in our unit between April 2002 and April 2005 carried out an incremental shuttle walk exercise test before operation. Thirty-day outcome data were collected for each patient. RESULTS: Overall mortality in the group was 10%. No patient who walked 350 m or more died within 30 days. Five of the eight patients who could not achieve this distance died and two others remained in the critical care unit at 30 days. CONCLUSION: Preoperative shuttle walk testing using a standard protocol appears to be a sensitive indicator of operative risk in this group of patients. The apparent threshold value of 350 m is consistent with previously reported measures of functional capacity obtained using formal CPX testing. |
| | |
Authors:
|
P Murray; P Whiting; S P Hutchinson; R Ackroyd; C J Stoddard; C Billings |
Publication Detail:
|
Type: Evaluation Studies; Journal Article Date: 2007-10-24 |
Journal Detail:
|
Title: British journal of anaesthesia Volume: 99 ISSN: 1471-6771 ISO Abbreviation: Br J Anaesth Publication Date: 2007 Dec |
Date Detail:
|
Created Date: 2007-11-16 Completed Date: 2007-12-12 Revised Date: 2008-05-13 |
Medline Journal Info:
|
Nlm Unique ID: 0372541 Medline TA: Br J Anaesth Country: England |
Other Details:
|
Languages: eng Pagination: 809-11 Citation Subset: IM |
Affiliation:
|
Department of Anaesthesia and Critical Care, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Aged, 80 and over Esophageal Neoplasms / surgery Esophagectomy* Exercise Test / methods* Gastrectomy* Humans Middle Aged Oxygen Consumption Preoperative Care / methods* Prognosis Risk Assessment / methods Severity of Illness Index Treatment Outcome Walking* |
| Comments/Corrections | |
Comment In:
|
Br J Anaesth. 2008 May;100(5):726; author reply 726
[PMID:
18407947
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Transcutaneous electrical nerve stimulation at the PC-5 and PC-6 acupoints reduced the severity of h...
Next Document: Responsive Contingency Planning: a novel system for anticipated difficulty in airway management in d...