Acute lung injury and acute respiratory distress syndrome after pulmonary resection

Ann Thorac Surg. 2000 Feb;69(2):376-80. doi: 10.1016/s0003-4975(99)01090-5.

Abstract

Background: In this study we investigate the frequency and mortality of acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) after pulmonary resection.

Methods: Patients that underwent pulmonary resection at the Royal Brompton Hospital between 1991 and 1997 were included. The case notes of all patients developing postoperative complications were retrospectively reviewed.

Results: The overall combined frequency of ALI and ARDS was 3.9%. The frequency was higher in patients over 60 years of age, males and those undergoing resection for lung cancer. ALI/ARDS caused 72.5% of the total mortality after resection in this series.

Conclusions: In our experience ALI and ARDS are major causes of mortality after lung resection.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Infant
  • Lung Neoplasms / surgery
  • Male
  • Middle Aged
  • Pneumonectomy / adverse effects*
  • Pneumonectomy / mortality
  • Respiratory Distress Syndrome / etiology*
  • Respiratory Distress Syndrome / mortality
  • Retrospective Studies
  • Sex Factors