{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T10:36:52Z","timestamp":1788691012783,"version":"build-2803163510"},"reference-count":20,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,3,11]],"date-time":"2019-03-11T00:00:00Z","timestamp":1552262400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Respiratory complications are some of the most common complications following thoracic surgery and can lead to higher perioperative morbidity and mortality. The purpose of this study was to develop a simple clinical score for prediction of respiratory complications after thoracic surgery, and determine the internal validity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this retrospective cohort study, all consecutive patients were aged 18 years and over and undergoing non-cardiac thoracic surgery at a tertiary-care university hospital. Respiratory complications included bronchospasm, atelectasis, pneumonia, respiratory failure, and adult respiratory distress syndrome within 30 days of surgery or before discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 1488 patients were included over a 7-year period, and 15.8% (235 of 1488 patients) developed respiratory complications. The significant predictors of respiratory complications were chronic obstructive pulmonary disease, American Society of Anesthesiologist physical status \u2265 3, right-sided surgery, duration of surgery longer than 180 min, preoperative arterial oxygen saturation on room air\u2009&lt;\u200996%, and open thoracotomy. The area under receiving operating characteristic curve was 0.78 (95% confidence interval: 0.75\u20130.82) and 0.76 (95% confidence interval: 0.70\u20130.83) for the derivation and validation cohorts, respectively. The model was well calibrated with a Hosmer-Lemeshow goodness-of-fit of 7.32 ( p\u2009=\u20090.293).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study developed and internally validated a simple clinical risk score for prediction of respiratory complications following thoracic surgery. This score can be used to stratify high-risk patients, address modifiable risk factors for respiratory complications, and provide preventive strategies for improving postoperative outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0218492319835994","type":"journal-article","created":{"date-parts":[[2019,3,12]],"date-time":"2019-03-12T00:50:58Z","timestamp":1552351858000},"page":"278-287","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":23,"title":["A risk score for predicting respiratory complications after thoracic surgery"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7154-5671","authenticated-orcid":false,"given":"Tanyong","family":"Pipanmekaporn","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand"},{"name":"Clinical Epidemiology and Clinical Statistic Center, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nutchanart","family":"Bunchungmongkol","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yodying","family":"Punjasawadwong","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Worawut","family":"Lapisatepun","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apichat","family":"Tantraworasin","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology and Clinical Statistic Center, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand"},{"name":"Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Surasak","family":"Saokaew","sequence":"additional","affiliation":[{"name":"Center of Health Outcomes Research and Therapeutic Safety, School of Pharmaceutical Sciences, University of Phayao, Thailand"},{"name":"Center of Pharmaceutical Outcome Research (CPOR), Faculty of Pharmaceutical Sciences, Naresuan University, Phitsanulok, Thailand"},{"name":"Unit of Excellence on Herbal Medicine, School of Pharmaceutical Sciences, University of Phayao, Phayao, Thailand"},{"name":"School of Phamacy, Monash University Malaysia, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,3,11]]},"reference":[{"key":"bibr1-0218492319835994","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e3181bf5c99"},{"key":"bibr2-0218492319835994","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000000354"},{"key":"bibr3-0218492319835994","doi-asserted-by":"publisher","DOI":"10.1378\/chest.118.5.1263"},{"key":"bibr4-0218492319835994","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2009.123083"},{"key":"bibr5-0218492319835994","doi-asserted-by":"publisher","DOI":"10.1097\/ACO.0000000000000045"},{"key":"bibr6-0218492319835994","first-page":"265","volume":"82","author":"Ball L","year":"2016","journal-title":"Minerva 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