{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,8]],"date-time":"2026-11-08T00:24:13Z","timestamp":1794097453672,"version":"4.8.0"},"reference-count":28,"publisher":"SAGE Publications","issue":"8-9","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"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":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Postoperative pulmonary complications (PPCs) are common after thoracic surgery performed with one-lung ventilation (OLV). Although risk scores such as ARISCAT, ASA physical status, and LAS VEGAS are used to predict PPC in general surgery, their performance in thoracic surgery remains unclear. This study aimed to evaluate the ability of these scores to predict PPCs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective observational study included 115 adult patients undergoing noncardiac thoracic surgery requiring OLV. The primary outcome was the incidence of in-hospital PPCs within 30 days. We assessed the discriminatory ability of risk scores using receiver operating characteristic curve analysis (area under the curve (AUC)) and identified independent predictors with multivariable logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      PPCs occurred in 43 patients (37.4%). The LAS VEGAS score demonstrated the best discriminatory performance (AUC\u2009=\u20090.648,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.005), followed by ARISCAT (AUC\u2009=\u20090.598,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.067) and ASA (AUC\u2009=\u20090.562,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.123). Independent predictors of PPCs were preoperative hemoglobin (OR 0.77, 95% CI 0.62\u20130.95) and intraoperative noradrenaline use (OR 5.93, 95% CI 2.36\u201315.95). A combined model including these two variables achieved an AUC of 0.772, which was significantly superior to the individual scores.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The ARISCAT, ASA, and LAS VEGAS scores showed only weak-to-moderate predictive performance for PPCs after thoracic surgery with OLV. These findings do not support their routine use in this setting and highlight the need for thoracic surgery-specific risk prediction tools.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02184923261485369","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T13:56:59Z","timestamp":1789048619000},"page":"691-699","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Perioperative risk scores and predictors for postoperative pulmonary complications in thoracic surgery with one-lung ventilation: A prospective observational study"],"prefix":"10.1177","volume":"34","author":[{"given":"Laura B","family":"Giovanella","sequence":"first","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul (UFRGS)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica R","family":"Lopes","sequence":"additional","affiliation":[{"name":"Hospital Nossa Senhora da Concei\u00e7\u00e3o"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Su\u00e9len D","family":"Melati","sequence":"additional","affiliation":[{"name":"Hospital de Cl\u00ednicas de Porto Alegre (HCPA)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nath\u00e1lia R","family":"Lobato","sequence":"additional","affiliation":[{"name":"Hospital de Cl\u00ednicas de Porto Alegre (HCPA)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1561-3753","authenticated-orcid":false,"given":"Raul H","family":"Brondani","sequence":"additional","affiliation":[{"name":"Hospital Nossa Senhora da Concei\u00e7\u00e3o"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5523-8655","authenticated-orcid":false,"given":"Karen RS","family":"Rocha","sequence":"additional","affiliation":[{"name":"Hospital Nossa Senhora da Concei\u00e7\u00e3o"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Balda","sequence":"additional","affiliation":[{"name":"Hospital Nossa Senhora da Concei\u00e7\u00e3o"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia IP","family":"Fiorio","sequence":"additional","affiliation":[{"name":"Hospital de Cl\u00ednicas de Porto Alegre (HCPA)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clovis T","family":"Bevilacqua Filho","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul (UFRGS)"},{"name":"Hospital de Cl\u00ednicas de Porto Alegre (HCPA)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristiano F","family":"Andrade","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul (UFRGS)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Jose C","family":"Carmona","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina da Universidade de S\u00e3o Paulo (FMUSP)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Bilotta","sequence":"additional","affiliation":[{"name":"Tor Vergata, University of Rome"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5425-2180","authenticated-orcid":false,"given":"Andr\u00e9 P","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul (UFRGS)"},{"name":"Hospital Nossa Senhora da Concei\u00e7\u00e3o"},{"name":"Hospital de Cl\u00ednicas de Porto Alegre (HCPA)"},{"name":"Faculdade de Medicina da Universidade de S\u00e3o Paulo (FMUSP)"},{"name":"Programa de P\u00f3s-gradua\u00e7\u00e3o em Ci\u00eancias Cir\u00fargicas, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil"},{"name":"Servi\u00e7o de Anestesia, Santa Casa de Porto Alegre, Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,10]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000029723"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S404124"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.4103\/joacp.JOACP_54_19"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1590\/S0104-42302001000200029"},{"key":"e_1_3_3_6_2","first-page":"333","article-title":"Risk factors for postoperative pulmonary complications and prolonged hospital stay in pulmonary resection patients: a retrospective study","volume":"71","author":"Bevilacqua Filho CT","year":"2021","unstructured":"Bevilacqua Filho CT, Schmidt AP, Felix EA, et al. Risk factors for postoperative pulmonary complications and prolonged hospital stay in pulmonary resection patients: a retrospective study. 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