ArticleBMC pulmonary medicine2026
Postoperative pulmonary complications in patients with bronchiectasis following non-cardiothoracic surgery: a retrospective cohort analysis.
Article in BMC pulmonary medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundRisk factors associated with postoperative pulmonary complications (PPCs) in bronchiectasis patients undergoing non-cardiothoracic surgery are not well understood. This study aimed to identify perioperative risk factors for PPCs in bronchiectasis patients undergoing non-cardiothoracic surgery, with particular attention to the relationship between preoperative lung function and complication risk.
methodsThis single-center retrospective study analyzed patients with bronchiectasis who underwent non-cardiothoracic surgery between January 2021 and August 2024. Multivariable logistic regression was used to identify independent risk factors for PPC development. Restricted cubic spline analysis was performed to evaluate non-linear associations between continuous pulmonary function parameters and PPC risk.
resultsOf 275 patients with bronchiectasis, 49 (17.8%) developed PPCs. Multivariable analysis identified three risk factors associated with PPCs: lower preoperative FEV1 (% predicted) (Odds ratio [OR] = 0.97 per 1% increase; 95% confidence interval [CI], 0.96–0.99; p = 0.003), abdominal surgery (open and laparoscopic) (OR = 4.14; 95% CI, 1.68–10.23; p = 0.002) and prolonged operative duration (OR = 2.38 per hour; 95% CI, 1.73–3.27; p < 0.001). Restricted cubic spline analysis revealed a significant nonlinear relationship between preoperative FEV1 (% predicted) and risk of PPCs in adjusted models (p = 0.008). Patients with FEV1 ≤ 50% predicted demonstrated a 3.27-fold increased odds of PPCs compared to those with normal lung function (FEV1 > 80% predicted), with the risk being even higher at FEV1 ≤ 30% predicted.
conclusionsAmong bronchiectasis patients undergoing non-cardiothoracic surgery, decreased preoperative FEV1, abdominal surgery, and prolonged operative time were identified as independent risk factors for PPC occurrence.
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