@article{oai:jichi-ir.repo.nii.ac.jp:00000091, author = {Yokota, Shinichiro and Togashi, Kazutomo and Lefor, Alan K. and Koizumi, Masaru and Nakamura, Yosikazu and Yasuda, Yosikazu}, journal = {自治医科大学紀要, Jichi Medical University Journal}, month = {Mar}, note = {Background and Aims: There is controversy regarding the ability of preoperative pulmonary function testing to predict postoperative pulmonary complications after elective abdominal surgery. This study was undertaken to determine whether preoperative pulmonary function tests are helpful in stratifying the risk of developing postoperative pulmonary complications in patients undergoing elective laparotomy. Materials and Methods: We conducted a retrospective case-control study, and identified 19 patients with postoperative pulmonary complications and compared these patients with 64 control patients matched for type of operation, age, and gender to compare pre- and intraoperative variables. Results: Conditional logistic regression analyses showed that none of the results from spirometry testing were significantly associated with the development of postoperative pulmonary complications. Serum albumin level (<3.9g/dl) was the only variable independently associated with the development of postoperative pulmonary complications among all of pre- and intraoperative variables investigated. Conclusions: Preoperative pulmonary function testing did not predict the risk of developing postoperative pulmonary complications in patients undergoing elective abdominal surgery. Based on the results of this study, the routine use of preoperative spirometry should be reconsidered.}, pages = {17--25}, title = {Preoperative pulmonary function testing does not predict postoperative pulmonar y complications after elective abdominal surgery:a case-control study using conditional logistic regression analysis}, volume = {38}, year = {2016} }