STUDY OBJECTIVE: Thoracotomy, sternotomy, and upper abdominal laparotomy are associated with high rate of @entity260 ( @entity260 ). We hypothesized that symptom-limited stair climbing predicts @entity260 after high-risk surgery. DESIGN: A prospective evaluation of 83 @entity1 undergoing thoracotomy, sternotomy, and upper abdominal laparotomy surgery. METHODS: The 52 @entity1 and 31 @entity1 completed symptom-limited stair climbing. A separate investigator, blinded to the number of flights of stairs climbed, assessed 30-day actual outcomes for @entity260 , including @entity55 , @entity891 , mechanical ventilation for > 48 h, reintubation, @entity583 , @entity712 , @entity943 , @entity358 , and @entity204 within 30 days of surgery. The operations performed included 31 lobectomies, 6 wedge resections, 3 pneumonectomies, 3 substernal thymectomies, 1 substernal thyroidectomy, 23 colectomies, 3 laparotomies, 7 @entity1028 , 5 esophagogastrectomies, and 1 nephrectomy. RESULTS: @entity260 occurred in 21 of 83 @entity1 (25%) overall, in 9 of 44 @entity1 undergoing thoracotomy/sternotomy (20%), and in 12 of 39 @entity1 undergoing upper abdominal laparotomy (31%). Of those unable to climb one flight of stairs, 89% developed a POC. No @entity1 able to climb the maximum of seven flights of stairs had a POC. The inability to climb two flights of stairs was associated with a positive predictive value of 82% for the development of a POC. The number of days in the hospital postoperatively decreased with a @entity1 's increased ability to climb stairs. CONCLUSIONS: Symptom-limited stair climbing offers a simple, inexpensive means to predict @entity260 after high-risk surgery.

Symptom-limited stair climbing as a predictor of XXXX after high-risk surgery.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient', 'men'] @entity712 :: ('MESH:D006333', 'Disease') :: ['congestive heart failure'] @entity55 :: ('MESH:D011014', 'Disease') :: ['pneumonia'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative cardiopulmonary complications', 'POCs'] @entity891 :: ('MESH:D001261', 'Disease') :: ['atelectasis'] @entity358 :: ('MESH:D008171', 'Disease') :: ['pulmonary embolus'] @entity583 :: ('MESH:D009203', 'Disease') :: ['myocardial infarction'] @entity943 :: ('MESH:D001145', 'Disease') :: ['arrhythmia'] @entity1028 :: ('MESH:D017544', 'Disease') :: ['abdominal aortic aneurysm repairs'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death']
@entity260 :: (MESH:D011183,Disease) :: ['postoperative cardiopulmonary complications']
