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Presentation transcript:

Do pulmonary function tests improve risk stratification before cardiothoracic surgery? Alexander Ivanov, MD, James Yossef, MD, Jordan Tailon, MD, Berhane M. Worku, MD, Iosif Gulkarov, MD, Anthony J. Tortolani, MD, Terrence J. Sacchi, MD, William M. Briggs, PhD, Sorin J. Brener, MD, Jeremy A. Weingarten, MD, John F. Heitner, MD The Journal of Thoracic and Cardiovascular Surgery Volume 151, Issue 4, Pages 1183-1189.e3 (April 2016) DOI: 10.1016/j.jtcvs.2015.10.102 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Patient flowchart. STS, Society of Thoracic Surgeons; PFT, pulmonary function test. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1183-1189.e3DOI: (10.1016/j.jtcvs.2015.10.102) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Receiver operating characteristic (ROC) analysis in patients with PFT. Panels on the left represent ROC comparison between STS and different components of PFT. Panel son the right represent ROC comparison between STS and different COPD classifications . A, ROC analysis for respiratory. B, ROC analysis for prolonged postoperative length of stay. C, ROC analysis for 30-day mortality. FEV1, Forced expiratory volume in 1 second (liters); FVC, forced vital capacity (liters); ATS, American Thoracic Society; COPD, chronic obstructive pulmonary disease; GOLD, Global initiative for Chronic Obstructive Lung Disease; NYS, New York State Department of Health. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1183-1189.e3DOI: (10.1016/j.jtcvs.2015.10.102) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure E1 A, Receiver operating characteristic (ROC) analysis for respiratory failure (RF) in all patients. B, ROC analysis for RF in patients with and without pulmonary function tests (PFTs). The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1183-1189.e3DOI: (10.1016/j.jtcvs.2015.10.102) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure E2 A, Receiver operating characteristic (ROC) analysis for prolonged postoperative length of stay (PPLS) in all patients. B, ROC analysis for PPLS in patients with and without pulmonary function tests (PFTs). The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1183-1189.e3DOI: (10.1016/j.jtcvs.2015.10.102) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure E3 A, Receiver operating characteristic (ROC) analysis for 30-day mortality in all patients. B, ROC analysis for 30-day mortality in with and without pulmonary function tests (PFTs). The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1183-1189.e3DOI: (10.1016/j.jtcvs.2015.10.102) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure E4 Receiver operating characteristic (ROC) analyses comparing normalized and nonnormalized forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC) values. A, ROC analysis for respiratory failure (RF). B, ROC analysis for mortality. C, ROC analysis for prolonged postoperative length of stay (PPLS). The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1183-1189.e3DOI: (10.1016/j.jtcvs.2015.10.102) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Receiver operating characteristic analysis for respiratory failure in patients with PFTs. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1183-1189.e3DOI: (10.1016/j.jtcvs.2015.10.102) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions