Prediction of cardiopulmonary morbidity after resection for lung cancer: stair climbing test complications after lung cancer surgery

Thorac Cardiovasc Surg. 2007 Jun;55(4):253-6. doi: 10.1055/s-2006-955941.


Background: The objective of this study was to assess the role of a modified stair climbing test in predicting postoperative cardiopulmonary complications.

Methods: A consecutive series of 150 patients who had undergone pulmonary resection for lung carcinoma formed the prospective database of this study. All patients performed a preoperative modified stair climbing test. Univariate and multivariate analyses were performed to identify predictors of postoperative cardiopulmonary complications.

Results: With univariate analysis, the patients with complications had a lower pre-exercise and postexercise percentage of oxygen saturation. PaO (2) levels were found to be lower and a greater change in oxygen desaturation during exercise was noted. Logistic regression analysis showed that the percent of oxygen saturation pre-exercise and the change in percent of oxygen desaturation during exercise were independent and reliable predictors of cardiopulmonary morbidity.

Conclusions: A modified stair climbing test is a safe, economical and simple test capable of predicting cardiopulmonary complications.

Publication types

  • Evaluation Study

MeSH terms

  • Analysis of Variance
  • Exercise Test*
  • Heart Diseases / diagnosis
  • Humans
  • Logistic Models
  • Lung Diseases / diagnosis
  • Lung Neoplasms / surgery*
  • Postoperative Complications / diagnosis*
  • Prognosis
  • Prospective Studies