The relationship between mean daily step counts and pulmonary complications after thoracoscopic lobectomy in elderly patients: A propensity score matching study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LI Xin ¹ , WANG Zhe ² , YUAN Hui ¹ , GUAN Bin ¹ ,  GUAN Zheng ¹

1. Department of Anesthesiology, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, 710061, P. R. China;
2. Department of Thoracic Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, 710061, P. R. China;

Corresponding author：

GUAN Zheng, Email: guanzheng1980@126.com

Keywords：

Mean daily step counts; postoperative pulmonary complications; thoracoscopic lobectomy; propensity score matching

DOI：

10.7507/1007-4848.202203067

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the relationship between preoperative mean daily step counts and pulmonary complications after thoracoscopic lobectomy in elderly patients. Methods From 2018 to 2021, the elderly patients with pulmonary complications after thoracoscopic lobectomy were included. A 1∶1 propensity score matching was performed with patients without pulmonary complications. The clinical data were compared between the two groups. Results Totally, 100 elderly patients with pulmonary complications were enrolled, including 78 males and 22 females, aged 66.4±4.5 years. And 100 patients without pulmonary complications were matched, including 71 males and 29 females aged 66.2±5.0 years. There was no significant difference in the preoperative data between the two groups (P>0.05). Compared to the patients with pulmonary complications, the ICU stay was shorter (8.1±4.4 h vs. 12.9±7.5 h, P＜0.001), the first out-of-bed activity time was earlier (8.8±4.5 h vs. 11.2±6.1 h, P=0.002), and the tube incubation time was shorter (19.3±9.2 h vs. 22.5±9.4 h, P=0.015) in the patients wihout pulmonary complications. There was no statistical difference in other perioperative data between the two groups (P>0.05). The mean daily step counts in the pulmonary complications group were significantly less than that in the non-pulmonary complications group (4 745.5±2 190.9 steps vs. 6 821.1±2 542.0 steps, P＜0.001). The daily step counts showed an upward trend for three consecutive days in the two groups, but the difference was not significant. Conclusion The decline of preoperative mean daily step counts is related to pulmonary complications after thoracoscopic lobectomy in elderly patients. Recording daily step counts can promote preoperative active exercise training for hospitalized patients.

Citation： LI Xin, WANG Zhe, YUAN Hui, GUAN Bin, GUAN Zheng. The relationship between mean daily step counts and pulmonary complications after thoracoscopic lobectomy in elderly patients: A propensity score matching study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2024, 31(1): 99-104. doi: 10.7507/1007-4848.202203067 Copy

1.	Feng RM, Zong YN, Cao SM, et al. Current cancer situation in China: Good or bad news from the 2018 Global Cancer Statistics? Cancer Commun (Lond), 2019, 39(1): 22.
2.	Xia C, Dong X, Li H, et al. Cancer statistics in China and United States, 2022: Profiles, trends, and determinants. Chin Med J (Engl), 2022, 135(5): 584-590.
3.	Abbott TEF, Fowler AJ, Pelosi P, et al. A systematic review and consensus definitions for standardised end-points in perioperative medicine: Pulmonary complications. Br J Anaesth, 2018, 120(5): 1066-1079.
4.	Wang S, Li X, Li Y, et al. The long-term impact of postoperative pulmonary complications after video-assisted thoracic surgery lobectomy for lung cancer. J Thorac Dis, 2017, 9(12): 5143-5152.
5.	Tsutani Y, Tsubokawa N, Ito M, et al. Postoperative complications and prognosis after lobar resection versus sublobar resection in elderly patients with clinical stageⅠ non-small-cell lung cancer. Eur J Cardiothorac Surg, 2018, 53(2): 366-371.
6.	Agostini PJ, Lugg ST, Adams K, et al. Risk factors and short-term outcomes of postoperative pulmonary complications after VATS lobectomy. J Cardiothorac Surg, 2018, 13(1): 28.
7.	Dong J, Mao Y, Li J, et al. Stair-climbing test predicts postoperative cardiopulmonary complications and hospital stay in patients with non-small cell lung cancer. Med Sci Monit, 2017, 23: 1436-1441.
8.	Lai Y, Wang X, Li P, et al. Preoperative peak expiratory flow (PEF) for predicting postoperative pulmonary complications after lung cancer lobectomy: A prospective study with 725 cases. J Thorac Dis, 2018, 10(7): 4293-4301.
9.	Pobiruchin M, Suleder J, Zowalla R, et al. Accuracy and adoption of wearable technology used by active citizens: A marathon event field study. JMIR Mhealth Uhealth, 2017, 5(2): e24.
10.	Lee H, Kim HK, Kang D, et al. Prognostic value of 6-min walk test to predict postoperative cardiopulmonary complications in patients with non-small cell lung cancer. Chest, 2020, 157(6): 1665-1673.
11.	Silva SSM, Jayawardana MW, Meyer D. Statistical methods to model and evaluate physical activity programs, using step counts: A systematic review. PLoS One, 2018, 13(11): e0206763.
12.	Kraus WE, Janz KF, Powell KE, et al. Daily step counts for measuring physical activity exposure and its relation to health. Med Sci Sports Exerc, 2019, 51(6): 1206-1212.
13.	Fang C, Zhang J, Zhou T, et al. Associations between daily step counts and physical fitness in preschool children. J Clin Med, 2020, 9(1): 163.
14.	Gluck S, Summers MJ, Finnis ME, et al. An observational study investigating the use of patient-owned technology to quantify physical activity in survivors of critical illness. Aust Crit Care, 2020, 33(2): 137-143.
15.	Low CA, Bovbjerg DH, Ahrendt S, et al. Fitbit step counts during inpatient recovery from cancer surgery as a predictor of readmission. Ann Behav Med, 2018, 52(1): 88-92.
16.	McTiernan A, Friedenreich CM, Katzmarzyk PT, et al. Physical activity in cancer prevention and survival: A systematic review. Med Sci Sports Exerc, 2019, 51(6): 1252-1261.
17.	Gravier FE, Smondack P, Prieur G, et al. Effects of exercise training in people with non-small cell lung cancer before lung resection: A systematic review and meta-analysis. Thorax, 2022, 77(5): 486-496.
18.	Steffens D, Beckenkamp PR, Hancock M, et al. Preoperative exercise halves the postoperative complication rate in patients with lung cancer: A systematic review of the effect of exercise on complications, length of stay and quality of life in patients with cancer. Br J Sports Med, 2018, 52(5): 344.

1. Feng RM, Zong YN, Cao SM, et al. Current cancer situation in China: Good or bad news from the 2018 Global Cancer Statistics? Cancer Commun (Lond), 2019, 39(1): 22.
2. Xia C, Dong X, Li H, et al. Cancer statistics in China and United States, 2022: Profiles, trends, and determinants. Chin Med J (Engl), 2022, 135(5): 584-590.
3. Abbott TEF, Fowler AJ, Pelosi P, et al. A systematic review and consensus definitions for standardised end-points in perioperative medicine: Pulmonary complications. Br J Anaesth, 2018, 120(5): 1066-1079.
4. Wang S, Li X, Li Y, et al. The long-term impact of postoperative pulmonary complications after video-assisted thoracic surgery lobectomy for lung cancer. J Thorac Dis, 2017, 9(12): 5143-5152.
5. Tsutani Y, Tsubokawa N, Ito M, et al. Postoperative complications and prognosis after lobar resection versus sublobar resection in elderly patients with clinical stageⅠ non-small-cell lung cancer. Eur J Cardiothorac Surg, 2018, 53(2): 366-371.
6. Agostini PJ, Lugg ST, Adams K, et al. Risk factors and short-term outcomes of postoperative pulmonary complications after VATS lobectomy. J Cardiothorac Surg, 2018, 13(1): 28.
7. Dong J, Mao Y, Li J, et al. Stair-climbing test predicts postoperative cardiopulmonary complications and hospital stay in patients with non-small cell lung cancer. Med Sci Monit, 2017, 23: 1436-1441.
8. Lai Y, Wang X, Li P, et al. Preoperative peak expiratory flow (PEF) for predicting postoperative pulmonary complications after lung cancer lobectomy: A prospective study with 725 cases. J Thorac Dis, 2018, 10(7): 4293-4301.
9. Pobiruchin M, Suleder J, Zowalla R, et al. Accuracy and adoption of wearable technology used by active citizens: A marathon event field study. JMIR Mhealth Uhealth, 2017, 5(2): e24.
10. Lee H, Kim HK, Kang D, et al. Prognostic value of 6-min walk test to predict postoperative cardiopulmonary complications in patients with non-small cell lung cancer. Chest, 2020, 157(6): 1665-1673.
11. Silva SSM, Jayawardana MW, Meyer D. Statistical methods to model and evaluate physical activity programs, using step counts: A systematic review. PLoS One, 2018, 13(11): e0206763.
12. Kraus WE, Janz KF, Powell KE, et al. Daily step counts for measuring physical activity exposure and its relation to health. Med Sci Sports Exerc, 2019, 51(6): 1206-1212.
13. Fang C, Zhang J, Zhou T, et al. Associations between daily step counts and physical fitness in preschool children. J Clin Med, 2020, 9(1): 163.
14. Gluck S, Summers MJ, Finnis ME, et al. An observational study investigating the use of patient-owned technology to quantify physical activity in survivors of critical illness. Aust Crit Care, 2020, 33(2): 137-143.
15. Low CA, Bovbjerg DH, Ahrendt S, et al. Fitbit step counts during inpatient recovery from cancer surgery as a predictor of readmission. Ann Behav Med, 2018, 52(1): 88-92.
16. McTiernan A, Friedenreich CM, Katzmarzyk PT, et al. Physical activity in cancer prevention and survival: A systematic review. Med Sci Sports Exerc, 2019, 51(6): 1252-1261.
17. Gravier FE, Smondack P, Prieur G, et al. Effects of exercise training in people with non-small cell lung cancer before lung resection: A systematic review and meta-analysis. Thorax, 2022, 77(5): 486-496.
18. Steffens D, Beckenkamp PR, Hancock M, et al. Preoperative exercise halves the postoperative complication rate in patients with lung cancer: A systematic review of the effect of exercise on complications, length of stay and quality of life in patients with cancer. Br J Sports Med, 2018, 52(5): 344.

Previous Article
Progress of Helicobacter pylori-related cell apoptosis in mechanisms of gastric carcinogenesis
Next Article
微创心脏外科的突破与创新——2023欧洲心脏外科腔镜年会纪要

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

The relationship between mean daily step counts and pulmonary complications after thoracoscopic lobectomy in elderly patients: A propensity score matching study

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content