American Journal of Oral Medicine and Radiology

A HISTORICAL COHORT INVESTIGATION OF PERIOPERATIVE RISK VARIABLES IN INDIVIDUALS WITH IDIOPATHIC PULMONARY FIBROSIS

Dr. Reddy Varaprasad babu D

Reddy@gmail.com

Preoperative , pulmonary fibrosis, patients

The overall mortality rate for Idiopathic Pulmonary Fibrosis is increasing, with a 28.4 percent rise in males and 41.3 percent increase in females when corrected for age. The research does not provide a full picture of perioperative outcomes in patients with Idiopathic Pulmonary Fibrosis. In Idiopathic Pulmonary Fibrosis patients who had diagnostic bronchoalveolar lavage, there was an elevated risk of acute aggravation of Idiopathic Pulmonary Fibrosis. Furthermore, surgical lung biopsy for the diagnosis of Idiopathic Pulmonary Fibrosis has been linked to a 2.1 percent incidence of Acute exacerbation - Idiopathic Pulmonary Fibrosis and a 5.1-7.1 percent 30-day death rate. In addition, lung cancer patients with Idiopathic Pulmonary Fibrosis have a greater rate of resection-related morbidity and mortality than those without Idiopathic Pulmonary Fibrosis. To evaluate the perioperative risk variables in individuals with idiopathic pulmonary fibrosis. One-year mortality was associated with increasing age (RR, 1.50; 95 percent confidence interval, 1.27 to 1.79; P<0.001), former tobacco smoking status (RR, 2.44; 95 percent confidence interval, 1.32 to 4.52; P<0.004), preoperative oral steroid use (RR, 2.17; 95 percent confidence interval, 1.34 to 3.51; P<0.002), and absence of intraoperative dexamethasone administration (RR, 0.19; 95) This is the first study to demonstrate a link between preoperative home oxygen consumption and postoperative acute respiratory worsening in Idiopathic Pulmonary Fibrosis patients. In addition, in our group, a longer operation length was related with an increased risk of acute respiratory worsening. Because of our discovery that preoperative home oxygen consumption is a predictor of postoperative acute respiratory worsening, we believe that this variable is the most clinically relevant and useful for the perioperative risk stratification of Idiopathic Pulmonary Fibrosis patients. In patients with fibrotic Interstitial lung disease, admission with acute respiratory worsening has been related with higher in-hospital and postdischarge mortality, regardless of the underlying Interstitial lung disease aetiology Furthermore, in patients undergoing thoracic surgery, increased intraoperative fluid administration has been linked to a higher risk of postoperative acute exacerbation of IP. We discovered a significant relationship between higher surgical duration and increased acute respiratory worsening. Patients with Idiopathic Pulmonary Fibrosis had a high link between their preoperative home oxygen need and their postoperative acute respiratory worsening, which was demonstrated in a study. Patients with this type of medical history may benefit from higher postoperative risk stratification, which may be indicated by home oxygen use and an anticipated longer surgical procedure