Clinical Scorecard: A nomogram incorporating prehabilitation for forecasting early pulmonary recovery failure following lung tumor surgery: development and validation across multiple centers

At a Glance

Key Highlights

• Development of a prehabilitation-enhanced nomogram for predicting early pulmonary recovery failure within 7 days post-surgery.
• Improved discrimination in predicting outcomes with the addition of prehabilitation indicators.
• Final nomogram includes five independent predictors: intraoperative blood loss, DLCO% predicted, preoperative resting SpO2, incentive spirometry target-achieved days, and breathing training target-achieved days.

Guideline-Based Recommendations

Diagnosis

• Use of a prehabilitation-enhanced nomogram for early risk stratification of pulmonary recovery failure.

Management

• Targeted prevention and intensified prehabilitation for high-risk patients.

Monitoring & Follow-up

• Regular assessment of prehabilitation process indicators to guide postoperative care.

Risks

• Consideration of baseline pulmonary reserve, COPD, and smoking history in risk assessment.

Patient & Prescribing Data

Adults aged 18 years or older undergoing elective lung tumor surgery.

Prehabilitation programs combining exercise and respiratory training may improve postoperative outcomes.

Clinical Best Practices

• Incorporate prehabilitation metrics into routine preoperative assessments.
• Utilize the nomogram for individualized patient risk stratification.

Related Resources & Content

• Study on prehabilitation and postoperative outcomes