The Study of Factors Related to the Risk of Complications in the Postoperative Period in Patients with Respiratory Tuberculosis

Introduction. The study of the factors associated with the development of postoperative complications in patients with tuberculosis of the respiratory system is a priority and urgent task.

Objective — determination of factors related to the presence of postoperative complications in patients with tuberculosis of the respiratory system.

Materials and methods. A retrospective study of the data of 251 patients with newly diagnosed respiratory tuberculosis and relapse who were treated in the tuberculosis surgical department of the clinic No. 1 of the Moscow Research and Clinical Center for Tuberculosis Control in 2017–2018 was conducted.

Results. In the postoperative period, complications developed in 22/251 (8.76 %) patients. A single-factor analysis revealed that disability (p = 0.013), incomplete education (p = 0.017), potentially ineffective treatment (p = 0.014), and duration of the disease from 6 months to 1 year (p = 0.044) were associated with complications. The coincidence of the specialty obtained during training and further work can contribute to the absence of complications (p = 0.005). The study of the combined effect of risk factors showed that the occurrence of complications may be associated with a potentially ineffective course of treatment (p = 0.006) and the duration of the disease from 6 months to 1 year (p < 0.001).

Conclusion. The factors associated with postoperative complications in patients with respiratory tuberculosis are disability (p = 0.013), incomplete education (p = 0.017), potentially ineffective course of treatment (p = 0.014) and duration of the disease from 6 months to 1 year (p = 0.044).

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