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).