biostudies-literatureNIHR Global Health Research Unit on Global SurgeryNational Institute for Health Research (NIHR)NCI NIH HHSWellcome Truste507-e519https://www.ebi.ac.uk/biostudies/studies/S-EPMC12056793biostudies-literatureUnknown6(7)<h4>Background</h4>Pulmonary complications are the most common cause of death after surgery. This study aimed to derive and externally validate a novel prognostic model that can be used before elective surgery to estimate the risk of postoperative pulmonary complications and to support resource allocation and prioritisation during pandemic recovery.<h4>Methods</h4>Data from an international, prospective cohort study were used to develop a novel prognostic risk model for pulmonary complications after elective surgery in adult patients (aged ≥18 years) across all operation and disease types. The primary outcome measure was postoperative pulmonary complications at 30 days after surgery, which was a composite of pneumonia, acute respiratory distress syndrome, and unexpected mechanical ventilatThe Lancet. 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RKwon DBrunelli ADelegido Garcia ARedondo Calvo FJVan de Putte DMerchant IMerchant JBaccellieri DAl Ahmad FBawa GHawksley JSpassov KSinha AAlFakhri AMaione FMichael VSinha DFlamant EDinh THRiips KGullu HFCornwall HAl Gohary RAddae-Boateng ECarlos WSinha ILambert JWoon SPiros LNolan DEnver MAlnumani TSegue AKMachairas NVelchuru VAmmar KNaumeri FMeleiro HDonohoe ESerra MSawalem MNacif LJarry CFowler ALTiruneh AGFehervari MBoland MElsalhy MSinha SFayad EAD'Urso AAttia HSolar SSidiropoulos TChase TAawsaj YAttia DRicardo DNaidu CPanjikkaran AAzevedo PNaidu DGrigoroiu MAlfaro-Goldaracena AMihanovic JOrtega Vazquez IRossborough CAzevedo JOrmeno MPopoola AColdwell CCastelhano RDohan AWaruingi DAzevedo CJoshi VPervaiz FSelvaraj DWilliamson KPervaiz AZurner RJoshi NBreik ORodriguez-Lopez MCampbell WChakib OGrimley EJoshi KQuirke SFatima MJoshi ABisagni PCampbell LChisthi MMFuwa OVawda AStudd LCampbell ACappiello ASharif ZCampbell BEkpo EFiore MAjibola HfalseA prognostic model for use before elective surgery to estimate the risk of postoperative pulmonary complications (GSU-Pulmonary Score): a development and validation study in three international cohorts.<h4>Background</h4>Pulmonary complications are the most common cause of death after surgery. This study aimed to derive and externally validate a novel prognostic model that can be used before elective surgery to estimate the risk of postoperative pulmonary complications and to support resource allocation and prioritisation during pandemic recovery.<h4>Methods</h4>Data from an international, prospective cohort study were used to develop a novel prognostic risk model for pulmonary complications after elective surgery in adult patients (aged ≥18 years) across all operation and disease types. The primary outcome measure was postoperative pulmonary complications at 30 days after surgery, which was a composite of pneumonia, acute respiratory distress syndrome, and unexpected mechanical ventilat2024-01-01T00:00:00Z2024 Jul2026-06-03T06:01:59.304Z2026-04-25T03:19:22.99ZS-EPMC120567933890661610.1016/S2589-7500(24)00065-7