Abstract
The incidence of postoperative atrial fibrillation (POAF) after pulmonary lobectomy ranges from 6.4 to 12.6%. This study aimed to analyze the postoperative risk factors and prognosis for POAF in lobectomy for lung cancer. Data were collected from patients undergoing pulmonary lobectomy from April 2010 to March 2019. We analyzed risk factors for POAF among perioperative factors and compared postoperative complications or overall survival between POAF and non-POAF groups. We classified POAF as either the temporary or non-temporary type and compared perioperative factors, postoperative complications, and overall survival. POAF was identified in 49 (5.2%) of the 947 lobectomies. The POAF group included more males, patients with poor performance status (PS), history of paroxysmal atrial fibrillation (AF), chronic obstructive pulmonary disease (COPD), and intraoperative blood transfusions. Poor PS, COPD, previous paroxysmal AF, and intraoperative blood transfusion were independent risk factors for POAF in multivariate analysis. The POAF group had a poorer prognosis than the non-POAF group (p = 0.0045). POAF was divided into 29 temporary and 20 non-temporary types. The onset date of non-temporary-type POAF was significantly later than...Continue Reading
References
Aug 1, 1995·Chest·D AmarR S Wilson
Apr 1, 1996·The Annals of Thoracic Surgery·W Van MieghemM Demedts
Aug 1, 1996·Chest·D AmarD H Leung
Sep 16, 1998·Circulation·E J BenjaminD Levy
Dec 3, 2002·Anesthesiology·David Amar
Jan 13, 2004·Journal of the American College of Cardiology·Carsten W IsraelStefan H Hohnloser
Aug 4, 2005·The Journal of Thoracic and Cardiovascular Surgery·Eric E RoselliEugene H Blackstone
Jul 30, 2010·The Annals of Thoracic Surgery·Mark OnaitisDavid Harpole
Dec 24, 2010·Journal of the American College of Cardiology·L Samuel WannUNKNOWN ACCF/AHA/HRS
Jan 12, 2012·Journal of Cardiothoracic Surgery·Andrea ImperatoriLorenzo Dominioni
Jun 27, 2014·Circulation Journal : Official Journal of the Japanese Circulation Society·UNKNOWN JCS Joint Working Group
Dec 2, 2014·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·Ramón Rami-PortaUNKNOWN International Association for the Study of Lung Cancer Staging and Prognostic Factors Committee, Advisory Board Members and
May 2, 2015·Inflammation Research : Official Journal of the European Histamine Research Society ... [et Al.]·Alina ScridonRăzvan Constantin Şerban
Jul 8, 2016·Surgery Today·Yusuke MuranishiHiroshi Date
Sep 27, 2016·Anaesthesia·S H LeeJ H Park
Nov 27, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Norikatsu MitaShigeru Saito
Jun 30, 2018·General Thoracic and Cardiovascular Surgery·Yo KawaguchiKazuki Hayashi
Dec 7, 2018·Journal of Thoracic Disease·Heather SmithAndrew Seely