Relationship between postoperative atrial fibrillation and its recurrence after lung resection

Kashiwagi, Manabu; Hirai, Yoshimitsu; Kuroi, Akio; Ohashi, Takuya; Yata, Yumi; Fusamoto, Aya; Iguchi, Hideto; Higashimoto, Natsuki; Tanimoto, Takashi; Tanaka, Atsushi; Nishimura, Yoshiharu

doi:10.1007/s00595-023-02670-4

Cited by 7 publications

(15 citation statements)

References 26 publications

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“…The incidence of POAF in our study (10.5% ) was greater than reported in the previous studies (3.5-8.6%) [1][2][3][4] . Our team performs post-surgery electrocardiogram monitoring within 24-72 hours, detecting potential or transient POAF cases.…”

Section: Discussioncontrasting

confidence: 75%

“…Prior research consistently indicated that POAF tends to manifest within the initial three days postsurgery [1,2] . Our ndings demonstrated the highest POAF incidence (51.7%) on the rst day after surgery, with 25 of 29 cases arising within three days post-surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Postoperative atrial brillation (POAF) is a frequent complication observed after non-cardiac thoracic surgery. The incidence rate of POAF after pulmonary resection is approximately 3.5-8.6% [1][2][3][4] .…”

Section: Introductionmentioning

confidence: 99%

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Risk Factors for Atrial Fibrillation after Video-assisted Thoracoscopic Surgery for Lung Cancer

Ruan,

Han,

Yang

et al. 2023

Preprint

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Background This study aimed to analyze risk factors for postoperative atrial fibrillation (POAF) in video-assisted thoracoscopic surgery (VATS) for non-small cell lung cancer (NSCLC) resection. Methods A retrospective analysis was performed on a cohort of patients who underwent VATS for NSCLC resection at our hospital between January 2016 to October 2019. Patient demographics, preoperative data, and postoperative outcomes were collected and reviewed. Univariate and multivariate analyses were performed to identify significant risk factors for POAF. Results Among 276 NSCLC VATS patients, 29 developed POAF during hospitalization without in-hospital deaths. 25 cases of POAF emerged within the initial three postoperative days. With a cutoff age of 73, exceeding this age resulted in notably higher POAF incidence compared to non-POAF (10 vs. 46, P = 0.045). Additionally, POAF group had significantly more retrieved mediastinal lymph nodes (P = 0.011) and explored node stations (P = 0.005) compared to non-POAF. Intraoperative bleeding volume (P = 0.034) and postoperative pulmonary infections (P = 0.001) were also higher in POAF group. Preoperative hemoglobin levels differed significantly between POAF and non-POAF (P = 0.024). POAF group experienced extended postoperative hospitalization (P = 0.024) and drainage time (P = 0.011) compared to non-POAF. Multivariate analysis identified postoperative pulmonary infection as independent POAF risk factor following NSCLC VATS. Conclusion Our study revealed that pulmonary infection was one of the independent risk factors for POAF following VATS in patients with NSCLC. Furthermore, POAF is associated with prolonged drainage time and extended postoperative hospitalization. Trial Registration NO

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Section: Discussioncontrasting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

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Risk Factors for Atrial Fibrillation after Video-assisted Thoracoscopic Surgery for Lung Cancer

Ruan,

Han,

Yang

et al. 2023

Preprint

View full text Add to dashboard Cite

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“…Previous studies have consistently reported a correlation between POAF and prolonged postoperative hospital stay [2] . Our research revealed that patients who developed POAF had a median postoperative hospital stay of approximately 11 days, whereas patients who did not develop POAF had a median hospital stay of 9 days (p = 0.001).…”

Section: Discussionmentioning

confidence: 93%

“…Previous studies have consistently indicated that POAF often occurs within three days after surgery [1][2] . Our research revealed that the incidence of POAF was highest on the rst day after surgery (65.6%), with 31 out of 32 cases occurring within three days after surgery.…”

Section: Discussionmentioning

confidence: 99%

Impact of Preoperative Inflammatory Indices and Postoperative Pneumonia on Postoperative Atrial Fibrillation in Patients with Non-Small Cell Lung Cancer: A Retrospective Study

Ruan,

Han,

Yang

et al. 2024

Preprint

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Background: This study aimed to evaluate the impact of preoperative inflammatory indices and postoperative pneumonia (POP) on postoperative atrial fibrillation (POAF) in non–small cell lung cancer (NSCLC) patients. Methods: All consecutive patients who underwent pulmonary resection at our hospital (January 2016-October 2019) were enrolled. Preoperative inflammatory indices, demographic data, surgical details, and postoperative conditions were analyzed. Univariate and multivariate analyses of risk factors associated with POAF were also conducted. Results: Among the 382 patients included in the study, 32 (8.38%) developed POAF. Approximately 31 patients (96.9%) developed atrial fibrillation within three days after surgery. The POAF group had a significantly greater mean age (68 years) than did the non-POAF group (62 years) (P=0.002). Additionally, compared with non-POAF patients, POAF patients exhibited an increased number of mediastinal lymph nodes (P<0.001) and mediastinal lymph node stations (P<0.001). The POAF group also had a greater intraoperative blood volume (P=0.006), longer surgical duration (P=0.022), greater incidence of POP (P=0.09), and greater drainage volume (P=0.003). TNM stage (P<0.001) and type of lung resection (P=0.049) were also associated with POAF. Compared to those in the non-POAF group, the POAF group had longer postoperative hospital stays (10.54 days vs. 9 days; P=0.001) and longer drainage times (7 days vs. 5 days; P=0.004). Multivariate analysis revealed age, POP grade, and TNM stage as independent predictors of POAF in NSCLC patients. Conclusion: Preoperative inflammatory indices were not significantly associated with POAF, but age, POP, and TNM stage were identified as independent predictors. Early-stage NSCLC patients may have a greater susceptibility to POAF than early-stage patients, although further validation is needed. Additionally, POAF was linked to a longer postoperative hospital stay.

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Impact of preoperative inflammatory indices and postoperative pneumonia on postoperative atrial fibrillation in patients with non-small cell lung cancer: a retrospective study

Ruan,

Han,

Yang

et al. 2024

BMC Pulm Med

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Background This study aimed to evaluate the impact of preoperative inflammatory indices and postoperative pneumonia (POP) on postoperative atrial fibrillation (POAF) in non–small cell lung cancer (NSCLC) patients. Methods All consecutive patients who underwent pulmonary resection at our hospital (January 2016-October 2019) were enrolled. Preoperative inflammatory indices, demographic data, surgical details, and postoperative conditions were analyzed. Univariate and multivariate analyses of risk factors associated with POAF were also conducted. Results Among the 382 patients included in the study, 32 (8.38%) developed POAF. Compared to non-POAF patients, POAF patients had greater incidence of POP (P = 0.09). Approximately 31 patients (96.9%) developed atrial fibrillation within three days after surgery. The POAF group had a significantly greater mean age (68.94 years) than did the non-POAF group (63 years) (P = 0.002). Additionally, compared to non-POAF patients, POAF patients exhibited an increased number of resected mediastinal lymph nodes (P < 0.001) and mediastinal lymph node stations (P < 0.001).The POAF group also had a greater intraoperative blood volume (P = 0.006), longer surgical duration (P = 0.022), and greater drainage volume (P = 0.003). IA/B stage (P < 0.001) and IIIA/B stage(P < 0.001), and lobectomy resection (P = 0.008) and wedge resection (P = 0.023) were also associated with POAF. Compared to those in the non-POAF group, the POAF group had longer postoperative hospital stays (10.54 days vs. 9 days; P = 0.001) and longer drainage times (7 days vs. 5 days; P = 0.004). Multivariate analysis revealed age, POP, and stage IIIA/B as independent influencing factors of POAF in NSCLC patients. Conclusion Preoperative inflammatory indices were not significantly associated with POAF, but age, POP, and stage IIIA/B were identified as independent influencing factors. Advanced-stage NSCLC patients may have a greater susceptibility to POAF than early-stage patients, although further validation is needed. Additionally, POAF was linked to a longer postoperative hospital stay.

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Relationship between postoperative atrial fibrillation and its recurrence after lung resection

Cited by 7 publications

References 26 publications

Risk Factors for Atrial Fibrillation after Video-assisted Thoracoscopic Surgery for Lung Cancer

Risk Factors for Atrial Fibrillation after Video-assisted Thoracoscopic Surgery for Lung Cancer

Impact of Preoperative Inflammatory Indices and Postoperative Pneumonia on Postoperative Atrial Fibrillation in Patients with Non-Small Cell Lung Cancer: A Retrospective Study

Impact of preoperative inflammatory indices and postoperative pneumonia on postoperative atrial fibrillation in patients with non-small cell lung cancer: a retrospective study

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