肺切除术后慢性心房的危险因素
Sean J Halloran1, Scott Martin2, Boxiang Jiang3
1Department of Surgery, The University of Toledo College of Medicine and Life Sciences, Toledo, Ohio.
The Journal of surgical research
|December 8, 2023
概括
开放式肺叶切除术增加了早期和慢性术后心房动 (POAF) 的风险. 患者应被告知,与VATS相比,在公开手术后出现这种心律失常的风险较高.
科学领域:
- 心脏病学 心脏病学
- 胸部外科手术 胸部外科手术
- 在瘤学瘤学.
背景情况:
- 手术后心房动 (POAF) 是肺叶切除术后的一个常见并发症.
- POAF与中风,死亡率和延长住院时间的风险增加有关.
研究的目的:
- 为了确定肺叶切除术后POAF的危险因素.
- 调查手术方法 (VATS与开放) 是否影响慢性POAF的风险.
主要方法:
- 利用TrinetX数据库识别了因癌症而接受选择性肺叶切除术的成年患者.
- 视频辅助胸腔镜手术 (VATS) 和开放方法之间的结果比较.
- 雇员倾向与手术组之间的偏差控制相匹配.
主要成果:
- 与VATS相比,开放式叶片切除与早期 (5.5%对3.4%) 和慢性 (6.3%对5.2%) POAF的风险更高.
- 倾向匹配证实,开放方法显著增加了POAF的风险 (早期RR 1.607,慢性RR 1.211).
- 总共有22,998名患者被分析,其中7,942对对应用于比较.
结论:
- 开放式分叶切除术导致POAF的发病率更高,无论是急性还是慢性.
- 医疗保健提供者应与接受肺切除的患者讨论慢性心律失常的风险,特别是那些接受开放手术的患者.
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