| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
J Thorac Cardiovasc Surg 2005;130:438-444
© 2005 The American Association for Thoracic Surgery
General Thoracic Surgery |
a Departments of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio.
b Quantitative Health Sciences, The Cleveland Clinic Foundation, Cleveland, Ohio.
Received for publication October 27, 2004; revisions received January 24, 2005; accepted for publication February 10, 2005. * Address for reprints: Sudish C. Murthy, MD, PhD, The Cleveland Clinic Foundation, 9500 Euclid Ave, Desk F24, Cleveland, OH 44195. (Email: murthys1{at}ccf.org).
OBJECTIVE: To (1) characterize atrial fibrillation complicating lung cancer resection, (2) evaluate its temporal relationship to other postoperative complications, and (3) assess its economics.
METHODS: From January 1998 to August 2002, 604 patients underwent anatomic lung cancer resection. Atrial fibrillation prevalence, onset, and temporal associations with other postoperative complications were determined. Propensity matching was used to assess economics.
RESULTS: Atrial fibrillation occurred in 113 patients (19%), peaking on postoperative day 2. Older age, male gender, heart failure, clamshell incision, and right pneumonectomy were risk factors (P < .01). Although atrial fibrillation was solitary in 75 patients (66%), other postoperative complications occurred in 38. Respiratory and infectious complications were temporally linked with atrial fibrillation onset. In 91 propensity-matched pairs, patients developing atrial fibrillation had more other postoperative complications (30% vs. 9%, P < .0004), had longer postoperative stays (median 8 vs 5 days, P < .0001), incurred higher costs (cost ratio 1.8, 68% confidence limits 1.6–2.1), and had higher in-hospital mortality (8% vs 0%, P = .01). Even when atrial fibrillation was a solitary complication, hospital stay was longer (median 7 vs 5 days, P < .0001), and cost was higher (cost ratio 1.5, 68% confidence limits 1.2–1.6).
CONCLUSION: Atrial fibrillation occurs in 1 in 5 patients after lung cancer resection, with peak onset on postoperative day 2. Risk factors are both patient and procedure related, and atrial fibrillation may herald other serious complications. Although often solitary, atrial fibrillation is associated with longer hospital stay and higher cost. It therefore requires prompt treatment and should stimulate investigation for other problems.
This article has been cited by other articles:
|
|
 |
|
  T. Raman, N. Roistacher, J. Liu, H. Zhang, W. Shi, H. T. Thaler, and D. Amar Preoperative left atrial dysfunction and risk of postoperative atrial fibrillation complicating thoracic surgery J. Thorac. Cardiovasc. Surg., February 1, 2012; 143(2): 482 - 487. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Nojiri, K. Yamamoto, H. Maeda, Y. Takeuchi, Y. Funakoshi, M. Inoue, and M. Okumura Effect of low-dose human atrial natriuretic peptide on postoperative atrial fibrillation in patients undergoing pulmonary resection for lung cancer: A double-blind, placebo-controlled study J. Thorac. Cardiovasc. Surg., February 1, 2012; 143(2): 488 - 494. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Anile, V. Telha, D. Diso, T. De Giacomo, S. Sciomer, E. A. Rendina, G. F. Coloni, and F. Venuta Left atrial size predicts the onset of atrial fibrillation after major pulmonary resections Eur J Cardiothorac Surg, December 21, 2011; (2011) ezr174v1. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. C. Fernando, M. T. Jaklitsch, G. L. Walsh, J. E. Tisdale, C. D. Bridges, J. D. Mitchell, and J. B. Shrager The Society of Thoracic Surgeons Practice Guideline on the Prophylaxis and Management of Atrial Fibrillation Associated With General Thoracic Surgery: Executive Summary Ann. Thorac. Surg., September 1, 2011; 92(3): 1144 - 1152. [Full Text] [PDF]
|
|
|
|
|
|
Z. Makhija, M. S. Allen, D. A. Wigle, K. R. Shen, S. D. Cassivi, F. C. Nichols III, and C. Deschamps Routine Anticoagulation Is Not Indicated for Postoperative General Thoracic Surgical Patients With New-Onset Atrial Fibrillation Ann. Thorac. Surg., August 1, 2011; 92(2): 421 - 427. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Saran, G. D. Perkins, M. A. Javed, V. Annam, L. Leong, F. Gao, and R. Stedman Does the prophylactic administration of magnesium sulphate to patients undergoing thoracotomy prevent postoperative supraventricular arrhythmias? A randomized controlled trial Br. J. Anaesth., June 1, 2011; 106(6): 785 - 791. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Licker, J.-M. Schnyder, J.-G. Frey, J. Diaper, V. Cartier, C. Inan, J. Robert, P.-O. Bridevaux, and J.-M. Tschopp Impact of aerobic exercise capacity and procedure-related factors in lung cancer surgery Eur. Respir. J., May 1, 2011; 37(5): 1189 - 1198. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Malapert, H. A. Hanna, P. B. Pages, and A. Bernard Surgical Sealant for the Prevention of Prolonged Air Leak After Lung Resection: Meta-Analysis Ann. Thorac. Surg., December 1, 2010; 90(6): 1779 - 1785. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Lee, H. Wu, J. M. Kalman, D. Esmore, T. Williams, G. Snell, and P. M. Kistler Atrial fibrillation following lung transplantation: double but not single lung transplant is associated with long-term freedom from paroxysmal atrial fibrillation Eur. Heart J., November 2, 2010; 31(22): 2774 - 2782. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Nojiri, H. Maeda, Y. Takeuchi, Y. Funakoshi, R. Maekura, K. Yamamoto, and M. Okumura Predictive value of preoperative tissue Doppler echocardiographic analysis for postoperative atrial fibrillation after pulmonary resection for lung cancer J. Thorac. Cardiovasc. Surg., October 1, 2010; 140(4): 764 - 768. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Nojiri, H. Maeda, Y. Takeuchi, Y. Funakoshi, T. Kimura, R. Maekura, K. Yamamoto, and M. Okumura Predictive value of B-type natriuretic peptide for postoperative atrial fibrillation following pulmonary resection for lung cancer Eur J Cardiothorac Surg, April 1, 2010; 37(4): 787 - 791. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. E. Tisdale, H. A. Wroblewski, D. S. Wall, K. M. Rieger, Z. T. Hammoud, J. V. Young, and K. A. Kesler A Randomized Trial Evaluating Amiodarone for Prevention of Atrial Fibrillation After Pulmonary Resection Ann. Thorac. Surg., September 1, 2009; 88(3): 886 - 895. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. D. Cassivi, M. S. Allen, G. D. Vanderwaerdt, L. L. Ewoldt, M. E. Cordes, D. A. Wigle, F. C. Nichols, P. C. Pairolero, and C. Deschamps Patient-Centered Quality Indicators for Pulmonary Resection Ann. Thorac. Surg., September 1, 2008; 86(3): 927 - 932. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. P. Mason, D. H. Marsh, J. M. Alster, S. C. Murthy, A. M. McNeill, M. M. Budev, A. C. Mehta, G. B. Pettersson, and E. H. Blackstone Atrial Fibrillation After Lung Transplantation: Timing, Risk Factors, and Treatment Ann. Thorac. Surg., December 1, 2007; 84(6): 1878 - 1884. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. C. Austin Propensity-score matching in the cardiovascular surgery literature from 2004 to 2006: a systematic review and suggestions for improvement. J. Thorac. Cardiovasc. Surg., November 1, 2007; 134(5): 1128 - 1135. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. L. Colice, S. Shafazand, J. P. Griffin, R. Keenan, and C. T. Bolliger Physiologic Evaluation of the Patient With Lung Cancer Being Considered for Resectional Surgery: ACCP Evidenced-Based Clinical Practice Guidelines (2nd Edition) Chest, September 1, 2007; 132(3_suppl): 161S - 177S. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. Hoksch, R. Fahrner, and R. Alexander Schmid Procalcitonin and brain natriuretic peptide as parameters in the postoperative course of patients with major pulmonary resection Interact CardioVasc Thorac Surg, April 1, 2007; 6(2): 155 - 159. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. Cardinale, A. Colombo, M. T. Sandri, G. Lamantia, N. Colombo, M. Civelli, M. Salvatici, G. Veronesi, F. Veglia, C. Fiorentini, et al. Increased Perioperative N-Terminal Pro-B-Type Natriuretic Peptide Levels Predict Atrial Fibrillation After Thoracic Surgery for Lung Cancer Circulation, March 20, 2007; 115(11): 1339 - 1344. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. J. Park, H. Zhang, V. W. Rusch, and D. Amar Video-assisted thoracic surgery does not reduce the incidence of postoperative atrial fibrillation after pulmonary lobectomy J. Thorac. Cardiovasc. Surg., March 1, 2007; 133(3): 775 - 779. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Bobbio, D. Caporale, E. Internullo, L. Ampollini, S. Bettati, E. Rossini, P. Carbognani, and M. Rusca Postoperative outcome of patients undergoing lung resection presenting with new-onset atrial fibrillation managed by amiodarone or diltiazem Eur J Cardiothorac Surg, January 1, 2007; 31(1): 70 - 74. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Amar, A. Goenka, H. Zhang, B. Park, and H. T. Thaler Leukocytosis and increased risk of atrial fibrillation after general thoracic surgery. Ann. Thorac. Surg., September 1, 2006; 82(3): 1057 - 1061. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
