USF-LVHN SELECT
New-onset postoperative atrial fibrillation is associated with perioperative inflammatory response and longer hospital stay after robotic-assisted pulmonary lobectomy.
Publication/Presentation Date
3-1-2023
Abstract
BACKGROUND: Atrial fibrillation is a common arrhythmia previously linked to systemic inflammation, which has been correlated with leukocyte and prealbumin levels. We sought to identify predictors of postoperative atrial fibrillation (POAF) following robotic-assisted pulmonary lobectomy.
METHODS: This retrospective cohort study included 709 consecutive patients who underwent robotic-assisted lobectomy by one surgeon over 10.7 years. We compared demographics, preoperative comorbidities, perioperative leukocyte, prealbumin levels, complications, chest tube (CT) duration, and hospital length of stay (LOS) using Student's
RESULTS: Preoperative atrial fibrillation or chronic steroid or immunosuppressant use excluded 131 patients, and 578 remaining patients were classified as POAF (
CONCLUSIONS: New-onset POAF patients had a substantial perioperative inflammatory burden characterized by preoperative hypertension, postoperative leukocytosis, and decreased prealbumin and had prolonged hospital LOS compared with patients without POAF. Postoperative leukocyte and prealbumin levels should be monitored, as these pro-inflammatory markers may forecast POAF.
Volume
12
First Page
100153
Last Page
100153
ISSN
2666-2620
Published In/Presented At
Fishberger, G., Mhaskar, R., Cobb, J., Strang, H. E., Heide, M., Bagos-Estevez, A., West, W., 3rd, Chase, C. B., Varadhan, A., Dolorit, M., Dutta, M., Cool, S., Weeden, E. E., Nguyen, D., Garrett, J. R., Moodie, C. C., Fontaine, J. P., Tew, J. R., Baldonado, J. J. A. R., & Toloza, E. M. (2022). New-onset postoperative atrial fibrillation is associated with perioperative inflammatory response and longer hospital stay after robotic-assisted pulmonary lobectomy. Surgery in practice and science, 12, 100153. https://doi.org/10.1016/j.sipas.2022.100153
Disciplines
Medical Education | Medicine and Health Sciences
PubMedID
39845292
Department(s)
USF-LVHN SELECT Program, USF-LVHN SELECT Program Students
Document Type
Article
