Impact of atrial arrhythmias after esophagectomy on recovery: A meta-analysis.

Abstract:

BACKGROUND:Postoperative atrial arrhythmias (PAAs) are common complications after esophagectomy, however research findings are contradicted on the prognosis. Therefore this meta-analysis was conducted to determine whether PAAs after esophagectomy had an impact on prognosis. METHODS:Studies comparing prognosis between patients with and without PAAs after esophagectomy were searched in EMBASE, MEDLINE, and the Cochrane Register. Primary prognosis was perioperative mortality, and secondary prognoses were postoperative complications, length of stay (LOS). RESULTS:Ten studies including 2681 patients were included in this analysis, in which 508 patients (18.9%) experienced PAAs. Patients with PAAs resulted in significantly higher perioperative (odds ratio, OR 4.05[95% confidence interval, CI: 2.45-6.70], P = .40) mortality, longer hospital LOS (mean differences, MD: 1.49 [95% CI: 0.32-2.66]days, P = .01), more incidence of pulmonary pneumonia (OR 2.48 [95% CI: 1.71-3.59], P < .00001), and anastomotic leakage (OR 2.37 [95% CI: 1.39-4.03], P < .00001). CONCLUSIONS:Atrial arrhythmias (AAs) after esophagectomy are associated with higher perioperative mortality, longer hospital LOS, and more incidences of complications. Therapeutic strategies against PAAs are pending for further researches.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Chen LT,Jiang CY

doi

10.1097/MD.0000000000010948

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

e10948

issue

23

eissn

0025-7974

issn

1536-5964

pii

00005792-201806080-00030

journal_volume

97

pub_type

杂志文章,meta分析,评审

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