Potentially modifiable risk factors for atrial fibrillation following lung resection surgery: a retrospective cohort study.

Abstract:

:Atrial fibrillation is the most frequent arrhythmia after thoracic surgery and is associated with increased hospital costs, morbidity and mortality. In this study, we aimed to identify potentially modifiable risk factors for postoperative atrial fibrillation following lung resection surgery and to suggest possible measures to reduce risk. We retrospectively reviewed the medical records of 4731 patients who underwent lobectomy or more major lung resection over a 6-year period. Patients who developed atrial fibrillation postoperatively and required treatment were included in the postoperative atrial fibrillation group, while the remaining patients were assigned to the non-postoperative atrial fibrillation group. Risk factors for postoperative atrial fibrillation were analysed by multivariate analysis and propensity score matching. Overall, 12% of patients developed postoperative atrial fibrillation. Potentially modifiable risk factors for postoperative atrial fibrillation were excessive alcohol consumption (odds ratio (OR) = 1.48, 95% CI 1.08-2.02, p = 0.0140), red cell transfusion (2.70(2.13-3.43), p < 0.0001), use of inotropes (1.81(1.42-2.31), p < 0.0001) and open (vs. thoracoscopic) surgery (1.59(1.23-2.05), p < 0.0001). Compared with inotrope use, vasopressor administration was not related to postoperative atrial fibrillation. Use of steroids or thoracic epidural anaesthesia did not reduce the incidence of postoperative atrial fibrillation. We conclude that high alcohol consumption, red cell transfusion, use of inotropes and open surgery are potentially modifiable risk factors for postoperative atrial fibrillation. Pre-operative alcohol consumption needs to be addressed. Avoiding red cell transfusion and performing lung resection via video-assisted thoracoscopic surgery may reduce the incidence of postoperative atrial fibrillation and the administration of vasopressors rather than inotropes is preferred.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Lee SH,Ahn HJ,Yeon SM,Yang M,Kim JA,Jung DM,Park JH

doi

10.1111/anae.13644

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

1424-1430

issue

12

eissn

0003-2409

issn

1365-2044

journal_volume

71

pub_type

杂志文章
  • The addition of dexamethasone to dolasetron or haloperidol for treatment of established postoperative nausea and vomiting.

    abstract::It is not known whether dexamethasone increases the effectiveness of anti-emetics when given to treat postoperative nausea and vomiting (PONV). In a randomised study, 242 patients who were experiencing PONV received dolasetron and placebo, haloperidol and placebo, dolasetron and dexamethasone, or haloperidol and dexam...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2007.05136.x

    authors: Rüsch D,Arndt C,Martin H,Kranke P

    更新日期:2007-08-01 00:00:00

  • Occupational exposure to sevoflurane, halothane and nitrous oxide during paediatric anaesthesia. Waste gas exposure during paediatric anaesthesia.

    abstract::We report the findings of a study on exposure of operating room staff to sevoflurane, halothane and nitrous oxide during induction and maintenance of anaesthesia in children. Concentrations of anaesthetic agents in the operating theatre were measured directly by highly sensitive, photoacoustic infrared spectrometer du...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1997.070-az0061.x

    authors: Hoerauf K,Funk W,Harth M,Hobbhahn J

    更新日期:1997-03-01 00:00:00

  • Extending a pipecuronium neuromuscular block. Increments of atracurium or vecuronium as an alternative to pipecuronium.

    abstract::Ten patients received increasing doses of pipecuronium at induction of anaesthesia. A dose response relationship was then constructed from which ED90 and ED95 values were measured as 43.4 micrograms.kg-1 and 50.5 micrograms.kg-1 respectively. A further 30 patients received pipecuronium in a dose sufficient to produce ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1993.tb06899.x

    authors: Roberts SP,Ramsay TM,Healy TE,Wilson A,Pollard BJ

    更新日期:1993-03-01 00:00:00

  • Improved PCO2 measurement in six standard blood gas analysers using a phosphate-buffered solution for gastric tonometry.

    abstract::The measurement of gastric intramucosal pH serves as a non-invasive technique for early detection of gastrointestinal ischaemia in critically ill patients. The method is based on the determination of the partial pressure of carbon dioxide in a 0.9% saline solution using a standard blood gas analyser. However, the use ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1995.tb06047.x

    authors: Knichwitz G,Mertes N,Kuhmann M

    更新日期:1995-06-01 00:00:00

  • The nature of pre-operative anxiety.

    abstract::In a study of 247 patients who had general anaesthesia for dental procedures, the incidence of individual anxieties was noted using a questionnaire completed by the patient. The most common anxieties related to the period before transfer to the operating theatre, intra-operative awareness and postoperative pain. These...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1990.tb14285.x

    authors: McCleane GJ,Cooper R

    更新日期:1990-02-01 00:00:00

  • Decision analysis in anaesthesia: a tool for developing and analysing clinical management plans.

    abstract::Traditional medical decision making is unstructured and incorporates evidence haphazardly. I present a more structured approach based on decision analysis, a model that considers all relevant options and outcomes informed by evidence where appropriate. This method is useful both for planning clinical management and fo...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2044.2006.04649.x

    authors: Yentis SM

    更新日期:2006-07-01 00:00:00

  • The impact of respiratory protective equipment on difficult airway management: a randomised, crossover, simulation study.

    abstract::The current international COVID-19 health crisis underlines the importance of adequate and suitable personal protective equipment for clinical staff during acute airway management. This study compares the impacts of standard air-purifying respirators and powered air-purifying respirators during simulated difficult air...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/anae.15102

    authors: Schumacher J,Arlidge J,Dudley D,Sicinski M,Ahmad I

    更新日期:2020-10-01 00:00:00

  • The oculo-emetic reflex. A rationalisation of postophthalmic anaesthesia vomiting.

    abstract::Data related to the incidence of postoperative vomiting were collected during prospective studies on 607 ophthalmic surgical patients of all ages who underwent halothane anaesthesia with spontaneous ventilation. Analysis of data in respect of age, sex and surgical site variables, and time of onset of vomiting, identif...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1989.tb11157.x

    authors: van den Berg AA,Lambourne A,Clyburn PA

    更新日期:1989-02-01 00:00:00

  • Subcutaneous tissue oxygen tension after coronary revascularisation with and without cardiopulmonary bypass.

    abstract::Directly measured subcutaneous tissue oxygen tension reflects the adequacy of regional tissue oxygenation and influences wound infection and healing. We tested the hypothesis that off-pump coronary artery bypass would increase subcutaneous tissue oxygen tension by minimizing cardiopulmonary bypass-induced systemic inf...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2004.03608.x

    authors: Cody C,Buggy DJ,Marsh B,Moriarity DC

    更新日期:2004-03-01 00:00:00

  • A comparison of the predictive performance of three pharmacokinetic models for propofol using measured values obtained during target-controlled infusion.

    abstract::We compared the predictive performance of the existing Diprifusor and Schnider models, used for target-controlled infusion of propofol, with a new modification of the Diprifusor model (White) incorporating age and sex covariates. The bias and inaccuracy (precision) of each model were determined using computer simulati...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.12631

    authors: Glen JB,White M

    更新日期:2014-06-01 00:00:00

  • Sand aspiration: a case report and review of the radiological features and management.

    abstract::We report a case of severe sand aspiration in association with near-drowning, which led to respiratory failure secondary to the acute respiratory distress syndrome, necessitating mechanical ventilation, repeated therapeutic bronchoscopic lavage, and a stay in the intensive care unit that exceeded one month. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2010.06405.x

    authors: Appelboam R,Williams MP,Duffy MR

    更新日期:2010-08-01 00:00:00

  • Nikolay Ivanovich Pirogov: a surgeon's contribution to military and civilian anaesthesia.

    abstract::A key figure in the development of anaesthesia in Russia was the surgeon Nikolay Ivanovich Pirogov (1810-1881). He experimented with ether and chloroform and organised the general introduction of anaesthesia in Russia for patients undergoing surgery. He was the first to perform systematic research into anaesthesia-rel...

    journal_title:Anaesthesia

    pub_type: 传,历史文章,杂志文章

    doi:10.1111/anae.12916

    authors: Hendriks IF,Bovill JG,Boer F,Houwaart ES,Hogendoorn PC

    更新日期:2015-02-01 00:00:00

  • Impact of caudal block on postoperative complications in children undergoing tubularised incised plate urethroplasty for hypospadias repair: a retrospective cohort study.

    abstract::This study aimed to assess the association between caudal block and postoperative complications after tubularised incised plate urethroplasty. The medical records of 388 paediatric patients who underwent urethroplasty at a tertiary medical centre were analysed retrospectively. Among the 342 patients included, 216 pati...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13463

    authors: Kim MH,Im YJ,Kil HK,Han SW,Joe YE,Lee JH

    更新日期:2016-07-01 00:00:00

  • Effect of orientation of a standard polyvinyl chloride tracheal tube on success rates during awake flexible fibreoptic intubation.

    abstract::We conducted a randomised study in 70 patients to assess the effect of orientation of a standard polyvinyl chloride tracheal tube on the ease of railroading the tube during awake fiberoptic orotracheal intubation. Conventional orientation of the tube (with the bevel of the tube directed to the patient's left) was comp...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2006.04750.x

    authors: Sharma D,Bithal PK,Rath GP,Pandia MP

    更新日期:2006-09-01 00:00:00

  • Effects of the European Working Time Directive on anaesthetic training in the United Kingdom.

    abstract::Decreases in the hours worked by trainee anaesthetists are being brought about by both the New Deal for Trainees and the European Working Time Directive. Anticipated improvements in health and safety achieved by a decrease in hours will be at the expense of training time if the amount of night-time work remains consta...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2004.03808.x

    authors: Sim DJ,Wrigley SR,Harris S

    更新日期:2004-08-01 00:00:00

  • Echocardiographic assessment of the haemodynamic effects of propofol: a comparison with etomidate and thiopentone.

    abstract::The haemodynamic effects of propofol (2 mg/kg), etomidate (0.2 mg/kg) and thiopentone (4 mg/kg) were studied in 30 ASA 1 and 2 patients in whom anaesthesia had been induced with midazolam 0.1 mg/kg, fentanyl 5 micrograms/kg, vecuronium 0.1 mg/kg and atropine 10 micrograms/kg, and maintained with nitrous oxide in oxyge...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1991.tb09349.x

    authors: Gauss A,Heinrich H,Wilder-Smith OH

    更新日期:1991-02-01 00:00:00

  • The safety of paediatric surgery between COVID-19 surges: an observational study.

    abstract::Despite the ongoing coronavirus disease 2019 (COVID-19) pandemic, elective paediatric surgery must continue safely through the first, second and subsequent waves of disease. This study presents outcome data from a children's hospital in north-west England, the region with the highest prevalence of COVID-19 in England....

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.15264

    authors: Okonkwo INC,Howie A,Parry C,Shelton CL,Cobley S,Craig R,Permall N,El-Sheikha SH,Herbert N,Arnold P

    更新日期:2020-12-01 00:00:00

  • Respiratory tract infection and anaesthesia. Haemophilus influenzae pneumonia that developed under anaesthesia.

    abstract::A 2-year-old boy with symptoms of a minor upper respiratory tract infection developed Haemophilus influenzae pneumonia that presented as hypoxaemia under anaesthesia for minor emergency surgery. The patient required 72 hours of mechanical ventilation in an intensive care unit after the anaesthetic and thereafter made ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1990.tb14831.x

    authors: Campbell NN

    更新日期:1990-07-01 00:00:00

  • Airway management guidance for the endemic phase of COVID-19.

    abstract::It is now apparent that severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) and coronavirus disease 2019 (COVID-19) will remain endemic for some time. Improved therapeutics and a vaccine may shorten this period, but both are far from certain. Plans must be put in place on the assumption that the virus and its...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/anae.15253

    authors: Cook TM,McGuire B,Mushambi M,Misra U,Carey C,Lucas N,O'Sullivan E,Harrop-Griffiths W

    更新日期:2021-02-01 00:00:00

  • Efficacy of microfiltration in decreasing propofol-induced pain.

    abstract::In a randomised, double-blinded, two-centre trial we evaluated the effect of a microbiological filter (Supor, Pall Life Sciences) on propofol injection pain. We studied 336 unpremedicated adult patients, who graded pain experienced during induction of anaesthesia with propofol on a 4-point verbal rating scale. Use of ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1046/j.1365-2044.2002.02602.x

    authors: Davies AF,Vadodaria B,Hopwood B,Dexter T,Conn D

    更新日期:2002-06-01 00:00:00

  • Bacterial contamination of PCA and epidural infusion devices.

    abstract::We prospectively audited the bacterial contamination of re-usable analgesia infusion pumps. In a one-month period, 112 samples from the handset and keypads of our analgesia infusion pumps were cultured for bacterial contamination. Forty-five percent of handset swabs and 46% of keypad swabs grew bacteria; the commonest...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2009.05914.x

    authors: Rothwell M,Pearson D,Wright K,Barlow D

    更新日期:2009-07-01 00:00:00

  • Exploring patient attitudes to behaviour change before surgery to reduce peri-operative risk: preferences for short- vs. long-term behaviour change.

    abstract::Pre-operative intervention to improve general health and readiness for surgery is known as prehabilitation. Modification of risk factors such as physical inactivity, smoking, hazardous alcohol consumption and an unhealthy weight can reduce the risk of peri-operative morbidity and improve patient outcomes. Intervention...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.14826

    authors: McDonald S,Yates D,Durrand JW,Kothmann E,Sniehotta FF,Habgood A,Colling K,Hollingsworth A,Danjoux G

    更新日期:2019-12-01 00:00:00

  • Attitudes to pain and pain relief in adult surgical patients.

    abstract::Pain relief after surgery is frequently inadequate. In the last few years much research has been devoted to improving the situation. Unfortunately, very little work has been undertaken to explore the patients' contribution to pain management. The beliefs and attitudes held by patients when they enter the hospital envi...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1996.tb13647.x

    authors: Brydon CW,Asbury AJ

    更新日期:1996-03-01 00:00:00

  • Which intravenous induction agent for day surgery? A comparison of propofol, thiopentone, methohexitone and etomidate.

    abstract::Eighty day patients for the vaginal termination of pregnancy were randomly allocated to receive thiopentone, propofol, methohexitone or etomidate as intravenous induction agents. The same anaesthetist administered the anaesthesia and all the observers were blind to the agents used. The results show that thiopentone an...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1988.tb09014.x

    authors: Heath PJ,Kennedy DJ,Ogg TW,Dunling C,Gilks WR

    更新日期:1988-05-01 00:00:00

  • Nerve tissue protein S-100 and neurone-specific enolase concentrations in cerebrospinal fluid and blood during carotid endarterectomy.

    abstract::Nerve tissue protein S-100 and neurone-specific enolase levels in serum were studied in 10 patients before, during and for 2 days after elective carotid endarterectomy performed under general anaesthesia and using a Javid Shunt. In six patients, simultaneous cerebrospinal fluid samples were also obtained. Serum nerve ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2000.01466.x

    authors: Gao F,Harris DN,Sapsed-Byrne S,Standfield NJ

    更新日期:2000-08-01 00:00:00

  • The oesophageal detector device. An assessment of accuracy and ease of use by paramedics.

    abstract::Accuracy, ease and speed of recognition of tracheal tube position were assessed using the oesophageal detector device in a series of 40 tests on 29 patients. A single blind method was used, with each paramedic performing a single test on each patient. The tests were randomly split between two groups consisting of thos...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1994.tb04259.x

    authors: Donahue PL

    更新日期:1994-10-01 00:00:00

  • The relationship between anaesthetic uptake and cardiac output.

    abstract::The hypothesis that anaesthetic uptake during maintenance of anaesthesia is related to cardiac output was tested on 21 patients undergoing cardiac surgery. Using a computer-controlled closed breathing system, enflurane was administered to maintain an end-expired concentration of 1%. Cardiac output was measured by ther...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1996.tb07648.x

    authors: Watt SJ,Cook LB,Ohri S,Lockwood GG

    更新日期:1996-01-01 00:00:00

  • Short Form 36 in the intensive care unit: assessment of acceptability, reliability and validity of the questionnaire.

    abstract::The aim of this study was to assess the acceptability, validity and reliability of the Short Form 36 quality of life questionnaire in 166 adult patients following discharge from a general intensive care unit. Reliability was quantified by measuring internal consistency using correlation among items and Cronbach's alph...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1997.015-az014.x

    authors: Chrispin PS,Scotton H,Rogers J,Lloyd D,Ridley SA

    更新日期:1997-01-01 00:00:00

  • Low pressure leakage in anaesthetic machines. Evaluation by positive and negative pressure tests.

    abstract::Positive and negative pressure tests for checking the low pressure section of 36 anaesthetic machines in order to detect gas leaks were prospectively compared. The low pressure section was checked by the soap bubble test as a 'gold standard'. The leakage rate was 86.1%. The sensitivity and specificity of the positive ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1996.tb07792.x

    authors: Somprakit P,Soontranan P

    更新日期:1996-05-01 00:00:00

  • Oral ketamine. Its use for mentally retarded adults requiring day care dental treatment.

    abstract::Four cases of severely mentally handicapped young adults requiring day care dental treatment are reported. All had required varying degrees of restraint during previous dental treatments, which had been distressing for the patient, the relatives and the ward staff. In all cases, administration of oral ketamine 10 mg/k...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1991.tb09713.x

    authors: Petros AJ

    更新日期:1991-08-01 00:00:00