非心脏手术后的心房颤动：预测因素和死亡率风险。
Postoperative atrial fibrillation following non-cardiac surgery: Predictors and risk of mortality.
机构信息
Howard University Surgical Outcomes Center, Department of Surgery, Howard University Hospital, Washington, DC, 20060, USA.
Howard University Surgical Outcomes Center, Department of Surgery, Howard University Hospital, Washington, DC, 20060, USA.
出版信息
Am J Surg. 2022 Oct;224(4):1062-1067. doi: 10.1016/j.amjsurg.2022.07.010. Epub 2022 Jul 20.
BACKGROUND
Postoperative atrial fibrillation (POAF) is a major complication that follows both cardiac and non-cardiac procedures. Many studies have explored POAF after cardiac procedures, however POAF following non-cardiac procedures has been understudied.
METHODS
National Inpatient Sample database was utilized to conduct a retrospective study of hospitalizations with diagnosis of POAF following non-cardiac procedures between 2010 and 2015.
RESULTS
294,112 patients met the inclusion criteria. Advanced age, male gender, colonic resections, coagulopathy, fluid and electrolyte disorders and history of congestive heart failure are major predictors of POAF and in-hospital mortality. Race, type of insurance, income quartile and weekend admissions are independent determinants of mortality following POAF.
CONCLUSIONS
Development of POAF and mortality is dependent upon a wide range of factors not limited to age and medical comorbidities. Although a patient may be at an increased risk for POAF this does not mean they are at an increased risk for mortality.
背景
术后心房颤动（POAF）是心脏和非心脏手术后的主要并发症。许多研究已经探讨了心脏手术后的 POAF，但是对于非心脏手术后的 POAF 研究较少。
方法
利用国家住院患者样本数据库对 2010 年至 2015 年间非心脏手术后诊断为 POAF 的住院患者进行回顾性研究。
结果
294112 名患者符合纳入标准。高龄、男性、结肠切除术、凝血障碍、液体和电解质紊乱以及充血性心力衰竭病史是 POAF 和住院死亡率的主要预测因素。种族、保险类型、收入四分位数和周末入院是 POAF 后死亡率的独立决定因素。
结论
POAF 的发生和死亡率取决于广泛的因素，不仅限于年龄和合并症。尽管患者可能面临 POAF 的风险增加，但这并不意味着他们面临更高的死亡率风险。
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