The risk factors of postoperative atrial fibrillation in critically ill lung surgery patients and the establishment of nomogram
10.3760/cma.j.cn112434-20230330-00070
- VernacularTitle:肺部手术重症患者出现术后心房颤动的危险因素分析及列线图预测模型构建
- Author:
Yijia JIANG
1
;
Jin ZHANG
;
Jingyi WANG
;
Wei LIU
Author Information
1. 首都医科大学附属北京朝阳医院重症医学科，北京 100020
- Keywords:
Lung surgery;
Critically ill;
Postoperative atrial fibrillation;
Risk factors;
Prediction model
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2023;39(6):352-359
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To identify the risk factors of postoperative atrial fibrillation (POAF) in critically ill lung surgery patients and establish a nomogram.Methods:213 critically ill lung surgery patients were collected in Beijing Chaoyang Hospital from January 2018 to December 2021. Logistic analysis was used to analyze the risk factors of POAF. A nomogram was developed based on the verified risk factors. Results:The independent risk factors associated with POAF was mitral regurgitation ( OR=4.270, 95% CI: 1.380-13.213, P=0.012), cedilanid ( OR=14.619, 95% CI: 2.913-73.373, P=0.001), catecholamine ( OR=3.244, 95% CI: 1.144-9.203, P=0.027), pericardiotomy( OR=6.079, 95% CI: 1.362-27.128, P=0.009), systematic lymph node dissection( OR=5.460, 95% CI: 1.770-16.846, P=0.003). Nomogram model showed the ROC was 0.801(95% CI: 0.721-0.881, P<0.001). Conclusion:The risk factors of POAF in critically ill lung surgery patients are mitral regurgitation, cedilanid, catecholamine, pericardiotomy and systematic lymph node dissection. The nomogram predicted POAF better than other scoring systems.
