Risk factors for the development of postoperative atrial fibrillation after esophagectomy for esophageal cancer

Abstract

Postoperative atrial fibrillation (POAF) is one of the most complications after esophagectomy. Thus, our study was conducted to explore risk factors that are associated with POAF following esophagectomy. In the current study, we retrospectively evaluated 511 patients with esophageal cancer who underwent esophagectomy at our center between May 2018 and December 2020. The incidence of POAF and clinical variables were collected and analyzed. POAF occurred in 62 (12.13%) of 511 patients. Increasing age (P = .004) and lower preoperative albumin level (P = .028) was significantly associated with POAF. The length of stay was significantly increased in patients with POAF when compared to patients without POAF (P = .003). Multivariate analysis suggested that age (odds ratio [OR] = 1.049, 95% confidence interval [CI] = 1.008–1.093, P = .020), hypertension (OR = 2.207, 95% CI = 1.221–3.987, P = .009), respiratory complications (OR = 2.015, 95% CI = 1.130–3.591, P = .018) and Ivor Lewis approach (OR = 3.001, 95% CI = 1.032–8.723, P = .044) were independent risk factors for POAF following esophagectomy. Increasing age, preoperative hypertension, respiratory complications and Ivor Lewis approach are independent risk factors for POAF after esophagectomy. POAF is associated with prolonged length of stay. This study suggests that older patients, patients with hypertension or patients underwent Ivor Lewis approach should be monitored more closely during the postoperative period.

Surgery Adherence and Survival Outcomes in Patients With Locally Advanced (IIA-IVA) Cancer of the Lower Esophagus: A SEER Database-Based Study

“…It is generally known that older patients have poorer physical condition and are more likely to suffer from chronic diseases such as malnutrition, diabetes mellitus, coronary artery disease, and hypertension, and that these underlying diseases increase the risks associated with esophageal cancer surgery. 11 Age is one of the major risk factors for the development of atrial fibrillation in patients undergoing esophagectomy, according to a study by He et al 12 Another study revealed a substantial rise in the occurrence of postoperative bedsores, depression, confusion, and malnutrition in elderly patients who underwent gastrointestinal surgery. 13 Consequently, when confronted with heightened surgical threats and complications, elderly patients usually opt for more cautious treatment options.…”