Analysis of risk factor and establishment of scoring system for predicting tachyarrhythmia after thoracic surgery
1.Department of Cardiothoracic Surgery, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325015; 2.Department of Oncological Surgery, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325015
LIN Yueyue1,YOU Jie2,LIN Xiaoming1, et al. Analysis of risk factor and establishment of scoring system for predicting tachyarrhythmia after thoracic surgery [J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2014, 44(4): 278-281.
Abstract：Objective: To analysis the risk factor of tachyarrhythmia after general t horacic surgery (GTS), establish the scoring system that predicts the occurrence rate of tachyarrhythmia. Methods: Retrospective study was performed on 412 patients who underwent GTS in our department. Results: Occurrence rate was 35.6%, the risk factor of tachyarrhythmia after GTS included preoperative lung function (P<0.01), preoperative cardiac function (P<0.01), surgery (P<0.01), surgery time (P<0.01). Calculated the possible function of tachyarrhythmia occurrence rate and established the scoring system with abnormal preoperative lung function (yes 10, no 0), abnormal preoperative cardiac function (yes 8, no 0), pulmonectomy or oesophagectomy (yes 26, no 0), surgery time (≥4 h 12, <4 h 0). 26 predicted the tachyarrhythmia, with sensitivity 0.924, specificity 0.514. Occurrence rate blow 26 was 14.6%, above 26 was 52.9% (P<0.01). Conclusion: The scoring system that predicts tachyarrhythmia occurrence rate is simple, convenient and applicable.
