Prediction Rule for Atrial Fibrillation After Major Noncardiac Thoracic Surgery

摘要: Background Atrial fibrillation (AF) is a common complication after major noncardiac thoracic surgery and increases the cost morbidity of these operations. We sought to derive validate clinical prediction rule risk-stratify patients for postoperative AF. Methods For cohort cancer who underwent surgery, we examined association preoperative variables with development Logistic regression identified multivariable predictors AF risk score was developed by assigning weighted point scores presence each significant covariate. An independent data set used validation purposes. Results Of 856 patients, 147 (17.2%) Male gender (odds ratio [OR] 1.7, 95% confidence interval [CI] 1.1 2.4), advanced age (55 74 years OR 4.4, CI 2.0 9.8; ≥75 9.2, 3.9 21.5), heart rate greater than or equal 72 beats per minute (OR 1.2 2.5) were A assigned male receiving 1 point, 55 75 3 4 points, respectively. The ranged from 0% (0 points) 54.6% (6 ( p = 0.66). Conclusions using can be predict surgery. This information guide prophylactic therapy.