Postoperative arrhythmias in geriatric lung cancer patients undergoing thoracoscopic surgery: an exploration of prevalence and influencing factors
Abstract Background Arrhythmias are a frequent complication in the postoperative period following surgical procedures. This study aims to investigate the incidence and contributing factors of arrhythmias in elderly patients with lung cancer who have undergone thoracoscopic surgery, thereby providing...
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BMC
2025-05-01
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| Series: | Perioperative Medicine |
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| Online Access: | https://doi.org/10.1186/s13741-025-00538-4 |
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| author | Xiaoyu Chen Yan Wu Xiaofang Zheng |
| author_facet | Xiaoyu Chen Yan Wu Xiaofang Zheng |
| author_sort | Xiaoyu Chen |
| collection | DOAJ |
| description | Abstract Background Arrhythmias are a frequent complication in the postoperative period following surgical procedures. This study aims to investigate the incidence and contributing factors of arrhythmias in elderly patients with lung cancer who have undergone thoracoscopic surgery, thereby providing scientific evidence to support clinical treatment and nursing care. Methods This retrospective cohort study included elderly patients diagnosed with lung cancer who underwent treatment at our hospital between June 1, 2022, and October 31, 2024. Patients were categorized into two groups based on the development of postoperative arrhythmias following thoracoscopic surgery: the arrhythmia group and the non-arrhythmia group. A comparative analysis of the clinical data was conducted between these two groups. Results A total of 208 patients were enrolled, with an incidence of postoperative arrhythmias of 19.71% (41/208). Logistic regression analysis identified age ≥ 70 years (OR = 2.586, 95% CI: 1.805–3.221), hypertension (OR = 2.761, 95% CI: 2.103–3.588), history of smoking (OR = 2.070, 95% CI: 1.741–2.446), TNM stage II (OR = 3.181, 95% CI: 2.842–3.690), postoperative pulmonary infection (OR = 2.122, 95% CI: 1.836–2.690), and postoperative constipation (OR = 2.495, 95% CI: 1.988–3.072) as independent risk factors for postoperative arrhythmias (all p < 0.05). Conclusion The incidence of postoperative arrhythmias in elderly patients with lung cancer following thoracoscopic surgery is relatively high. Targeted interventions addressing the identified risk factors are essential to mitigate the risk of postoperative arrhythmias. |
| format | Article |
| id | doaj-art-5c71bbc70619481abd1629f30d8b58b4 |
| institution | Kabale University |
| issn | 2047-0525 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Perioperative Medicine |
| spelling | doaj-art-5c71bbc70619481abd1629f30d8b58b42025-08-20T03:53:13ZengBMCPerioperative Medicine2047-05252025-05-011411810.1186/s13741-025-00538-4Postoperative arrhythmias in geriatric lung cancer patients undergoing thoracoscopic surgery: an exploration of prevalence and influencing factorsXiaoyu Chen0Yan Wu1Xiaofang Zheng2Nursing Department, The First Affiliated Hospital of Fujian Medical UniversityNursing Department, The First Affiliated Hospital of Fujian Medical UniversityNursing Department, The First Affiliated Hospital of Fujian Medical UniversityAbstract Background Arrhythmias are a frequent complication in the postoperative period following surgical procedures. This study aims to investigate the incidence and contributing factors of arrhythmias in elderly patients with lung cancer who have undergone thoracoscopic surgery, thereby providing scientific evidence to support clinical treatment and nursing care. Methods This retrospective cohort study included elderly patients diagnosed with lung cancer who underwent treatment at our hospital between June 1, 2022, and October 31, 2024. Patients were categorized into two groups based on the development of postoperative arrhythmias following thoracoscopic surgery: the arrhythmia group and the non-arrhythmia group. A comparative analysis of the clinical data was conducted between these two groups. Results A total of 208 patients were enrolled, with an incidence of postoperative arrhythmias of 19.71% (41/208). Logistic regression analysis identified age ≥ 70 years (OR = 2.586, 95% CI: 1.805–3.221), hypertension (OR = 2.761, 95% CI: 2.103–3.588), history of smoking (OR = 2.070, 95% CI: 1.741–2.446), TNM stage II (OR = 3.181, 95% CI: 2.842–3.690), postoperative pulmonary infection (OR = 2.122, 95% CI: 1.836–2.690), and postoperative constipation (OR = 2.495, 95% CI: 1.988–3.072) as independent risk factors for postoperative arrhythmias (all p < 0.05). Conclusion The incidence of postoperative arrhythmias in elderly patients with lung cancer following thoracoscopic surgery is relatively high. Targeted interventions addressing the identified risk factors are essential to mitigate the risk of postoperative arrhythmias.https://doi.org/10.1186/s13741-025-00538-4ArrhythmiasGeriatricLung cancerSurgeryTreatmentCare |
| spellingShingle | Xiaoyu Chen Yan Wu Xiaofang Zheng Postoperative arrhythmias in geriatric lung cancer patients undergoing thoracoscopic surgery: an exploration of prevalence and influencing factors Perioperative Medicine Arrhythmias Geriatric Lung cancer Surgery Treatment Care |
| title | Postoperative arrhythmias in geriatric lung cancer patients undergoing thoracoscopic surgery: an exploration of prevalence and influencing factors |
| title_full | Postoperative arrhythmias in geriatric lung cancer patients undergoing thoracoscopic surgery: an exploration of prevalence and influencing factors |
| title_fullStr | Postoperative arrhythmias in geriatric lung cancer patients undergoing thoracoscopic surgery: an exploration of prevalence and influencing factors |
| title_full_unstemmed | Postoperative arrhythmias in geriatric lung cancer patients undergoing thoracoscopic surgery: an exploration of prevalence and influencing factors |
| title_short | Postoperative arrhythmias in geriatric lung cancer patients undergoing thoracoscopic surgery: an exploration of prevalence and influencing factors |
| title_sort | postoperative arrhythmias in geriatric lung cancer patients undergoing thoracoscopic surgery an exploration of prevalence and influencing factors |
| topic | Arrhythmias Geriatric Lung cancer Surgery Treatment Care |
| url | https://doi.org/10.1186/s13741-025-00538-4 |
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