Postoperative arrhythmias in colorectal surgical patients: incidence and clinical correlates.

Autor: Walsh SR; Department of General Surgery, Arrowe Park Hospital, Upton, UK., Oates JE, Anderson JA, Blair SD, Makin CA, Walsh CJ
Jazyk: angličtina
Zdroj: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland [Colorectal Dis] 2006 Mar; Vol. 8 (3), pp. 212-6.
DOI: 10.1111/j.1463-1318.2005.00881.x
Abstrakt: Objective: To determine the incidence and clinical correlates of postoperative cardiac arrhythmias in patients undergoing elective large bowel resection.
Methods: Fifty-one consecutive patients undergoing elective open colorectal resection were recruited for this prospective observational study. Participating patients underwent daily three-lead electrocardiograms postoperatively. Data regarding potential risk factors for arrhythmias were recorded. Post-operative complications were recorded.
Results: Thirteen (26%) patients developed a postoperative arrhythmia, most commonly atrial fibrillation. Significant univariate correlates with postoperative arrhythmias were: age (P<0.01), hypertension (P<0.01), pre-operative serum potassium levels (P<0.01), postoperative pulmonary oedema (P=0.03), postoperative serum potassium (P=0.03) and sodium (P<0.01). Arrhythmia patients were more likely to have other complications (P=0.02). Thirty-one percent of arrhythmia patients had underlying sepsis compared with 18% of controls (P=0.38).
Conclusion: Arrhythmias are common following elective large bowel resection. They occur in older patients and are associated with the development of other complications.
Databáze: MEDLINE