New-Onset Sleep Disorders before Cardiac Surgery May Indicate an Increased Risk of Postoperative Atrial Fibrillation.

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-12-20 Epub Date: 2023-06-23 DOI:10.5761/atcs.oa.23-00074

Xiaokang Xu, Weitao Liang, Juan Tang, Zhong Wu

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Abstract

Purpose: We aimed to determine if sleep disorders before cardiac surgery indicate an increased risk of postoperative atrial fibrillation (POAF).

Methods: In this study, 238 patients undergoing coronary artery bypass grafting in our center were included. Patients were separated into the preoperative sleep disorder group and the control group. The primary endpoint was the incidence of POAF, and the secondary endpoints were the incidence of postoperative stroke, duration of invasive ventilation, length of intensive care unit, and hospitalization stay. Propensity score matching and multivariable logistic regression were used for adjusting potential confounders.

Results: A total of 165 (69.3%) patients had sleep disorders before surgery, and 73 well-matched pairs were generated. A higher incidence of POAF was found in the preoperative sleep disorder group (16.4% versus 5.5%, p = 0.034). In multivariable logistic regression, preoperative sleep disorders were correlated to a higher risk of POAF (odds ratio = 4.627, 95% confidence interval: 1.181-18.123, p = 0.028). In the subgroup of patients without long-term sleep disorders, those who experienced preoperative sleep disorders had a higher incidence of POAF (16.1% versus 4.3%, p = 0.024), meanwhile, no difference was found in the subgroup of long-term sleep disorders.

Conclusion: New-onset sleep disorders before cardiac surgery may indicate a higher incidence of POAF.

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心脏手术前新发睡眠障碍可能预示着术后心房颤动风险增加

目的：我们旨在确定心脏手术前的睡眠障碍是否会增加术后心房颤动（POAF）的风险：本研究共纳入 238 名在本中心接受冠状动脉搭桥术的患者。将患者分为术前睡眠障碍组和对照组。主要终点是 POAF 发生率，次要终点是术后中风发生率、有创通气时间、重症监护室时间和住院时间。采用倾向评分匹配和多变量逻辑回归调整潜在的混杂因素：共有 165 名（69.3%）患者在手术前患有睡眠障碍，其中 73 对患者匹配良好。术前睡眠障碍组的 POAF 发生率更高（16.4% 对 5.5%，P = 0.034）。在多变量逻辑回归中，术前睡眠障碍与较高的 POAF 风险相关（几率比 = 4.627，95% 置信区间：1.181-18.123，p = 0.028）。在没有长期睡眠障碍的亚组患者中，术前出现睡眠障碍的患者POAF发生率更高（16.1%对4.3%，P = 0.024），而在长期睡眠障碍亚组中没有发现差异：结论：心脏手术前新出现的睡眠障碍可能预示着更高的 POAF 发生率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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