ECTSS Home  |  Past Meetings
Eastern Cardiothoracic Surgical Society

Back to 2021 Posters


Racial Differences in Incidence of Postoperative Atrial Fibrillation Following Robotic-Assisted Video-Thoracoscopic Pulmonary Lobectomy
Harrison E. Strang1, Sarah Cool1, Gregory Fishberger1, Diep Nyugen1, Collin Chase1, Ajay Varadhan1, Maykel Dolorit1, Emily Weeden1, Rahul Mhaskar1, Joseph R. Garrett2, Carla C. Moodie2, Jacques P. Fontaine1, Jenna Tew2, Jobelle J.A.R. Baldonado1, Eric M. Toloza1.
1University of South Florida Health Morsani College of Medicine, Tampa, FL, USA, 2Moffitt Cancer Center, Tampa, FL, USA.

Objective: Investigating interracial differences in postoperative complications will help cardiothoracic surgeons tailor postoperative care for at-risk groups and reduce hospital costs. Here, we investigated interracial differences in postoperative atrial fibrillation (POAF) incidences following robot-assisted video-thoracoscopic (RAVT) pulmonary lobectomy.Methods: We retrospectively analyzed 711 consecutive patients who underwent RAVT pulmonary lobectomy by one surgeon over 10.8 years. Patients with documented prior incidences of atrial fibrillation were excluded in order to study incidences of new-onset POAF. Patients were categorized as Caucasian, African American (AA), Asian/Pacific-Insider (API), Native American (NA), or Other. We also compared Caucasian vs. non-Caucasian patients, the latter comprised of all AA, API, NA, and Other patients. We used Pearson χ2 analysis to compare variables, with as significant.Results: Of 711 study patients, 648 patients had no prior history of atrial fibrillation and included 601 Caucasian patients, 17 AA patients, 12 API patients, 3 NA patients, and 15 Other patients. There were no statistical differences in incidences of new-onset POAF among these five racial groups (; Table 1). Of 83 patients who developed new-onset POAF, 82 were Caucasian, and 1 was API (Table 1). Caucasian patients had significantly greater incidences of new-onset POAF than non-Caucasians (; Table 1).
Conclusions: We found no significant interracial differences in the incidence of new-onset POAF following RAVT pulmonary lobectomy, but there was a significant difference between Caucasian and non-Caucasian patients. Further investigation will aim to explore this question using more extensive databases that include more minority patients.

Tables:
Table 1A percent within race; B percent within all races; C statistically significant value


Back to 2021 Posters