2023 North America Conference on Lung Cancer (NACLC) - Posters and Abstracts-PP01.131 Eric Toloza NACLC23 Abstract (LCRI)

PP01.131 Eric Toloza NACLC23 Abstract (LCRI)

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The study aimed to evaluate the usefulness of the Lee Revised Cardiac Risk Index (LCRI) in predicting postoperative complications and survival in patients undergoing robotic-assisted pulmonary lobectomy (RAPL). The researchers analyzed data from 731 patients who underwent RAPL over an 11.8-year period. The patients were divided into two groups based on their LCRI score: Low-Risk LCRI (526 patients) and High-Risk LCRI (205 patients). <br /><br />The High-Risk LCRI group was found to be older and had a higher proportion of male patients. The study found that High-Risk LCRI patients had higher estimated blood loss but similar rates of intraoperative complications compared to the Low-Risk LCRI group. However, High-Risk LCRI patients had a higher incidence of myocardial infarctions and respiratory failure. Other postoperative cardiac complications did not significantly differ between the two groups. High-Risk LCRI patients also had longer hospital lengths of stay. <br /><br />The study did not find a significant difference in 30-day mortality rates between the Low-Risk and High-Risk LCRI patients. However, the median overall survival was significantly longer for the High-Risk LCRI group compared to the Low-Risk LCRI group. <br /><br />In conclusion, the study suggests that the LCRI is a useful tool for assessing certain cardiac risks postoperatively, such as myocardial infarctions and respiratory failure. However, its predictive capacity may not be uniform for all types of cardiac complications after RAPL. Further research is needed to evaluate other risk factors and predictors of postoperative complications and survival in RAPL patients.

Keywords

Lee Revised Cardiac Risk Index

LCRI

postoperative complications

survival

robotic-assisted pulmonary lobectomy

RAPL

myocardial infarctions

respiratory failure

hospital length of stay

predictive capacity