2023 North America Conference on Lung Cancer (NACLC) - Posters and Abstracts-PP01.131 (Poster) The Lee Revised Cardiac Risk Index as a Predictor of Postoperative Complications and Survival after Robotic-Assisted Pulmonary Lobectomy

PP01.131 (Poster) The Lee Revised Cardiac Risk Index as a Predictor of Postoperative Complications and Survival after Robotic-Assisted Pulmonary Lobectomy

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The Lee Revised Cardiac Risk Index (LCRI) is a useful tool for predicting cardiac complications after surgery. In this study, the researchers aimed to evaluate the effectiveness of LCRI in predicting outcomes after robotic-assisted pulmonary lobectomy (RAPL). They analyzed data from 731 patients who underwent RAPL over 12 years.<br /><br />The patients were divided into two groups based on their LCRI scores: a low-risk group and a high-risk group. Various statistical tests were used to analyze the demographics, complications, and outcomes of the two groups.<br /><br />The results showed that high-risk patients had a higher incidence of complications such as myocardial infarction and respiratory failure. They also had greater estimated blood loss and longer hospital stays compared to low-risk patients. However, there was no significant difference in other postoperative cardiopulmonary complications between the two groups.<br /><br />Furthermore, the median overall survival was significantly shorter in the low-risk group compared to the high-risk group. This suggests that the LCRI may not be equally effective in predicting all types of cardiac complications after RAPL.<br /><br />In conclusion, high-risk LCRI patients had a higher risk of certain postoperative complications. However, the predictive capacity of LCRI may not be consistent for all cardiac complications after RAPL. The study emphasizes the importance of using LCRI as a tool for assessing cardiac risks after surgery but suggests the need for further research to improve its accuracy in predicting outcomes.

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Eric Toloza

Keywords

Lee Revised Cardiac Risk Index

cardiac complications

surgery

robotic-assisted pulmonary lobectomy

RAPL

LCRI scores

low-risk group

high-risk group

postoperative complications

overall survival