Postoperative Atrial Fibrillation Significantly Increases Mortality, Hospital Readmission, and Hospital Costs

LaPar, Damien J.; Speir, Alan M.; Crosby, Ivan K.; Fonner, Edwin; Brown, Michael E.; Rich, Jeffrey B.; Quader, Mohammed; Kern, John A.; Krön, Irving L.; Ailawadi, Gorav

doi:10.1016/j.athoracsur.2014.03.039

Cited by 236 publications

(196 citation statements)

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“…In the present study, POAF developed in 23% of all patients, consistent with the current literature. Previous studies indicated that the development of POAF is associated with a longer hospital stay, increased costs, and increased morbidity, including cerebrovascular events, heart failure, and mortality (2,3). In the present study, the lengths of hospital stay and ICU stay were significantly higher in patients with POAF.…”

Section: Discussionsupporting

confidence: 61%

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Role of red blood cell distribution width and epicardial fat in atrial fibrillation after cardiopulmonary bypass

et al. 2018

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Objective: Postoperative atrial fibrillation (POAF) is a common complication after cardiac surgery, and it remains a challenge for cardiac surgeons despite advances in medicine. A number of studies have been performed to examine various parameters to predict which patients will develop POAF. The present study was performed to investigate the roles of epicardial adipose tissue (EAT) volume and red blood cell distribution width (RDW) as predictors of POAF. Methods: The medical records of 350 patients undergoing coronary artery bypass grafting in one or more vessels at the Tertiary Cardiac Center, Cardiovascular Surgery Department, Mevlana (Rumi) University Private Hospital (Konya, Turkey), were screened between December 2011 and May 2015. The study population consisted of 149 patients fulfilling the inclusion criteria and undergoing a preoperative evaluation by computed chest tomography. All patient demographics and laboratory parameters were obtained from medical records. Results: Age, postoperative RDW, and tomography variables, including the left atrial (LA) volume, LA diameters, and EAT volume, were significantly higher while the hemoglobin level and hematocrit were significantly lower in patients developing atrial fibrillation after cardiopulmonary bypass. A logistic multivariate regression analysis was performed on age, postoperative RDW, and tomography variables, including LA volume, LA diameters and EAT volume. Only age (OR 1.0731, 95% CI 1.012-1.138; p = 0.018) was an independent predictor of the development of POAF. Conclusions: Although the EAT volume was high in patients developing atrial fibrillation after surgery, age was the only significant predictor of POAF on multivariate analysis. Additional studies regarding the predictive roles of epicardial fat and RDW in POAF are needed.

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Section: Discussionsupporting

confidence: 61%

“…The development of POAF after cardiac surgery is associated with a longer hospital stay, increased costs, and increased morbidity, including cerebrovascular events, heart failure, and mortality (2,3). The cause of POAF is unclear.…”

Section: Introductionmentioning

confidence: 99%

Role of red blood cell distribution width and epicardial fat in atrial fibrillation after cardiopulmonary bypass

et al. 2018

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“…Migotanie przedsionków w okresie pooperacyjnym wią-że się ze zwiększonym ryzykiem wczesnego udaru mózgu, chorobowości, a także umieralności w 30-dniowej obserwacji [927,951,952]. Długoterminowo u pacjentów z epizodem AF w okresie pooperacyjnym stwierdza się 2-krotny wzrost umieralności z przyczyn sercowo-naczyniowych oraz znacznie zwiększone ryzyko AF i udaru niedokrwiennego w przyszłości w porównaniu z pacjentami, u których po operacji utrzymywał się rytm zatokowy [952][953][954][955][956][957][958].…”

Section: Leczenie Przeciwzakrzepoweunclassified

2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS

Kirchhof

Benussi

Kotecha³

et al. 2016

Kardiol Pol

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“…The Meta analysis of 24 trails included in this study estimated the incidence of AF at 26.7% in patients undergoing CABG alone. 4 The present study has also revealed less incidence of AF in our population as 9 out of 130 patients (7 %) developed AF post operatively.…”

Section: Discussionmentioning

confidence: 70%

“…The strong association of prior AF, advanced age, male gender, obesity, postoperative beta blocker withdrawal have been established, while other factors such as congestive heart failure (CHF), chronic lung disease, systemic emboli, decreased (LV/EF), increased left atrial (LA) size, hypomagnesaemia, myocardial infarction peri and postoperative, prolong cross clamp and bypass time have shown less likely association with this arrhythmia. 4 These frequent post-operative cardiac arrhythmias linked and consequently prolong the hospital stay. The episodes of AF are usually symptomatic as patients experience palpitation, nausea and malaise.…”

Section: Introductionmentioning

confidence: 99%

Atrial Fibrillation; To Determine the Frequency and Its Predisposing Factors in Patients After Coronary Artery Bypass Grafting.

Riaz

2017

TPMJ

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ABSTRACT… Introduction: Atrial Fibrillation (AF) is one of the most common arrhythmia after coronary artery bypass grafting (CABG). Many risk factors have been identified for the development of postoperative AF with varied level of evidence. AF is associated with increased risk of morbidity and mortality causing prolong hospital stay and utilizing more resources. Our study was aimed to identify high risk population for developing post-operative AF and to draw recommendations for its prevention. Objectives: Our objective was to determine the frequency of Atrial Fibrillation (AF) and its predisposing factors in patients after Coronary Artery Bypass Grafting (CABG). Setting: The study was conducted at Cardiac Surgery Department / Faisalabad Institute of Cardiology, Faisalabad. Duration of Study: 15-12-2014 to 14-07-2015. Study Design: Cross sectional study. Results: The result showed that out of 130 patients undergoing CABG surgery, 104 (80.3%) male and 26 (19.7%) females, 9(7%) patients suffered AF in post-operative phase. A significant association was found between postoperative AF and advanced age (p = 0.011), obesity (p = 0.028), low EF (p = 0.000), and post-operative use of β-blocker (p = 0.007). Significant difference was found between postoperative AF and days stayed in hospital (p = 0.000) and magnesium level at first day (p = 0.038). On the other hand there was no significant relationship found between AF and prolongs cross clamp and bypass time. Conclusion: Advance age, obesity, congestive heart failure, low ejection fraction and withdrawal from beta blockers in post-operative period have been identified as a significant risk factors for the development of post-operative atrial fibrillation. Key words:Atrial Fibrillation, Coronary Artery Bypass Grafting, Postoperative Arrhythmia. Article Citation: Riaz R, Ahmad N, Abbas S. Atrial fibrillation; To determine the frequency and its predisposing factors in patients after coronary artery bypass grafting.

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Postoperative Atrial Fibrillation Significantly Increases Mortality, Hospital Readmission, and Hospital Costs

Cited by 236 publications

References 22 publications

Role of red blood cell distribution width and epicardial fat in atrial fibrillation after cardiopulmonary bypass

Role of red blood cell distribution width and epicardial fat in atrial fibrillation after cardiopulmonary bypass

2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS

Atrial Fibrillation; To Determine the Frequency and Its Predisposing Factors in Patients After Coronary Artery Bypass Grafting.

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