Effect of bronchodilator treatment on the incidence of postoperative atrial fibrillation after cardiac surgery
| Autor: | Mary Ann Cunningham, Joanne L. Thanavaro, Rebecca A. Lorenz, Timothy Delicath, Chakra Budhathoki |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty Cross-sectional study medicine.drug_class Critical Care and Intensive Care Medicine Internal medicine Bronchodilator Levalbuterol Atrial Fibrillation medicine Humans Cardiac Surgical Procedures Retrospective Studies Postoperative Care Missouri business.industry Incidence (epidemiology) Incidence Atrial fibrillation Retrospective cohort study Middle Aged medicine.disease Cardiac surgery Bronchodilator Agents Cross-Sectional Studies Treatment Outcome cardiovascular system Cardiology Female Cardiology and Cardiovascular Medicine business Complication Follow-Up Studies |
| Zdroj: | Heartlung : the journal of critical care. 41(5) |
| ISSN: | 1527-3288 |
| Popis: | We sought to examine the effects of bronchodilator treatment on the incidence of postoperative atrial fibrillation (POAF) after cardiac surgery.A cross-sectional design using a retrospective chart review was performed in patients who underwent cardiac surgery. Those who had previous atrial fibrillation or preoperative bronchodilator treatment were excluded from the final sample (n = 506). The Statistical Package for the Social Sciences (SPSS, Inc., Chicago, IL) was used for statistical analyses.The incidence of POAF in this study was 27.9%, and was associated with age (P.01) and type of cardiac surgery (P.05), indicating that increasing age, and combined cardiac surgery were more likely to precipitate POAF. Bronchodilator treatment did not increase POAF. However, combined therapy significantly (P.01) precipitated more POAF (48.7%) than did albuterol (21.4%) or levalbuterol (18.5%).Postoperative atrial fibrillation continues to be a common complication after cardiac surgery. Bronchodilator treatment with either albuterol or levalbuterol did not precipitate POAF, unless both agents were given to the same patients postoperatively. |
| Databáze: | OpenAIRE |
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