A Propensity-Matched Comparison of the Incidence of New-Onset Postoperative Atrial Arrhythmias in Cardiac and Noncardiac Thoracic Surgery Patients
| Autor: | Alaa A. Abd-Elsayed, M. Phil Liang Li, Marv Leventhal, John Seif, Anupa Deogaonkar, Sherif Zaky, C. Allen Bashour |
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| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty Thoracic Surgical Procedure Databases Factual Coronary Artery Bypass Off-Pump Subgroup analysis law.invention Postoperative Complications Heart Rate law Heart rate medicine Cardiopulmonary bypass Humans Heart Atria cardiovascular diseases Cardiac Surgical Procedures Aged Retrospective Studies Cardiopulmonary Bypass business.industry Incidence (epidemiology) Arrhythmias Cardiac Retrospective cohort study Middle Aged Thoracic Surgical Procedures Surgery Cardiac surgery Anesthesiology and Pain Medicine Cardiothoracic surgery Creatinine Sample Size Anesthesia cardiovascular system Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiothoracic and Vascular Anesthesia. 24:447-450 |
| ISSN: | 1053-0770 |
| Popis: | The primary aim of this investigation was to compare the incidence of new-onset postoperative atrial arrhythmias (POAAs) in cardiac versus noncardiac thoracic surgery patients. A subgroup analysis also was performed in the cardiac surgery patients comparing POAAs in patients who underwent cardiac surgery on and off cardiopulmonary bypass (CPB).This was a retrospective study using the Department of Cardiothoracic Anesthesia patient registry. All patients (n = 33,500) undergoing cardiac (n = 29,057) and noncardiac thoracic (n = 4,443) surgeries between 1993 and 2004 were identified from the patient registry. Two propensity-matched comparisons for the incidence of POAAs were made: (1) in cardiac surgery patients versus noncardiac thoracic surgery patients and (2) in patients undergoing cardiac surgery with versus without CPB.A large metropolitan multidisciplinary clinic.Patients.No interventions were done because this was a retrospective study.The cardiac patients had a significantly higher incidence of POAAs when compared with noncardiac thoracic surgery patients (11.6% v 7.5%, p0.001). There was no significant difference in the incidence of POAAs between patients undergoing CPB versus off-pump CPB (13.3% v 12.3%, p = 0.3).The incidence of new-onset POAAs was higher in patients undergoing cardiac surgery than in patients undergoing noncardiac thoracic surgery in propensity-matched patient groups. CPB was not associated with new-onset POAAs. |
| Databáze: | OpenAIRE |
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