Atrial Fibrillation After Cardiac Surgery: Incidence, Risk Factors, and Economic Burden
| Autor: | Pierluigi Stefàno, Luigi Padeletti, Gabriele Rosso, Carlo Rostagno, Jos G. Maessen, Alessandra Rossi, Mark La Meir, Sandro Gelsomino, Gian Franco Gensini, Enrico Carone, Francesco Puggelli, Lucio Braconi, Lorenzo Ghilli, Alessio Mattesini |
|---|---|
| Přispěvatelé: | MUMC+: MA Cardiothoracale Chirurgie (3), CTC, RS: CARIM School for Cardiovascular Diseases |
| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Endpoint Determination Electric Stimulation Therapy Amiodarone Electrocardiography Postoperative Complications Cost of Illness Risk Factors Internal medicine Odds Ratio Humans Medicine Sinus rhythm atrial fibrillation Cardiac Surgical Procedures amiodarone Aged perioperative complications medicine.diagnostic_test business.industry Incidence (epidemiology) Age Factors Atrial fibrillation Odds ratio Length of Stay Middle Aged medicine.disease Cardiac surgery Causality Hospitalization Logistic Models Anesthesiology and Pain Medicine Bypass surgery Echocardiography Multivariate Analysis Costs and Cost Analysis Cardiology Female Cardiology and Cardiovascular Medicine business Anti-Arrhythmia Agents cardiac surgery medicine.drug |
| Zdroj: | Journal of Cardiothoracic and Vascular Anesthesia, 24(6), 952-958. W B Saunders Co-Elsevier Inc |
| ISSN: | 1053-0770 |
| DOI: | 10.1053/j.jvca.2010.03.009 |
| Popis: | To evaluate the incidence of postoperative atrial fibrillation (POAF), the predisposing factors, the results of treatment before discharge, and the impact on duration and costs of hospitalization.A prospective observational study.Patients who underwent cardiac surgery from January 1, 2007 to December 31, 2007.Electrocardiography was continuously monitored after surgery. Patients with symptomatic new-onset atrial fibrillation or lasting15 minutes were treated with amiodarone and with DC shock in prolonged cases.POAF occurred in 29.7%, with the higher incidence between the 1st and 4th postoperative day. Age (p0.001), atrial size40 mm (p0.001), previous episodes of AF (p0.001), female sex (p = 0.010), and combined valve and bypass surgery (p = 0.012) were multivariate predictors of POAF at logistic regression. Sinus rhythm was restored by early treatment in 205 of 215 patients. This was associated with a low incidence of cerebrovascular events (0.5%) and with a limited increase of average length of hospitalization (24 hours) in patients with POAF.The overall incidence of POAF in the authors' center is close to 30%; 95.3% of patients were discharged in sinus rhythm. The increase in length and costs of hospitalization (on average, 1.0 day with a burden of about €1,800/patient) were significantly lower than in previous investigations. |
| Databáze: | OpenAIRE |
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