scholarly journals Relationship between red cell distribution width and mean platelet volume with new onset atrial fibrillation afteroff-pump coronary artery bypass grafting

2018 ◽  
Vol 119 (06) ◽  
pp. 335-340 ◽  
Author(s):  
K. K. Ozsin ◽  
U. S. Sanri ◽  
F. Toktas ◽  
S. Yavuz
Keyword(s):  
Atrial Fibrillation ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Red Cell ◽  
Cell Distribution ◽  
Platelet Volume ◽  
Distribution Width ◽  
Pump Coronary Artery Bypass ◽  
Onset Atrial Fibrillation ◽  
New Onset

scholarly journals New-Onset Atrial Fibrillation after Off-Pump Coronary Artery Bypass Grafting: Predictors and In-hospital Complications

2020 ◽  
Author(s):  
Hao Xu ◽  
Guangpu Fan ◽  
Yu Chen
Keyword(s):  
Atrial Fibrillation ◽  
Artery Bypass ◽  
Median Sternotomy ◽  
Bypass Grafting ◽  
Peripheral Vascular ◽  
Off Pump ◽  
Mechanical Ventilation Time ◽  
Pump Coronary Artery Bypass ◽  
Onset Atrial Fibrillation ◽  
New Onset

Abstract Objective To explore risk factors and in-hospital complications of new-onset atrial fibrillation (AF) after off-pump coronary artery bypass grafting (OPCAB). Methods In this study of 1344 patients who underwent isolated OPCAB from 2012 to 2015, patients were divided into AF and non-AF group according to whether new-onset postoperative AF occurred. Results The incidence of new-onset AF after OPCAB was 28.57%, mainly appeared within the first 4 days after surgery. After binary logistic regression analysis, age, peripheral vascular disease, median-sternotomy OPCAB, mechanical ventilation time, IABP were independent predictors of AF( p <0.001,OR 1.039,95%CI 1.023-1.055; p =0.007,OR 2.450,95%CI 1.282-4.684; p =0.044,OR 0.589,95%CI 0.351-0.987; p =0.013,OR 1.006,95%CI 1.001-1.011; p =0.007,OR 3.001,95%CI 1.356-6.642, respectively). Patients with AF have a significant higher risk of reoperation, re-entry into ICU, re-intubation, postoperative myocardial infarction, renal failure, and death ( p =0.013, p =0.015, p <0.001, p =0.037, p <0.001, p <0.001, respectively), also a longer re-ICU time ( p =0.014). Conclusion Advanced age, peripheral vascular disease, median-sternotomy OPCAB, mechanical ventilation time, IABP were independent predictors for new-onset AF after OPCAB. Postoperative AF was clearly associated with more in-hospital complications.

scholarly journals The Effects of Diabetes Mellitus in Patients Undergoing Off-Pump Coronary Artery Bypass Grafting

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Yu Liu ◽  
Jinsong Han ◽  
Tao Liu ◽  
Zhonglu Yang ◽  
Hui Jiang ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Postoperative Infection ◽  
Propensity Score Analysis ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Off Pump ◽  
Score Analysis ◽  
Pump Coronary Artery Bypass ◽  
Onset Atrial Fibrillation ◽  
New Onset

Objective. To investigate the effects of diabetes mellitus (DM) in patients undergoing off-pump coronary artery bypass grafting (OPCAB).Method. A total of 728 patients with DM and 1380 patients without DM who underwent OPCAB treatment from March 2012 to April 2015 were reviewed. The effects of DM on intraoperative variables and postoperative complications were determined using propensity score analysis.Results. Two well-matched subgroups were selected using propensity score analysis (DM = 728, no-DM = 728) to compare the perioperative outcome. The duration of the ICU stay, in hours (55.2 ± 53.0 versus 49.29 ± 51.30,P<0.05), postoperative new-onset atrial fibrillation (20.9% versus 14.97%,P<0.05), and postoperative infection (9.2% versus 4.67%,P<0.05) were greater in DM patients, as indicated by univariate analysis.Conclusion. OPCAB was found to be effective in DM patients, but postoperative infection and postoperative new-onset atrial fibrillation were found to be more likely to occur in DM patients than in other patients. DM was found to be a powerful risk factor for postoperative infection and postoperative new-onset atrial fibrillation.

scholarly journals Resource Utilization Related to Atrial Fibrillation After Coronary Artery Bypass Grafting

2002 ◽  
Vol 11 (3) ◽  
pp. 228-238 ◽  
Author(s):  
Marilyn Hravnak ◽  
Leslie A. Hoffman ◽  
Melissa I. Saul ◽  
Thomas G. Zullo ◽  
Gayle R. Whitman
Keyword(s):  
Atrial Fibrillation ◽  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Resource Utilization ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Artery Bypass Grafting ◽  
Onset Atrial Fibrillation ◽  
New Onset

• Background Studies of resource utilization by patients with new-onset atrial fibrillation after coronary artery bypass grafting have addressed only length of stay and bed charges.• Objective To compare resource utilization between patients with new-onset atrial fibrillation and patients without atrial fibrillation after isolated coronary artery bypass grafting.• Methods Retrospective review of clinical and administrative electronic databases for 720 subjects who underwent isolated coronary artery bypass grafting with cardiopulmonary bypass in 25 months at one medical center. The prevalence of atrial fibrillation was determined, and resource utilization in various hospital cost centers was compared between subjects with and without atrial fibrillation.• Results The prevalence of new-onset atrial fibrillation was 33.1%. Compared with subjects without atrial fibrillation, subjects with atrial fibrillation had a longer stay (5.8 ± 2.4 vs 4.4 ± 1.2 days, P&lt; .001), more days receiving mechanical ventilation (P=.002) and oxygen therapy (P&lt; .001), and higher rates of readmission to the intensive care unit (4.6% vs 0.2%, P&lt; .001). Subjects with atrial fibrillation also had more laboratory tests (P&lt; .001) and more days receiving cardiac drugs, heparin, diuretics, and electrolytes. Subjects with atrial fibrillation had higher total postoperative charges ($57261 ± $17 101 vs $50 905 ± $10 062, P = .001), a mean difference of $6356. The mean differences were greatest for bed charges ($1642), laboratory charges ($1215), pharmacy ($989), and respiratory care ($582).• Conclusions The economic impact of atrial fibrillation after coronary artery bypass grafting has been underestimated.

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