dc.contributor.author |
Nisanoğlu, Vedat |
|
dc.contributor.author |
Erdil, Nevzat |
|
dc.contributor.author |
Aldemir, Mustafa |
|
dc.contributor.author |
Özgür, Bülent |
|
dc.contributor.author |
Cihan, H. Berat |
|
dc.contributor.author |
Yoloğlu, Saim |
|
dc.contributor.author |
Battaloğlu, Bektaş |
|
dc.date.accessioned |
2017-10-20T07:40:40Z |
|
dc.date.available |
2017-10-20T07:40:40Z |
|
dc.date.issued |
2007 |
|
dc.identifier.citation |
Nisanoğlu, V., Erdil, N., Aldemir, M., Özgür, B., Cihan, H. B., Yoloğlu, S., & Battaloğlu, B. (2007). Atrial Fibrillation After Coronary Artery Bypass Grafting İn Elderly Patients Incidence And Risk Factor Analysis. The Thoracic And Cardiovascular Surgeon, 55(1), 32–38. |
tr_TR |
dc.identifier.uri |
https://www.ncbi.nlm.nih.gov/pubmed/17285471 |
|
dc.identifier.uri |
http://hdl.handle.net/11616/7765 |
|
dc.description |
The Thoracic and Cardiovascular Surgeon |
tr_TR |
dc.description.abstract |
Objective: New-onset atrial fibrillation (AF) is the most frequent arrhythmic complication after coronary artery bypass grafting (CABG). Elderly patients who undergo this operation may have a different risk profile from the general population. The aim of this study was to identify risk factors for post-CABG AF in the elderly population. Methods: Between September 2001 and December 2005, 426 elderly patients (age ≥ 65 years) underwent CABG at our center. Ninety-one developed post-CABG AF (AF group), and the other 335 (no-AF group) did not develop this complication. Multivariate analysis (odds ratio, ± 95 % CI, p value) was used to identify independent clinical predictors of post-CABG AF. Results: The incidence of post-CABG AF in elderly patients during the study period was 21.4 %. Multivariate analysis identified age (OR 1.07, p < 0.009), age ≥ 75 years (OR 1.77, p < 0.042), preoperative renal insufficiency (OR 5.09, p < 0.035), EuroSCORE (OR 1.18, p < 0.038), and cross-clamping time (OR 1.02, p < 0.012) as predictors of AF occurrence. The AF group had a significantly longer mean intensive care unit (ICU) stay (3.8 ± 4.7 vs. 2.5 ± 1.3 days for AF vs. no-AF; p = 0.0001), and a significantly higher proportion of patients with prolonged (≥ 6 days) ICU stays (8.8 % vs. 3.2 %, respectively; p = 0.033). Hospital mortality was 3.2 % in the no-AF group and 2.2 % in the AF group (p = 0.74). Conclusion: This study of elderly patients reveals some novel predictors of post-CABG AF, most notably preoperative renal insufficiency and EuroSCORE. It is important to identify risk factors for post-CABG AF in all patient groups as this knowledge might lead to better prevention of this problem and its potential consequences. |
tr_TR |
dc.language.iso |
eng |
tr_TR |
dc.publisher |
The Thoracic and Cardiovascular Surgeon |
tr_TR |
dc.relation.isversionof |
10.1055/s-2006-924711 |
tr_TR |
dc.rights |
info:eu-repo/semantics/openAccess |
tr_TR |
dc.subject |
Cardiovascular Surgery |
tr_TR |
dc.subject |
Coronary bypass surgery |
tr_TR |
dc.subject |
Heart disease |
tr_TR |
dc.title |
Atrial fibrillation after coronary artery bypass grafting in elderly patients ıncidence and risk factor analysis |
tr_TR |
dc.type |
article |
tr_TR |
dc.relation.journal |
The Thoracic and Cardiovascular Surgeon |
tr_TR |
dc.contributor.department |
İnönü Üniversitesi |
tr_TR |
dc.contributor.authorID |
223334 |
tr_TR |
dc.contributor.authorID |
8752 |
tr_TR |
dc.contributor.authorID |
39164 |
tr_TR |
dc.contributor.authorID |
9608 |
tr_TR |
dc.identifier.volume |
55 |
tr_TR |
dc.identifier.issue |
1 |
tr_TR |
dc.identifier.startpage |
32 |
tr_TR |
dc.identifier.endpage |
38 |
tr_TR |