Is There Any Difference in Risk Factors between Male and Female Patients in New-Onset Atrial Fibrillation after Coronary Artery Bypass Grafting?

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dc.authoriddisli, olcay murat/0000-0002-9699-4817
dc.authoridÇOLAK, CEMİL/0000-0001-5406-098X
dc.authoridErdil, Nevzat/0000-0002-8275-840X
dc.authoridAKÇA, BARIŞ/0000-0001-9154-4764
dc.authorwosiddisli, olcay murat/ABI-3289-2020
dc.authorwosidÇOLAK, CEMİL/ABI-3261-2020
dc.authorwosidColak, M. Cengiz/ABI-3394-2020
dc.authorwosidBattaloglu, Bektas/ABI-6211-2020
dc.authorwosidErdil, Nevzat/K-8079-2019
dc.authorwosidAKÇA, BARIŞ/ABG-7339-2020
dc.contributor.authorAkca, Baris
dc.contributor.authorErdil, Nevzat
dc.contributor.authorColak, Mehmet Cengiz
dc.contributor.authorDisli, Olcay Murat
dc.contributor.authorBattaloglu, Bektas
dc.contributor.authorColak, Cemil
dc.date.accessioned2024-08-04T20:44:24Z
dc.date.available2024-08-04T20:44:24Z
dc.date.issued2018
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground We aimed to investigate the risk factors of post-coronary artery bypass grafting (CABG) atrial fibrillation (AF) in male and female patients without any history of AF, to identify the sex-specific risk factors, and to examine the effect of sex-specific risk factors on the overall population. Methods This retrospective study was conducted using the hospital database with 4,758 patients who underwent CABG surgery. Among them, 2,836 patients with complete data participated in this study. The female patients were divided into two groups as patients who developed new-onset AF after CABG and those who did not. The relationship between the patients' variables and risk factors of post-CABG AF was examined. Results The overall incidence of post CABG AF was 12.9% (386/2,836). Sex-specific incidence of AF was similar: 3.2% (91/690) and 12.9% (277/2146) in female and male patients, respectively (p = 0.849). Multiple analysis revealed the independent risk factors for male and female patients, respectively: mean age (odds ratio [OR] = 1.057, OR = 1,076), age over 65 years (OR = 2.156, OR = 2.736), the European System For Cardiac Operative Risk Evaluation Scores (EuroSCORE) (OR = 1.13, OR = 1.218), COPD (OR = 1.589, OR = 1.789), BUN level (OR = 1.026, OR = 1.019), mean cardiopulmonary bypass (CPB) time (OR = 1.007, OR = 1.010), prolonged CPB time (OR = 1.604, OR = 2.309), mean cross-clamp time (OR = 1.009, OR = 1.017), need of inotropic support (OR = 2.249, OR = 2.731), and mean mechanical ventilation time (VT) (OR = 1.026, OR = 1.027). Low left ventricular ejection fraction (LVEF) (OR = 1.419), left ventricular (LV) aneurysm repair (OR = 1.533), carotid artery disease (OR = 1.750), prolonged VT (OR = 1.729), and use of intra-aortic balloon pump (IABP) (OR = 2.436) were found to be the risk factors only for male AF patients. Unstable angina (OR = 1.969), right coronary artery (RCA) disease (OR = 2), prolonged cross-clamp time (OR = 2.152), and the number of grafts per operation (OR = 1.298) were found to be the risk factors only for female AF patients. Conclusion This study suggests that predictors of AF in the overall population may be due to isolated patient groups. Multiple regression analysis and artificial intelligence modelling should be performed on large-scale, isolated groups to make strong AF prediction.en_US
dc.identifier.doi10.1055/s-0038-1629921
dc.identifier.endpage490en_US
dc.identifier.issn0171-6425
dc.identifier.issn1439-1902
dc.identifier.issue6en_US
dc.identifier.pmid29510430en_US
dc.identifier.scopus2-s2.0-85044096229en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage483en_US
dc.identifier.urihttps://doi.org/10.1055/s-0038-1629921
dc.identifier.urihttps://hdl.handle.net/11616/98200
dc.identifier.volume66en_US
dc.identifier.wosWOS:000444458500010en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherGeorg Thieme Verlag Kgen_US
dc.relation.ispartofThoracic and Cardiovascular Surgeonen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectatrial fibrillationen_US
dc.subjectcoronary artery bypass graftingen_US
dc.subjectrisk factorsen_US
dc.subjectsex factorsen_US
dc.titleIs There Any Difference in Risk Factors between Male and Female Patients in New-Onset Atrial Fibrillation after Coronary Artery Bypass Grafting?en_US
dc.typeArticleen_US

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