Predictors of Postoperative Atrial Fibrillation after On Pump Coronary Artery Bypass Grafting Is Duration of Mechanical Ventilation Time a Risk Factor

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dc.authorid8752en_US
dc.authorid132303en_US
dc.authorid103997en_US
dc.authorid14111en_US
dc.authorid39164en_US
dc.authorid9608en_US
dc.contributor.authorErdil, Nevzat
dc.contributor.authorGedik, Ender
dc.contributor.authorDönmez, Köksal
dc.contributor.authorErdil,Feray Akgül
dc.contributor.authorAldemir, Mustafa
dc.contributor.authorYoloğlu, Saim
dc.contributor.authorBattaloğlu, Bektaş
dc.date.accessioned2017-07-31T11:44:40Z
dc.date.available2017-07-31T11:44:40Z
dc.date.issued2013
dc.descriptionAnn Thorac Cardiovasc Surg 2014; 20: 135–142en_US
dc.description.abstractPurpose: This study aimed to establish the role of risk factors in the etiology of postoperative atrial fi brillation (AF) after coronary artery bypass grafting (CABG). Methods: Between September 2001 and March 2008, 1040 patients underwent isolated CABG at our clinic. Nine hundred and eleven of these patients did not have any AF (Non-AF Group) and the other one hundred and twenty-nine had AF (AF Group). A retrospective study was performed for patient, disease and treatment related factors and multivariate analysis was used to identify independent clinical predictors of postoperative AF. Results: Postoperative AF was identifi ed in 129 (12.4%) of the patients, and those were signifi cantly older and had signifi cantly higher additive EuroSCORE score as compared with patients without AF. During the postoperative course, patients with postoperative AF also had signifi cantly higher and prolonged (≥6 hours) mechanical ventilation time, longer and prolonged intensive care unit stay and longer hospital stay. Logistic regression analysis revealed that postoperative AF development ratio was 1.690 times higher when the ventilation time was over 6 hours (OR 1.690, 95% CI 1.092–2.615, p = 0.018); 1.240 times higher in the presence of elevated additive EuroSCORE score (OR 1.240, 95% CI 1.109–1.385, p = 0.0001); 1.052 times higher in the presence of advanced age (OR 1.052, 95% CI 1.031–1.0741, p = 0.0001). Conclusion: Analysis of our data reveals that, patient’s age, additive EuroSCORE score, and prolonged ventilation are predictors of postoperative AF. Identifi cation of risk factors might lead to better prevention of this problem and its potential consequences. However, to support our investigation and obtain more reliable evidence, prospective randomized controlled trials are needed.en_US
dc.identifier.citationERDİL, N., GEDİK, E., Dönmez, K., AKGÜL ERDİL, F., ALDEMİR, M., BATTALOĞLU, B., & YOLOĞLU, S. (2013). Predictors of Postoperative Atrial Fibrillation after On Pump Coronary Artery Bypass Grafting Is Duration of Mechanical Ventilation Time a Risk Factor . Ann Thorac Cardiovasc Surg, 0–0.en_US
dc.identifier.endpage0en_US
dc.identifier.issue0en_US
dc.identifier.startpage0en_US
dc.identifier.urihttps://hdl.handle.net/11616/7408
dc.identifier.volume0en_US
dc.language.isoenen_US
dc.publisherAnn Thorac Cardiovasc Surgen_US
dc.relation.ispartofAnn Thorac Cardiovasc Surgen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCardiopulmonary Bypassen_US
dc.subjectCoronary artery bypass graftingen_US
dc.subjectTrial fi brillationen_US
dc.subjectVentilationen_US
dc.titlePredictors of Postoperative Atrial Fibrillation after On Pump Coronary Artery Bypass Grafting Is Duration of Mechanical Ventilation Time a Risk Factoren_US
dc.typeArticleen_US

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