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.authoridErdil, Nevzat/0000-0002-8275-840X
dc.authoridErdil, Feray Akgül/0000-0002-7544-3717
dc.authoridGedik, Ender/0000-0002-7175-207X
dc.authoridDönmez, Köksal/0000-0003-1554-0141
dc.authoridYologlu, Saim/0000-0002-9619-3462
dc.authorwosidBattaloglu, Bektas/ABI-6211-2020
dc.authorwosidErdil, Nevzat/K-8079-2019
dc.authorwosidAldemir, Mustafa/ABB-2516-2021
dc.authorwosidErdil, Feray Akgül/ABI-2474-2020
dc.authorwosidGedik, Ender/ABI-2971-2020
dc.authorwosidDönmez, Köksal/U-8573-2019
dc.authorwosidYologlu, Saim/ABI-8014-2020
dc.contributor.authorErdil, Nevzat
dc.contributor.authorGedik, Ender
dc.contributor.authorDonmez, Koksal
dc.contributor.authorErdil, Feray
dc.contributor.authorAldemir, Mustafa
dc.contributor.authorBattaloglu, Bektas
dc.contributor.authorYologlu, Saim
dc.date.accessioned2024-08-04T20:39:40Z
dc.date.available2024-08-04T20:39:40Z
dc.date.issued2014
dc.departmentİnönü Üniversitesien_US
dc.description.abstractPurpose: This study aimed to establish the role of risk factors in the etiology of postoperative atrial fibrillation (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 identified in 129 (12.4%) of the patients, and those were significantly older and had significantly higher additive EuroSCORE score as compared with patients without AF. During the postoperative course, patients with postoperative AF also had significantly 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 EuroS CORE 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. Identification 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.doi10.5761/atcs.oa.12.02104
dc.identifier.endpage142en_US
dc.identifier.issn1341-1098
dc.identifier.issue2en_US
dc.identifier.pmid23445806en_US
dc.identifier.scopus2-s2.0-84899152300en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage135en_US
dc.identifier.urihttps://doi.org/10.5761/atcs.oa.12.02104
dc.identifier.urihttps://hdl.handle.net/11616/96423
dc.identifier.volume20en_US
dc.identifier.wosWOS:000335614100008en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMedical Tribune Incen_US
dc.relation.ispartofAnnals of Thoracic and Cardiovascular Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectcardiopulmonary bypassen_US
dc.subjectcoronary artery bypass graftingen_US
dc.subjectatrial fibrillationen_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 Factor?en_US
dc.typeArticleen_US

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