Predicting New-Onset Postoperative Atrial Fibrillation in Cardiac Surgery Patients
- Resource Type
- Authors
- Elsayed Elmestekawy; Jeffery J. Perry; Diem Tran; George A. Wells; Jean-Yves Dupuis
- Source
- Journal of Cardiothoracic and Vascular Anesthesia. 29:1117-1126
- Subject
- medicine.medical_specialty
business.industry
Postoperative complication
Atrial fibrillation
Disease
Clinical prediction rule
medicine.disease
Surgery
Cardiac surgery
Anesthesiology and Pain Medicine
medicine.anatomical_structure
Internal medicine
Mitral valve
cardiovascular system
Cardiology
medicine
Observational study
Cardiology and Cardiovascular Medicine
business
Artery
- Language
- ISSN
- 1053-0770
Objective To derive a simple clinical prediction rule identifying patients at high risk of developing new-onset postoperative atrial fibrillation (POAF) after cardiac surgery. Design Retrospective analysis on prospectively collected observational data. Setting A university-affiliated cardiac hospital. Participants Adult patients undergoing coronary artery bypass grafting and/or valve surgery. Interventions Observation for the occurrence of new-onset postoperative atrial fibrillation. Measurements and Main Results Details on 28 preoperative variables from 999 patients were collected and significant predictors (p Conclusions This study proposed a simple predictive score incorporating three risk variables to identify cardiac surgical patients at high risk of developing new-onset POAF. Preventive treatment should target patients≥65 years with left atrial dilatation and mitral valve disease.