About: Patients who develop post-operative atrial fibrillation have reduced survival after off-pump coronary artery bypass grafting

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About: Patients who develop post-operative atrial fibrillation have reduced survival after off-pump coronary artery bypass grafting Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Patients who develop post-operative atrial fibrillation have reduced survival after off-pump coronary artery bypass grafting
Creator	Krishna, Neethu Bhaskaran, Renjitha Ghurram, Akhil Jayant, Aveek Kerala Varma, Praveen Kumaraswamy, Natarajan
Source	PMC
abstract	OBJECTIVE: Post-operative atrial fibrillation (POAF) increases hospital stay, resource utilization, morbidity, and mortality. However, there is paucity of data about its effect in Indian patients undergoing off-pump coronary artery bypass grafting (CABG). METHODS: Seven hundred forty-eight patients underwent off-pump CABG from January 2015 to December 2016 (24 months). One hundred twenty-seven patients (16.7%) developed POAF. In an effort to mitigate the effects of wider risk factors on perioperative outcomes, a separate sub-analysis of patients based on risks quantified by EuroSCORE II (<> 3) was also performed. RESULTS: Age > 60 years and development of sepsis were the independent predictors for the development of POAF. Thirty-day/mortality rate was higher in the POAF group (7.1% vs. 1.4%; p value < 0.001). POAF was associated with increased ICU and hospital stay and increased incidence of stroke and renal dysfunction. The survival was significantly lower in the POAF group compared with the normal sinus rhythm (NSR) (3-year survival in POAF was 81.3% vs. 94.4% in the NSR group; Hazard ratio (HR) 3.867 (1.989–7.516)). Intra-aortic balloon pump (IABP) usage, age ≥ 60 years and sepsis were independent predictors for the development of POAF in low-risk patients. For the NSR group, 1-year survival was 98% and 3-year survival was 95.7%. For the POAF group, 1-year survival was 94.4% and 3-year survival was 84.0% (HR. 3.794 (1.897–7.591)). CONCLUSION: The incidence of POAF was lower than reported in the wider global literature. Increasing age and development of post-operative sepsis were strong independent predictors of POAF. POAF increases the morbidity; length of hospital stay and these patients show decreased survival after off-pump CABG.
has issue date	2019-07-19(xsd:dateTime)
bibo:doi	10.1007/s12055-019-00844-9
bibo:pmid	32435088
has license	no-cc
sha1sum (hex)	87e8813c6e090fd06ddf7883f08ce908690a62a8
schema:url	https://doi.org/10.1007/s12055-019-00844-9
resource representing a document's title	Patients who develop post-operative atrial fibrillation have reduced survival after off-pump coronary artery bypass grafting
has PubMed Central identifier	PMC7222924
has PubMed identifier	32435088
schema:publication	Indian J Thorac Cardiovasc Surg
resource representing a document's body	covid:87e8813c6e090fd06ddf7883f08ce908690a62a8#body_text
is schema:about of	named entity 'HOSPITAL STAY' named entity 'RISKS' named entity 'TWENTY-SEVEN' named entity 'EFFORT' named entity 'CABG' named entity 'off-pump' named entity 'atrial fibrillation' named entity 'atrial fibrillation' named entity 'post-operative' named entity 'off-pump' named entity 'refractoriness' named entity 'North American' named entity 'stroke' named entity 'Asian' named entity 'renal failure' named entity 'hemodynamic' named entity 'cytokine' named entity 'renal dysfunction' named entity 'heart failure' named entity 'endotoxemia' named entity 'western literature' named entity 'ascending aorta' named entity 'Left internal mammary artery' named entity 'revascularization' named entity 'follow-up' named entity 'premature contraction' named entity 'inflammatory' named entity 'odds ratio' named entity 'Atrial fibrillation' named entity 'cardiac surgery' named entity 'Asia' named entity 'CABG' named entity 'cardiac surgical' named entity 'OPCAB' named entity 'intensive care unit' named entity 'sepsis' named entity 'Multivariate analysis' named entity 'renal dysfunction' named entity 'follow-up' named entity 'hazard ratio' named entity 'atorvastatin' named entity 'Asia' named entity 'oxidative stress' named entity 'international normalized ratio' named entity 'odds ratio' named entity 'statistically significant' named entity 'standard deviation' named entity 'follow-up' named entity 'CABG' named entity 'CABG' named entity 'India' named entity '95% CI' named entity 'OPCAB' named entity 'Asian' named entity 'Sepsis' named entity 'refractoriness' named entity 'myocardial infarction' named entity 'Inflammation' named entity 'stroke' named entity 'amiodarone' named entity 'atrial flutter' named entity 'ICU' named entity 'log-rank test' named entity 'chi-square test' named entity 'mortality rate' named entity 'binary logistic regression' named entity 'OPCAB' named entity 'pericardiotomy' named entity 'Europe' named entity 'sepsis' named entity 'Clopidogrel' named entity 'OPCAB' named entity 'multivariate analysis' named entity 'body mass index' named entity 'follow-up' named entity 'SPSS Inc.'

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