Atrial fibrillation after bypass surgery : Does the arrhythmia or the characteristics of the Patients prolong hospital stay?
The goal of this study was to determine whether prolonged hospital stay associated with atrial fibrillation or flutter (AF) after coronary artery bypass graft (CABG) surgery is attributable to the characteristics of patients who develop this arrhythmia or to the rhythm disturbance itself. An investi...
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| Veröffentlicht in: | Chest 1998-06, Vol.113 (6), p.1489-1491 |
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| container_title | Chest |
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| creator | BORZAK, S TISDALE, J. E AMIN, N. B GOLDBERG, A. D FRANK, D PADHI, I. D HIGGINS, R. S. D |
| description | The goal of this study was to determine whether prolonged hospital stay associated with atrial fibrillation or flutter (AF) after coronary artery bypass graft (CABG) surgery is attributable to the characteristics of patients who develop this arrhythmia or to the rhythm disturbance itself.
An investigation was conducted through a prospective case series.
Patients were from a single urban teaching hospital.
Consecutive patients undergoing isolated CABG surgery between December 1994 and May 1996 were included in the study.
No interventions were involved.
Of 436 patients undergoing isolated CABG surgery, 101 (23%) developed AF. AF patients were older and more likely to have obstructive lung disease than patients without AF, but both patients with and without AF had similar left ventricular function and extent of coronary disease. ICU and hospital stays were longer in patients with AF. Multivariate analysis, adjusted for age, gender, and race, demonstrated that postoperative hospital stay was 9.2+/-5.3 days in patients with AF and 6.4+/-5.3 days in patients without AF (p |
| doi_str_mv | 10.1378/chest.113.6.1489 |
| format | Article |
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An investigation was conducted through a prospective case series.
Patients were from a single urban teaching hospital.
Consecutive patients undergoing isolated CABG surgery between December 1994 and May 1996 were included in the study.
No interventions were involved.
Of 436 patients undergoing isolated CABG surgery, 101 (23%) developed AF. AF patients were older and more likely to have obstructive lung disease than patients without AF, but both patients with and without AF had similar left ventricular function and extent of coronary disease. ICU and hospital stays were longer in patients with AF. Multivariate analysis, adjusted for age, gender, and race, demonstrated that postoperative hospital stay was 9.2+/-5.3 days in patients with AF and 6.4+/-5.3 days in patients without AF (p<0.001).
Although AF is strongly associated with advanced age, most of the prolonged hospital stay appears to be attributable to the rhythm itself and not to patient characteristics.</description><identifier>ISSN: 0012-3692</identifier><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1378/chest.113.6.1489</identifier><identifier>PMID: 9631782</identifier><identifier>CODEN: CHETBF</identifier><language>eng</language><publisher>Northbrook, IL: American College of Chest Physicians</publisher><subject>Age ; Aged ; Analysis of covariance ; Atrial Fibrillation - etiology ; Biological and medical sciences ; Cardiac arrhythmia ; Cardiology. Vascular system ; Coronary Artery Bypass - adverse effects ; Coronary heart disease ; Coronary vessels ; Female ; Gender ; Heart ; Heart surgery ; Hospital costs ; Hospitalization ; Humans ; Intensive Care Units ; Length of Stay ; Male ; Medical sciences ; Middle Aged ; Multivariate Analysis ; Patients ; Prospective Studies ; Regression analysis ; Veins & arteries</subject><ispartof>Chest, 1998-06, Vol.113 (6), p.1489-1491</ispartof><rights>1998 INIST-CNRS</rights><rights>Copyright American College of Chest Physicians Jun 1998</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2276337$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9631782$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BORZAK, S</creatorcontrib><creatorcontrib>TISDALE, J. E</creatorcontrib><creatorcontrib>AMIN, N. B</creatorcontrib><creatorcontrib>GOLDBERG, A. D</creatorcontrib><creatorcontrib>FRANK, D</creatorcontrib><creatorcontrib>PADHI, I. D</creatorcontrib><creatorcontrib>HIGGINS, R. S. D</creatorcontrib><title>Atrial fibrillation after bypass surgery : Does the arrhythmia or the characteristics of the Patients prolong hospital stay?</title><title>Chest</title><addtitle>Chest</addtitle><description>The goal of this study was to determine whether prolonged hospital stay associated with atrial fibrillation or flutter (AF) after coronary artery bypass graft (CABG) surgery is attributable to the characteristics of patients who develop this arrhythmia or to the rhythm disturbance itself.
An investigation was conducted through a prospective case series.
Patients were from a single urban teaching hospital.
Consecutive patients undergoing isolated CABG surgery between December 1994 and May 1996 were included in the study.
No interventions were involved.
Of 436 patients undergoing isolated CABG surgery, 101 (23%) developed AF. AF patients were older and more likely to have obstructive lung disease than patients without AF, but both patients with and without AF had similar left ventricular function and extent of coronary disease. ICU and hospital stays were longer in patients with AF. Multivariate analysis, adjusted for age, gender, and race, demonstrated that postoperative hospital stay was 9.2+/-5.3 days in patients with AF and 6.4+/-5.3 days in patients without AF (p<0.001).
Although AF is strongly associated with advanced age, most of the prolonged hospital stay appears to be attributable to the rhythm itself and not to patient characteristics.</description><subject>Age</subject><subject>Aged</subject><subject>Analysis of covariance</subject><subject>Atrial Fibrillation - etiology</subject><subject>Biological and medical sciences</subject><subject>Cardiac arrhythmia</subject><subject>Cardiology. Vascular system</subject><subject>Coronary Artery Bypass - adverse effects</subject><subject>Coronary heart disease</subject><subject>Coronary vessels</subject><subject>Female</subject><subject>Gender</subject><subject>Heart</subject><subject>Heart surgery</subject><subject>Hospital costs</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Intensive Care Units</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Patients</subject><subject>Prospective Studies</subject><subject>Regression analysis</subject><subject>Veins & arteries</subject><issn>0012-3692</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkE1v1DAQhi0EKkvhzgXJQohbtv5aO-ZSVQVapErlAOdo4tiNq2wcPM4hEj8eq6w4cBrNO8-880HIW872XJr2wo0ey55zudd7rlr7jOy4lbyRByWfkx1jXDRSW_GSvEJ8ZDXnVp-RM6slN63Ykd9XJUeYaIh9jtMEJaaZQig-035bAJHimh983ugn-jl5pGX0FHIetzIeI9CUnxQ3QgZXuyKW6JCm8CR_r35-LkiXnKY0P9Ax4RJLnYcFtsvX5EWACf2bUzwnP79--XF929zd33y7vrprFqFFabzzbDhAq6DvrQ_DwLx27SAMd0q0oQXDtHCBmXbwKjjXM2EGw5Rn-iCNUfKcfPzrW9f4tdaPdceIztdzZ59W7Iy1ygh5qOD7_8DHtOa57tYJxpRlTOgKvTtBa3_0Q7fkeIS8daef1vqHUx3QwRQyzC7iP0wIo6U08g_x4Yhd</recordid><startdate>19980601</startdate><enddate>19980601</enddate><creator>BORZAK, S</creator><creator>TISDALE, J. E</creator><creator>AMIN, N. B</creator><creator>GOLDBERG, A. D</creator><creator>FRANK, D</creator><creator>PADHI, I. D</creator><creator>HIGGINS, R. S. D</creator><general>American College of Chest Physicians</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>19980601</creationdate><title>Atrial fibrillation after bypass surgery : Does the arrhythmia or the characteristics of the Patients prolong hospital stay?</title><author>BORZAK, S ; TISDALE, J. E ; AMIN, N. B ; GOLDBERG, A. D ; FRANK, D ; PADHI, I. D ; HIGGINS, R. S. D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p262t-ece0d5a84abb9efdd0e6c8d271c428f8a7062cf078de4fccb027d704e06537743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Age</topic><topic>Aged</topic><topic>Analysis of covariance</topic><topic>Atrial Fibrillation - etiology</topic><topic>Biological and medical sciences</topic><topic>Cardiac arrhythmia</topic><topic>Cardiology. Vascular system</topic><topic>Coronary Artery Bypass - adverse effects</topic><topic>Coronary heart disease</topic><topic>Coronary vessels</topic><topic>Female</topic><topic>Gender</topic><topic>Heart</topic><topic>Heart surgery</topic><topic>Hospital costs</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Intensive Care Units</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Patients</topic><topic>Prospective Studies</topic><topic>Regression analysis</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BORZAK, S</creatorcontrib><creatorcontrib>TISDALE, J. E</creatorcontrib><creatorcontrib>AMIN, N. B</creatorcontrib><creatorcontrib>GOLDBERG, A. D</creatorcontrib><creatorcontrib>FRANK, D</creatorcontrib><creatorcontrib>PADHI, I. D</creatorcontrib><creatorcontrib>HIGGINS, R. S. 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E</au><au>AMIN, N. B</au><au>GOLDBERG, A. D</au><au>FRANK, D</au><au>PADHI, I. D</au><au>HIGGINS, R. S. D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Atrial fibrillation after bypass surgery : Does the arrhythmia or the characteristics of the Patients prolong hospital stay?</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>1998-06-01</date><risdate>1998</risdate><volume>113</volume><issue>6</issue><spage>1489</spage><epage>1491</epage><pages>1489-1491</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><coden>CHETBF</coden><abstract>The goal of this study was to determine whether prolonged hospital stay associated with atrial fibrillation or flutter (AF) after coronary artery bypass graft (CABG) surgery is attributable to the characteristics of patients who develop this arrhythmia or to the rhythm disturbance itself.
An investigation was conducted through a prospective case series.
Patients were from a single urban teaching hospital.
Consecutive patients undergoing isolated CABG surgery between December 1994 and May 1996 were included in the study.
No interventions were involved.
Of 436 patients undergoing isolated CABG surgery, 101 (23%) developed AF. AF patients were older and more likely to have obstructive lung disease than patients without AF, but both patients with and without AF had similar left ventricular function and extent of coronary disease. ICU and hospital stays were longer in patients with AF. Multivariate analysis, adjusted for age, gender, and race, demonstrated that postoperative hospital stay was 9.2+/-5.3 days in patients with AF and 6.4+/-5.3 days in patients without AF (p<0.001).
Although AF is strongly associated with advanced age, most of the prolonged hospital stay appears to be attributable to the rhythm itself and not to patient characteristics.</abstract><cop>Northbrook, IL</cop><pub>American College of Chest Physicians</pub><pmid>9631782</pmid><doi>10.1378/chest.113.6.1489</doi><tpages>3</tpages></addata></record> |
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| ispartof | Chest, 1998-06, Vol.113 (6), p.1489-1491 |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Age Aged Analysis of covariance Atrial Fibrillation - etiology Biological and medical sciences Cardiac arrhythmia Cardiology. Vascular system Coronary Artery Bypass - adverse effects Coronary heart disease Coronary vessels Female Gender Heart Heart surgery Hospital costs Hospitalization Humans Intensive Care Units Length of Stay Male Medical sciences Middle Aged Multivariate Analysis Patients Prospective Studies Regression analysis Veins & arteries |
| title | Atrial fibrillation after bypass surgery : Does the arrhythmia or the characteristics of the Patients prolong hospital stay? |
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