The Validation of the ATRIA and CHA2DS2-Vasc Scores in Predicting Atrial Fibrillation after Coronary Artery Bypass Surgery.

The Validation of the ATRIA and CHA2DS2-Vasc Scores in Predicting Atrial Fibrillation after Coronary Artery Bypass Surgery.
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DOI:
10.21470/1678-9741-2019-0274
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发表时间:
2020-10-01
影响因子:
1.3
通讯作者:
Ibrişim E
Ibrişim E
中科院分区:
医学4区
文献类型:
--
作者:
Uysal D;Aksoy F;Ibrişim E

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本研究的目的是评估CHA 2DS 2-VASc和房颤抗凝和危险因素(ATRIA)风险评分对冠状动脉旁路移植术(CABG)患者术后房颤(AF)发生的预测价值。 这项观察性研究的人群包括370例接受CABG手术的患者。计算所有患者的CHA 2DS 2-VASc和ATRIA风险评分,并评估其与术后AF(AF发作持续> 5 min)的相关性。术后房颤的预测因素采用多元Logistic回归分析。 在随访期间,110名患者术后房颤发生率为29.7%,采用多元Logistic回归分析,确定术后房颤的危险因素:ATRIA危险评分(比值比[OR] 1.23; 95%可信区间[CI] 1.11-1.36; P<0.001),空腹血糖水平(OR 1.006; 95% CI 1.004-1.009; P<0.001)和24 h引流量(OR 1.002; 95% CI 1.001-1.004; P<0.001)。受试者工作特征曲线分析显示,CHA 2DS 2-VASc和ATRIA风险评分是新发AF的显著预测因子(C-统计量分别为0.648; 95% CI 0.59-0.69; P<0.001; C-统计量分别为0.664; 95% CI 0.61-0.71; P<0.001)。 CHA 2DS 2-VASc和ATRIA风险评分可预测接受CABG的患者新发AF。
The aim of this study was to evaluate the value of CHA2DS2-VASc and Anticoagulation and Risk Factors in Atrial Fibrillation (ATRIA) risk scores for prediction of postoperative atrial fibrillation (AF) development in patients undergoing coronary artery bypass grafting (CABG) operation. The population of this observational study consisted of 370 patients undergoing CABG operation. CHA2DS2-VASc and ATRIA risk scores were calculated for all patients and their association with postoperative AF (AF episode lasting > 5 min) were evaluated. Predictors of postoperative AF were determined by multiple logistic regression analysis. During follow-up, 110 patients (29.7%) developed postoperative AF. With multiple logistic regression analysis, risk factors for postoperative AF were determined: ATRIA risk score (odds ratio [OR] 1.23; 95% confidence interval [CI] 1.11-1.36; P<0.001), fasting glucose level (OR 1.006; 95% CI 1.004-1.009; P<0.001), and 24-hour drainage amount (OR 1.002; 95% CI; 1.001-1.004; P<0.001). Receiver operating characteristic curve analyses showed that CHA2DS2-VASc and ATRIA risk scores were significant predictors for new-onset AF (C-statistic 0.648; 95% CI 0.59-0.69; P<0.001; and C-statistic 0.664; 95% CI 0.61-0.71; P<0.001, respectively). CHA2DS2-VASc and ATRIA risk scores predict new AF in patients undergoing CABG.
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