Effect of postoperative atrial fibrillation on length of stay after cardiac surgery (the Postoperative Atrial Fibrillation in Cardiac Surgery Study [PACS2]
Effect of postoperative atrial fibrillation on length of stay after cardiac surgery (the Postoperative Atrial Fibrillation in Cardiac Surgery Study [PACS2]
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DOI：
10.1016/s0002-9149(00)01530-7
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发表时间：
2001-04-01
影响因子：
2.8
通讯作者：
Williams, M
中科院分区：
文献类型：
--
作者：
Kim, MH;Deeb, GM;Williams, M
心脏手术后心房颤动（AF）被认为会增加住院时间（LOS）。一项临床研究聚焦于AF术后管理，包括β受体阻滞剂预防，以评估AF对心脏手术后LOS的影响。资料收集于1995年1月至5月（对照组）和1996年11月至1997年6月（通路）连续进行心脏手术的患者，术前窦性心律正常，无房颤病史，未接受慢性抗心律失常治疗。通过统计分析评估术后房颤对心脏手术后LOS、临床结局和成本的影响。尽管有临床途径，但LOS（两期7天，p 0.12）和AF发生率（28.9% vs 28.4%, p = 0.92）保持不变。在路径期内，未调整的直接成本高出15% (p
Atrial fibrillation (AF) after cardiac surgery is thought to increase length of stay (LOS). A clinical pathway focused on the management of postoperative AF, including prophylaxis with beta blockers, was implemented to assess the effect of AF on LOS after cardiac surgery. Data were obtained on consecutive cardiac surgery patients in preoperative normal sinus rhythm, no prior history of AF, and no chronic antiarrhythmic therapy from January to May 1995 (control) and November 1996 to June 1997 (pathway). Statistical analysis was performed to assess the effect of postoperative AF on the LOS, clinical outcomes, and cost after cardiac surgery. Despite the clinical pathway, the LOS (7 days for both periods; p 0.12) and incidence of AF (28.9% vs 28.4%; p = 0.92) remained unchanged. Unadjusted direct costs were 15% higher in the pathway period (p