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Demographic and clinical predictors of post-operative atrial fibrillation in cardio-surgical patients.
- Source :
- European Journal of Cardiovascular Nursing; Jan2023, Vol. 22 Issue 1, p98-106, 9p
- Publication Year :
- 2023
-
Abstract
- Aims Post-operative atrial fibrillation is defined as an episode of atrial fibrillation that occurs 1–5 days after a surgical procedure in patients without a previous history of atrial fibrillation. Multiple factors such as demographics, cardiac surgical, endogenous, or mental health may relate to post-operative atrial fibrillation. The aim of this study was to identify multivariable high-risk factors for post-operative atrial fibrillation and to propose a risk-assessment tool. Methods and results A cross-sectional observational study was conducted in a University Hospital of Greece. Predictor variables examined demographic and clinical variables, anxiety, depression, health-related quality of life, frailty, perioperative mortality (European System for Cardiac Operative Risk Evaluation II), and 10-year survival/mortality risk (Charlson Comorbidity Index score). The outcome variable was post-operative atrial fibrillation. Multivariable analysis was assessed to identify predictors of post-operative atrial fibrillation. Ninety-one patients were included in our sample. Post-operative atrial fibrillation was diagnosed in 44 (48.4%). Factors associated with post-operative atrial fibrillation are the following: age group of 66–75 years [OR 5.78, 95% confidence interval (CI) 1.37–24.34], Charlson Comorbidity Index score (OR 1.42, 95% CI 1.07–1.89), and hours of mechanical ventilation (OR 1.03, 95% CI 1.00–1.06). The Charlson Comorbidity Index score was identified as an independent predictor of post-operative atrial fibrillation (exp: 1.412, 95% CI: 1.017–1.961). Conclusion Patients with post-operative atrial fibrillation had a higher Charlson Comorbidity Index score. The Charlson Comorbidity Index was identified as an independent clinical predictor of post-operative atrial fibrillation. The risk-assessment tool proposed includes age, Charlson Comorbidity Index score, and hours of mechanical ventilation. Future studies are needed to establish such an assessment. [ABSTRACT FROM AUTHOR]
- Subjects :
- ATRIAL fibrillation risk factors
ATRIAL fibrillation prevention
CARDIAC surgery
STATE-Trait Anxiety Inventory
SCIENTIFIC observation
FRAIL elderly
CONFIDENCE intervals
CROSS-sectional method
MULTIPLE regression analysis
SURGICAL complications
SURGERY
PATIENTS
HEALTH surveys
HEALTH status indicators
RISK assessment
ARTIFICIAL respiration
PSYCHOLOGICAL tests
MENTAL depression
QUALITY of life
CHI-squared test
SOCIODEMOGRAPHIC factors
ANXIETY
ODDS ratio
DATA analysis software
Subjects
Details
- Language :
- English
- ISSN :
- 14745151
- Volume :
- 22
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- European Journal of Cardiovascular Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 162144012
- Full Text :
- https://doi.org/10.1093/eurjcn/zvac024