A propensity-matched comparison of the incidence of new-onset postoperative atrial arrhythmias in cardiac and noncardiac thoracic surgery patients.
J Cardiothorac Vasc Anesth
; 24(3): 447-50, 2010 Jun.
Article
em En
| MEDLINE
| ID: mdl-19800819
ABSTRACT
OBJECTIVE:
The primary aim of this investigation was to compare the incidence of new-onset postoperative atrial arrhythmias (POAAs) in cardiac versus noncardiac thoracic surgery patients. A subgroup analysis also was performed in the cardiac surgery patients comparing POAAs in patients who underwent cardiac surgery on and off cardiopulmonary bypass (CPB).DESIGN:
This was a retrospective study using the Department of Cardiothoracic Anesthesia patient registry. All patients (n = 33,500) undergoing cardiac (n = 29,057) and noncardiac thoracic (n = 4,443) surgeries between 1993 and 2004 were identified from the patient registry. Two propensity-matched comparisons for the incidence of POAAs were made (1) in cardiac surgery patients versus noncardiac thoracic surgery patients and (2) in patients undergoing cardiac surgery with versus without CPB.SETTING:
A large metropolitan multidisciplinary clinic.PARTICIPANTS:
Patients. INTERVENTION No interventions were done because this was a retrospective study. MEASUREMENTS AND MAINRESULTS:
The cardiac patients had a significantly higher incidence of POAAs when compared with noncardiac thoracic surgery patients (11.6% v 7.5%, p < 0.001). There was no significant difference in the incidence of POAAs between patients undergoing CPB versus off-pump CPB (13.3% v 12.3%, p = 0.3).CONCLUSION:
The incidence of new-onset POAAs was higher in patients undergoing cardiac surgery than in patients undergoing noncardiac thoracic surgery in propensity-matched patient groups. CPB was not associated with new-onset POAAs.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Arritmias Cardíacas
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Complicações Pós-Operatórias
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Procedimentos Cirúrgicos Torácicos
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Procedimentos Cirúrgicos Cardíacos
Tipo de estudo:
Incidence_studies
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Observational_studies
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Risk_factors_studies
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2010
Tipo de documento:
Article