Preoperative Atrial Fibrillation Portends Poor Outcomes After Coronary Bypass Graft Surgery: A Systematic Review and Meta–analysis

Saxena, Akshat; Virk, Sohaib; Bowman, S.; Jeremy, Richmond W.; Bannon, Paul G.

doi:10.1016/j.hlc.2018.04.089

Cited by 9 publications

(12 citation statements)

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“…In a recent meta-analysis, the impact of preoperative AF on early and late outcomes after CABG was associated with an increased risk of early and late mortality (odds ratio, 1.64; and hazard ratio, 1.74, respectively), with morbidities such as stroke, renal failure, and respiratory complications being higher. 3 The results of the current study of Malaisrie and colleagues 1 correlate well with these data to establish firmly the concept that AF at the time of CABG is far from benign and that SA may affect survival. 4 Mounting data regarding the negative impact of AF and the relative safety of adding SA to cardiac operations 1,2 support the recent expert consensus and clinical practice guidelines that consider SA at the time of CABG a class I recommendation.…”

supporting

confidence: 76%

Atrial fibrillation and coronary artery bypass grafting: The question is no longer why, but why not?

Rankin

Roberts

Badhwar

2018

The Journal of Thoracic and Cardiovascular Surgery

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supporting

confidence: 76%

Atrial fibrillation and coronary artery bypass grafting: The question is no longer why, but why not?

Rankin

Roberts

Badhwar

2018

The Journal of Thoracic and Cardiovascular Surgery

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“…According to the present data, incremental increases in CHA2DS2-VASc scores caused a two-to three-fold risk in infection-related postoperative complications. The possible explanation is that each component of the scoring systems was proven to be independently associated with higher risks of postoperative infection and mortality [20,21,25,[34][35][36]. In our previous report and present investigation, patients with a previous stroke had double the risk of postoperative mortality than patients without previous stroke, either in the entire or AF populations [21].…”

Section: Discussionmentioning

confidence: 51%

“…Age, sex, and socioeconomic covariates commonly in uence perioperative outcomes [23][24][25]. Postoperative complications are mainly determined by types of surgery and anesthesia, as well as pre-existing medical conditions such as hyperlipidemia, mental disorder, liver cirrhosis, renal disease, chronic obstructive pulmonary disease, Parkinson's disease and cancer.…”

Section: Discussionmentioning

confidence: 99%

Infectious Complications and Mortality after Noncardiac Surgery Associated with CHA2DS2-VASc Score: A Retrospective Cohort Study Based on a Real-world Database

Sung

Liu

Lin

et al. 2020

Preprint

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Background: Little was know about the association between the CHA2DS2-VASc score and postoperative outcomes. Our purpose is to evaluate the effects of CHA2DS2-VASc score on the perioperative outcomes in patients with atrial fibrillation (AF).Methods: We identified 47,402 patients with AF over the age of 20 years who underwent noncardiac surgeries between 2008 and 2013 from claims data of the National Health Insurance in Taiwan. The CHA2DS2-VASc score was used to evaluate postoperative complications, mortality and the consumption of medical resources by calculating adjusted odds ratios (ORs) and 95% confidence intervals (CIs).Results: Compared with patients with a CHA2DS2-VASc score of 0, patients with scores ≥ 5 had an increased risk of postoperative pneumonia (OR 1.81, 95% CI 1.30-2.51), septicemia (OR3.24, 95% CI 2.36-4.43), urinary tract infection (OR 1.64, 95% CI 1.20-2.25), intensive care (OR 2.94, 95% CI 2.46-3.51), and mortality (OR 2.07, 95% CI 1.17-3.64). There was a significant positive correlation between risk of postoperative complication and the CHA2DS2-VASc score (P<0.0001).Conclusion: The CHA2DS2-VASc score was highly associated with postoperative infection and 30-day mortality among AF patients. Cardiologists and surgical care teams may consider using the CHA2DS2-VASc score to evaluate perioperative outcome risks in patients with AF.

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“…The association between CHA2DS2-VASc score and postoperative adverse events remained significant for various subgroups. Age, sex, and socioeconomic covariates commonly influence perioperative outcomes [23][24][25]. Postoperative complications are mainly determined by types of surgery and anesthesia, as well as pre-existing medical conditions such as hyperlipidemia, mental disorder, liver cirrhosis, renal disease, chronic obstructive pulmonary disease, Parkinson's disease and cancer.…”

Section: Discussionmentioning

confidence: 99%

Septicemia and mortality after noncardiac surgery associated with CHA2DS2-VASc score: a retrospective cohort study based on a real-world database

et al. 2021

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Background Little was know about the association between the CHA2DS2-VASc score and postoperative outcomes. Our purpose is to evaluate the effects of CHA2DS2-VASc score on the perioperative outcomes in patients with atrial fibrillation (AF). Methods We identified 47,402 patients with AF over the age of 20 years who underwent noncardiac surgeries between 2008 and 2013 from claims data of the National Health Insurance in Taiwan. The CHA2DS2-VASc score was used to evaluate postoperative complications, mortality and the consumption of medical resources by calculating adjusted odds ratios (ORs) and 95% confidence intervals (CIs). Results Compared with patients with a CHA2DS2-VASc score of 0, patients with scores ≥ 5 had an increased risk of postoperative septicemia (OR 2.76, 95% CI 2.00–3.80), intensive care (OR 2.55, 95% CI 2.12–3.06), and mortality (OR 2.04, 95% CI 1.14–3.64). There was a significant positive correlation between risk of postoperative complication and the CHA2DS2-VASc score (P < 0.0001). Conclusion The CHA2DS2-VASc score was highly associated with postoperative septicemia, intensive care, and 30-day mortality among AF patients. Cardiologists and surgical care teams may consider using the CHA2DS2-VASc score to evaluate perioperative outcome risks in patients with AF.

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Preoperative Atrial Fibrillation Portends Poor Outcomes After Coronary Bypass Graft Surgery: A Systematic Review and Meta–analysis

Cited by 9 publications

References 0 publications

Atrial fibrillation and coronary artery bypass grafting: The question is no longer why, but why not?

Atrial fibrillation and coronary artery bypass grafting: The question is no longer why, but why not?

Infectious Complications and Mortality after Noncardiac Surgery Associated with CHA2DS2-VASc Score: A Retrospective Cohort Study Based on a Real-world Database

Septicemia and mortality after noncardiac surgery associated with CHA2DS2-VASc score: a retrospective cohort study based on a real-world database

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