作者: Michael H Kim , G.Michael Deeb , Fred Morady , David Bruckman , Lucille R Hallock
DOI: 10.1016/S0002-9149(00)01530-7
关键词: Heart disease 、 Normal Sinus Rhythm 、 Clinical pathway 、 Anesthesia 、 Retrospective cohort study 、 Incidence (epidemiology) 、 Medicine 、 Atrial fibrillation 、 Cardiac surgery 、 Artery 、 Cardiology 、 Internal medicine
摘要: Atrial fibrillation (AF) after cardiac surgery is thought to increase length of stay (LOS). A clinical pathway focused on the management postoperative AF, including prophylaxis with beta blockers, was implemented assess effect AF LOS surgery. Data were obtained consecutive patients in preoperative normal sinus rhythm, no prior history and chronic antiarrhythmic therapy from January May 1995 (control) November 1996 June 1997 (pathway). Statistical analysis performed LOS, outcomes, cost Despite pathway, (7 days for both periods; p = 0.12) incidence (28.9% vs 28.4%; 0.92) remained unchanged. Unadjusted direct costs 15% higher period (p <0.001). Increased rates beta-blocker had a marginal except group who only underwent primary coronary artery bypass graft (31.2% 25.3%; 0.31). Multivariate revealed that contributed 1 1.5 LOS. Thus, this investigation represents most recent effects Unlike studies, impact less prominent current era surgical care regardless presence addressing AF.