Prophylaxis for postoperative atrial fibrillation: A quality initiative study exploring adherence to NICE guidance in a UK tertiary cardiothoracic intensive care unit.

Journal of the Intensive Care Society
Vasileios ZochiosHarjot Singh

Abstract

Acute onset atrial fibrillation is a common dysrhythmia experienced by patients following cardiac surgery which can often cause morbidity and extended hospital length of stay. The primary aim of the study was to explore adherence to National Institute for Health and Care Excellence (NICE) guidance which suggests the need for prophylaxis for postoperative atrial fibrillation (POAF). Secondary aims were to explore factors contributing to the development POAF and the impact of POAF on patient-centred outcomes. An analysis consisting of descriptive statistics and regression models was conducted using 138 patient's records who underwent cardiac surgery between January and March 2017. We identified 83 (62%) patients on prophylactic rate control medications prior to surgery. During the study period, a total of 50 patients (36%) developed POAF, of which 28 were on prophylactic medication prior to surgery. Patients who developed POAF had significantly prolonged hospital length of stay compared to those who did not develop POAF. Our study identified a significant proportion of patients not being offered prophylactic rate control prior to cardiac surgery. It is clear that poor patient outcomes are associated with the development of POAF a...Continue Reading

References

Sep 1, 1993·The Annals of Thoracic Surgery·L L CreswellJ L Cox
Apr 15, 2004·JAMA : the Journal of the American Medical Association·Joseph P MathewUNKNOWN Multicenter Study of Perioperative Ischemia Research Group
Oct 31, 2006·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Joel DunningUNKNOWN EACTS Audit and Guidelines Committee
Feb 5, 2010·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Jeysen Zivan YogaratnamSteve Griffin
May 4, 2010·The Journal of Thoracic and Cardiovascular Surgery·Jeanne ShenRichard B Schuessler
Dec 2, 2010·Journal of Cardiothoracic Surgery·Ioanna KoniariDimitrios Dougenis
Nov 13, 2012·The Annals of Thoracic Surgery·Richard C CookKarin H Humphries
Aug 5, 2014·The Annals of Thoracic Surgery·Damien J LaParUNKNOWN Investigators for the Virginia Cardiac Surgery Quality Initiative

❮ Previous
Next ❯

Methods Mentioned

BETA
coronary artery bypass

Software Mentioned

SCA
EACTA
STATA

Related Concepts

Related Feeds

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Related Papers

Indian Pacing and Electrophysiology Journal
Dimpi PatelAndrea Natale
Journal of Thrombosis and Haemostasis : JTH
A BessissowP Alonso-Coello
European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Jason W GreenbergSpencer J Melby
Journal of Cardiothoracic Surgery
Solveig HelgadottirTomas Gudbjartsson
© 2021 Meta ULC. All rights reserved