Cited by 285Atrial Fibrillation Management and OutcomesCardiac, Anesthesia and Surgical OutcomesCardiac Valve Diseases and Treatments

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Postoperative Atrial Fibrillation Significantly Increases Mortality, Hospital Readmission, and Hospital Costs

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LaPar, Damien J., Speir, Alan M., Crosby, Ivan K., Fonner, Edwin, Brown, Michael, Rich, Jeffrey B., Quader, Mohammed, Kern, John A., Kron, Irving L., Ailawadi, Gorav·2014·The Annals of Thoracic Surgery

DOI 10.1016/j.athoracsur.2014.03.039

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Abstract

Background New-onset postoperative atrial fibrillation (POAF) is the most common complication following cardiac surgery. However, the magnitude of POAF on length of stay, resource utilization, and readmission rates remains an area of clinical interest. The purpose of this study was to examine the risk-adjusted impact of POAF on measures of mortality, hospital resources, and costs among multiple centers.Methods A total of 49,264 patient records from a multi-institutional Society of Thoracic Surgeons (STS) certified database for cardiac operations (2001 to 2012) were extracted and stratified by the presence of POAF (19%) versus non-POAF (81%). The influence of POAF on outcomes was assessed by hierarchic regression modeling, adjusted for calculated STS predictive risk indices.Results Mean age was 64±11 years, and median STS predicted risk of mortality for patients who developed POAF were incrementally higher (2% vs 1%, p<0.001) compared with non-POAF patients. The rate of POAF was highest among those undergoing aortic valve replacement+coronary artery bypass grafting, aortic valve, and mitral valve replacement operations. The POAF patients had a higher unadjusted incidence of mortality, morbidity, hospital readmission, longer intensive care unit (ICU) and postoperative length of stay, and higher hospital costs. After risk adjustment, POAF was associated with a twofold increase in the odds of mortality (adjusted odds ratio=2.04, p<0.001), greater hospital resource utilization, and increased costs; POAF was associated with 48 additional ICU hours (p<0.001), 3 additional hospital days (p<0.001), and $3,000 (p<0.001) and $9,000 (p<0.001) of increased ICU and total hospital-related costs, respectively.Conclusions New onset POAF is associated with increased risk-adjusted mortality, hospital costs, and readmission rates. Protocols to reduce the incidence of POAF have the potential to significantly impact patient outcomes and the delivery of high-quality, cost-effective patient care.

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Abouarab, A., Leonard, J. R., Ohmes, L. B., Lau, C., Rong, L. Q., Ivascu, N. S., Pryor, K. O., Munjal, M., Crea, F., Massetti, M., et al. (2017) · Trials · doi:10.1186/s13063-017-2334-4 · Cited by 28
Postoperative atrial fibrillation is associated with increased morbidity and resource utilization after left ventricular assist device placement
Hawkins, R. B., Mehaffey, J. H., Guo, A., Charles, E. J., Speir, A. M., Rich, J. B., Quader, M. A., Ailawadi, G., & Yarboro, L. T. (2018) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2018.03.169 · Cited by 28
“mortality, and resource utilization, including length of stay (LOS), readmission, and hospital cost.(4) However, the information regarding the impact of POAF after left ventricular assist device (LVAD) implantation is far less well understood.”
BackgroundMethodResultInfluential
Association between red blood cell distribution width and postoperative atrial fibrillation after cardiac surgery: A pilot observational study
Korantzopoulos, P. G., Sontis, N., Liu, T., Chlapoutakis, S., Sismanidis, S., Siminelakis, S. N., & Apostolakis, E. E. (2015) · International Journal of Cardiology · doi:10.1016/j.ijcard.2015.03.080 · Cited by 28
Atrial fibrillation in patients undergoing coronary artery surgery is associated with adverse outcome
Batra, G., Ahlsson, A., Lindahl, B., Lindhagen, L., Wickbom, A., & Oldgren, J. (2018) · Upsala Journal of Medical Sciences · doi:10.1080/03009734.2018.1504148 · Cited by 28
“Previous studies have found postoperative AF to be associated with increased risk of short-term mortality and stroke (6,8,9).”
Tapping into Nature’s Arsenal: Harnessing the Potential of Natural Antioxidants for Human Health and Disease Prevention
Pinilla-González, V., Rojas-Solé, C., Gómez-Hevia, F., González-Fernández, T., Cereceda-Cornejo, A., Chichiarelli, S., Saso, L., & Rodrigo, R. (2024) · Foods · doi:10.3390/foods13131999 · Cited by 28
“…surgery corresponds to postoperative AF (POAF), a much-feared complication, as it is associated with an increased length of hospital stay, readmission to the intensive care unit, persistent congestive heart failure, an increased risk of stroke, increased overall costs, and mortality [122,123].”
Background
Active clearance of chest tubes is associated with reduced postoperative complications and costs after cardiac surgery: a propensity matched analysis
Baribeau, Y. R., Westbrook, B. M., Baribeau, Y., Maltais, S., Boyle, E. M., & Perrault, L. P. (2019) · Journal of Cardiothoracic Surgery · doi:10.1186/s13019-019-0999-3 · Cited by 27
Effect of postoperative atrial fibrillation on early and mid-term outcomes of coronary artery bypass graft surgery
Oraii, A., Masoudkabir, F., Pashang, M., Jalali, A., Sadeghian, S., Mortazavi, S. H., Landy, M. G., Pourhosseini, H., Salarifar, M., Mansourian, S., et al. (2022) · European Journal of Cardio-Thoracic Surgery · doi:10.1093/ejcts/ezac264 · Cited by 27
Incidence and Predictors of New-Onset Silent Atrial Fibrillation after Coronary Artery Bypass Graft Surgery
Guénancia, C., Pujos, C., Debomy, F., Malapert, G., Laurent, G., & Bouchot, O. (2015) · BioMed Research International · doi:10.1155/2015/703685 · Cited by 27
“POAF is associated with increased duration of hospitalization, with high healthcare costs, and has been associated with an increased incidence of stroke, the need for a permanent pacemaker, and early and late mortality [5, 6].”
Background
Does dexmedetomidine have an antiarrhythmic effect on cardiac patients? A meta-analysis of randomized controlled trials
Ling, X., Zhou, H., Ni, Y., Wu, C., Zhang, C., & Zhu, Z. (2018) · PLoS ONE · doi:10.1371/journal.pone.0193303 · Cited by 26
Comprehensive characterization of the postoperative pericardial inflammatory response: Potential implications for clinical outcomes
Hassanabad, A. F., Schoettler, F. I., Kent, W. D. T., Adams, C. A., Holloway, D. D., Ali, I. S., Novick, R. J., Ahsan, M. R., McClure, R. S., Shanmugam, G., et al. (2022) · JTCVS Open · doi:10.1016/j.xjon.2022.09.003 · Cited by 26
“Postoperative atrial fibrillation (POAF)(1) and postpericardiotomy syndrome (PPS)(2) are common early complications after cardiac surgery, whereas postsurgical pericardial adhesions and pericardial constriction can have negative long-term consequences on outcomes.(3-10) Although inflammation is believed to play an imp…”
Background
Outcome after procedures for retained blood syndrome in coronary surgery
Tauriainen, T., Kinnunen, E., Koski-Vähälä, J., Mosorin, M.-A., Airaksinen, J., & Biancari, F. (2017) · European Journal of Cardio-Thoracic Surgery · doi:10.1093/ejcts/ezx015 · Cited by 23
“Its incidence is at least around 20% according to different authors [19, 20].”
Background
Reducing New-Onset Atrial Fibrillation After Coronary Artery Bypass Graft Surgery
Coletta, M., Lis, G. A., Clark, P. C., Dabir, R. R., & Daneshvar, F. (2019) · AACN Advanced Critical Care · doi:10.4037/aacnacc2019470 · Cited by 25
Prevention of atrial fibrillation after open-chest surgery with extracellular vesicle therapy
Parent, S., Vaka, V. R., Risha, Y., Ngo, C., Kanda, P., Nattel, S., Khan, S., Courtman, D. W., Stewart, D. J., & Davis, D. R. (2023) · JCI Insight · doi:10.1172/jci.insight.163297 · Cited by 25
“Despite these measures, a single occurrence of POAF often extends hospital length of stay and increases costs (4, 5).”
Background
A Clinical Prediction Model for Postcardiac Surgery Atrial Fibrillation in an Asian Population
Zhang, W., Liu, W., Chew, S. T. H., Shen, L., & Ti, L. K. (2016) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000001384 · Cited by 23
Are Serum Potassium and Magnesium Levels Associated with Atrial Fibrillation After Cardiac Surgery?
Howitt, S. H., Grant, S. W., Campbell, N. G. S., Malagon, I. L., & McCollum, C. N. (2019) · Journal of Cardiothoracic and Vascular Anesthesia · doi:10.1053/j.jvca.2019.10.045 · Cited by 25
“The median (IQR) number of doses of potassium (20 mmol IV) and magnesium supplementation therapy (20 mmol IV) administered during the first 72 hours of ICU admission were 3 (1-5) and 0 (0-1), respectively.”
Method
Patients who develop post-operative atrial fibrillation have reduced survival after off-pump coronary artery bypass grafting
Ghurram, A., Krishna, N., Bhaskaran, R., Kumaraswamy, N., Jayant, A., & Varma, P. K. (2019) · Indian Journal of Thoracic and Cardiovascular Surgery · doi:10.1007/s12055-019-00844-9 · Cited by 23
Intraoperative Oxygen Treatment, Oxidative Stress, and Organ Injury Following Cardiac Surgery
Lopez, M. G., Shotwell, M. S., Hennessy, C., Pretorius, M., McIlroy, D. R., Kimlinger, M. J., Mace, E. H., Absi, T., Shah, A. S., Brown, N. J., et al. (2024) · JAMA Surgery · doi:10.1001/jamasurg.2024.2906 · Cited by 23
The C‐reactive protein/albumin ratio as a new predictor for postoperative atrial fibrillation after coronary artery bypass graft surgery
Karabacak, K., Kubat, E., Akyol, F. B., Kadan, M., Erol, G., Doğancı, S., Yıldırım, V., & Bolcal, C. (2020) · Journal of Cardiac Surgery · doi:10.1111/jocs.14898 · Cited by 22
Design and Rationale of a Phase 2 Study of NeurOtoxin (Botulinum Toxin Type A) for the PreVention of Post-Operative Atrial Fibrillation – The NOVA Study
Piccini, J. P., Ahlsson, A., Dorian, P., Gillinov, M. A., Kowey, P. R., Mack, M. J., Milano, C. A., Perrault, L. P., Steinberg, J. S., Waldron, N. H., et al. (2021) · American Heart Journal · doi:10.1016/j.ahj.2021.10.114 · Cited by 23
Quantifying the effect of complications on patient flow, costs and surgical throughputs
Almashrafi, A., & Vanderbloemen, L. (2016) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-016-0372-6 · Cited by 22
“Unlike previous studies that have found significant LOS attributable to atrial fibrillation [41, 42], the excess LOS associated with atrial fibrillation in our study was less than 7 h.”
Background
Cost-effectiveness of second-line vasopressors for the treatment of septic shock
Lam, S. W., Barreto, E. F., Scott, R. A., KASHANI, K. B., Khanna, A. K., & Bauer, S. R. (2019) · Journal of Critical Care · doi:10.1016/j.jcrc.2019.10.005 · Cited by 22
Systemic immune-inflammation index as a novel predictor of atrial fibrillation after off-pump coronary artery bypass grafting
Topal, D., Korkmaz, U. T. K., Velioğlu, Y., Yüksel, A., Dönmez, İ., Uçaroğlu, E. R., & Kayış, S. A. (2022) · Revista da Associação Médica Brasileira · doi:10.1590/1806-9282.20220295 · Cited by 21
Machine Learning to Identify Patients at Risk of Developing New-Onset Atrial Fibrillation after Coronary Artery Bypass
Parise, O., Parise, G., Vaidyanathan, A., Occhipinti, M., Gharaviri, A., Tetta, C., Bidar, E., Maesen, B. A. E., Maessen, J. G., Meir, M. L., et al. (2023) · Journal of Cardiovascular Development and Disease · doi:10.3390/jcdd10020082 · Cited by 21
Increasing Occurrence of Postoperative Atrial Fibrillation in Contemporary Cardiac Surgery
Khan, J., Khan, N., Loisa, E., Sutinen, J., & Laurikka, J. O. (2016) · Journal of Cardiothoracic and Vascular Anesthesia · doi:10.1053/j.jvca.2016.02.013 · Cited by 21
CHADS2 Score Predicts Postoperative Atrial Fibrillation in Patients Undergoing Elective Pulmonary Lobectomy
Kotova, S., Wang, M., Lothrop, K., Grunkemeier, G. L., Merry, H. E., & Handy, J. R. (2017) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2016.11.007 · Cited by 21
“AF after cardiac and noncardiac operations has been associated with the increased morbidity, mortality, increased hospital resource use, and total health care cost [6, 7, 16].”
Background
Rhythm vs. Rate Control in Patients with Postoperative Atrial Fibrillation after Cardiac Surgery: A Systematic Review and Meta-Analysis
Ahmed, M., Belley‐Côté, E. P., Qiu, Y., Belesiotis, P., Tao, B. K.-L., Wolf, A., Kaur, H., Ibrahim, A., Wong, J. A., Wang, M. K., et al. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12134534 · Cited by 20
Prognostic impact of atrial fibrillation in cardiogenic shock complicating acute myocardial infarction: a substudy of the IABP-SHOCK II trial
de Waha, S., Schoene, K., Fuernau, G. F., Desch, S., Eitel, I., Pöss, J., Meyer‐Saraei, R., Eitel, C., Tilz, R. R., Schuler, G. C., et al. (2017) · Clinical Research in Cardiology · doi:10.1007/s00392-017-1175-1 · Cited by 20
“Among patients undergoing CABG, the relation of AF and early- as well as long-term outcome is well established [9, 10].”
Background
Active clearance vs conventional management of chest tubes after cardiac surgery: a randomized controlled study
St-Onge, S., Chauvette, V., Hamad, R., Bouchard, D., Jeanmart, H., Lamarche, Y., Perrault, L. P., & Demers, P. (2021) · Journal of Cardiothoracic Surgery · doi:10.1186/s13019-021-01414-0 · Cited by 24
Fibrilación auricular en cirugía cardíaca
Baeza-Herrera, L. A., Rojas‐Velasco, G., Márquez-Murillo, M. F., Portillo-Romero, A. D. R., Medina-Paz, L., Álvarez‐Álvarez, R. J., Ramos‐Enríquez, Á., & Baranda-Tovar, F. M. (2019) · Archivos de cardiología de México · doi:10.24875/acm.19000134 · Cited by 20
Predicting atrial fibrillation after cardiac surgery: a scoping review of associated factors and systematic review of existing prediction models
Fleet, H., Pilcher, D. V., Bellomo, R., & Coulson, T. G. (2021) · Perfusion · doi:10.1177/02676591211037025 · Cited by 20
Metabolic signatures in pericardial fluid and serum are associated with new-onset atrial fibrillation after isolated coronary artery bypass grafting
Yang, Y., Du, Z., Fang, M., Ma, Y., Liu, Y., Wang, T., Han, Z., Peng, Z., Pan, Y., Qin, H., et al. (2023) · Translational research · doi:10.1016/j.trsl.2023.01.001 · Cited by 18
Does Epicardial Adipose Tissue Influence Postoperative Atrial Fibrillation?
Kogo, H., Sezai, A., Osaka, S., Shiono, M., & Tanaka, M. (2018) · Annals of Thoracic and Cardiovascular Surgery · doi:10.5761/atcs.oa.18-00212 · Cited by 18
In-Hospital Postoperative Atrial Fibrillation Indicates a Poorer Clinical Outcome after Myectomy for Obstructive Hypertrophic Cardiomyopathy
Tang, B., Song, Y., Cheng, S., Cui, H. Z., Ji, K., Zhao, S., & Wang, S. (2019) · Annals of Thoracic and Cardiovascular Surgery · doi:10.5761/atcs.oa.19-00108 · Cited by 18
Epicardial injection of nanoformulated calcium into cardiac ganglionic plexi suppresses autonomic nerve activity and postoperative atrial fibrillation
O’Quinn, M. P., Dormer, K. J., Huizar, J. F., Nguyen, K. T., Kaszala, K., Sima, A. P., Ellenbogen, K. A., & Tan, A. Y. (2019) · Heart Rhythm · doi:10.1016/j.hrthm.2018.10.014 · Cited by 17
The Impact of Preoperative Frailty on the Clinical and Cost Outcomes of Adult Cardiac Surgery in Alberta, Canada: A Cohort Study
Montgomery, C., Thành, N. X., Stelfox, H. T., Norris, C. M., Rolfson, D. B., Meyer, S. R., Zibdawi, M., & Bagshaw, S. M. (2020) · CJC Open · doi:10.1016/j.cjco.2020.09.009 · Cited by 19
“42 Noncardiac Coagulopathy 6 (12) 12 (3) 0.”
CARS 2020—Computer Assisted Radiology and Surgery Proceedings of the 34th International Congress and Exhibition, Munich, Germany, June 23–27, 2020
von Haxthausen, F., Ipsen, S., Schwegmann, H., Bruder, R., Ernst, F., & García‐Vázquez, V. (2020) · International Journal of Computer Assisted Radiology and Surgery · doi:10.1007/s11548-020-02171-6 · Cited by 17
Atrial fibrillation in cardiac surgery
Baeza-Herrera, L. A., Rojas‐Velasco, G., Márquez-Murillo, M. F., Portillo-Romero, A. D. R., Medina-Paz, L., Álvarez‐Álvarez, R. J., Ramos‐Enríquez, Á., & Baranda-Tovar, F. M. (2020) · Archivos de cardiolog�a de M�xico (English ed Internet) · doi:10.24875/acme.m20000068 · Cited by 18
Pre-ablation levels of brain natriuretic peptide are independently associated with the recurrence of atrial fibrillation after radiofrequency catheter ablation in patients with nonvalvular atrial fibrillation
Miake, J., Kato, M., Ogura, K., Iitsuka, K., Okamura, A., Tomomori, T., Tsujimoto, D., Kato, M., & Yamamoto, K. (2018) · Heart and Vessels · doi:10.1007/s00380-018-1267-5 · Cited by 17
“Atrial fibrillation (AF), one of the commonest arrhythmias [1], is associated with an increased morbidity and mortality [2,3].”
Background
Pericardial Inflammatory Mediators That Can Drive Postoperative Atrial Fibrillation in Cardiac Surgery Patients
Hassanabad, A. F., Deniset, J., & Fedak, P. W. M. (2023) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2023.06.003 · Cited by 16
Role of the MAPKs/TGF-β1/TRAF6 signaling pathway in postoperative atrial fibrillation
Zhang, D., Chen, X., Wang, Q., Wu, S., Zheng, Y., & Liu, X. (2017) · PLoS ONE · doi:10.1371/journal.pone.0173759 · Cited by 16
Peri-operative oral caffeine does not prevent postoperative atrial fibrillation after heart valve surgery with cardiopulmonary bypass
Lagier, D., Née, L., Guieu, R., Kerbaul, F., Fenouillet, E., Roux, N., Giorgi, R., Théron, A., Grisoli, D., Gariboldi, V., et al. (2018) · European Journal of Anaesthesiology · doi:10.1097/eja.0000000000000824 · Cited by 16
Attributable Costs of Postoperative Atrial Fibrillation among Patients Undergoing Cardiac Surgery
Kosuma, P., Wachirasrisirikul, S., & Jedsadayanmata, A. (2018) · Cardiology Research and Practice · doi:10.1155/2018/3759238 · Cited by 16
“Patients with combined cardiac surgery had higher rates of overall complication, and this may drive incremental cost of combined cardiac surgery [15].”
Background
Impact of minimal invasive extracorporeal circulation on atrial fibrillation after coronary artery bypass surgery
Ellam, S., Hartikainen, J. E. K., Korvenoja, P., Pitkänen, O., Tyrväinen, E., Valtola, A., & Halonen, J. (2020) · Artificial Organs · doi:10.1111/aor.13756 · Cited by 16
Late incidence and recurrence of new-onset atrial fibrillation after isolated surgical aortic valve replacement
Björn, R., Nissinen, M., Lehto, J., Malmberg, M., Yannopoulos, F., Airaksinen, J. K. E., Hartikainen, J. E. K., Nieminen, T. V. M., Biancari, F., Gunn, J. M., et al. (2021) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2021.03.101 · Cited by 17
A retrospective study on atrial fibrillation after coronary artery bypass grafting surgery at The National Heart Institute, Kuala Lumpur
Musa, A. F., Quan, C. Z., Xin, L. Z., Soni, T., Dillon, J., Hay, Y. K., & Nordin, R. B. (2018) · F1000Research · doi:10.12688/f1000research.13244.1 · Cited by 16
Incidence, Predictors, and Outcomes of Early Atrial Arrhythmias After Lung Transplant
Saad, M. S., Elgendy, I. Y., Mentias, A. G., Abdelaziz, H. K., Barakat, A. F., Abu‐Zaid, A., Elgendy, A. Y., Mojadidi, M. K., Chandrashekaran, S., & Mahmoud, A. N. (2017) · JACC. Clinical electrophysiology · doi:10.1016/j.jacep.2016.12.009 · Cited by 16
Predictive ability of perioperative atrial fibrillation risk indices in cardiac surgery patients: a retrospective cohort study
Waldron, N. H., Cooter, M. L., Piccini, J. P., Anstrom, K. J., Klinger, R. Y., Kertai, M. D., Podgoreanu, M. V., Stafford‐Smith, M., Newman, M. F., & Mathew, J. P. (2018) · Canadian Journal of Anesthesia/Journal canadien d anesthésie · doi:10.1007/s12630-018-1119-x · Cited by 16
Concomitant Left Atrial Appendage Closure Outcomes and Cost: A Multi-institutional Cohort Analysis
Hawkins, R. B., Clark, S. S., Mehaffey, J. H., Rich, J. B., Speir, A. M., Quader, M. A., Yarboro, L. T., & Ailawadi, G. (2019) · Journal of Surgical Research · doi:10.1016/j.jss.2019.11.030 · Cited by 15
Circulating exosome-derived miR-122-5p is a novel biomarker for prediction of postoperative atrial fibrillation
Bai, C., Liu, Y., Zhao, Y., Ye, Q., Zhao, C., Liu, Y., & Wang, J. (2022) · Journal of Cardiovascular Translational Research · doi:10.1007/s12265-022-10267-4 · Cited by 15
“POAF is associated with increased perioperative mortality and morbidity, increased expenses, prolonged hospital stays, and decreased long-term survival [5, 6].”
Background

Authors: LaPar, D. J., Speir, A. M., Crosby, I. K., Fonner, E., Brown, M., Rich, J. B., Quader, M., Kern, J. A., Kron, I. L., & Ailawadi, G.
Affiliations: University of Virginia (US)
Inova Health System (US)
Mary Washington Hospital (US)
Sentara Heart Hospital (US)
Virginia Commonwealth University Medical Center (US)
Corresponding author: Ailawadi, Gorav
ORCID: LaPar, Damien J.
Speir, Alan M.
Quader, Mohammed
Kern, John A.
Kron, Irving L.
Ailawadi, Gorav
Venue: The Annals of Thoracic Surgery
Publisher: Elsevier BV
Published: 2014-08
Volume: 98
Issue: 2
Pages: 527-533
ISSN: 0003-4975 (ISSN-L)
DOI: 10.1016/j.athoracsur.2014.03.039
OpenAlex: W2069608457
Cited by: 285
References: 23
Citations by year: 2026: 16 · 2025: 25 · 2024: 23 · 2023: 27 · 2022: 34 · 2021: 27 · 2020: 23 · 2019: 25 · 2018: 28 · 2017: 28 · 2016: 16 · 2015: 12 · 2014: 1
FWCI: 13.03
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: The Annals of Thoracic Surgery (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac, Anesthesia and Surgical Outcomes
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Valve Diseases and Treatments
Keywords: postoperative atrial fibrillation, cardiac surgery complications, mortality, hospital readmission, hospital costs, length of hospital stay, intensive care utilization, aortic valve replacement, mitral valve replacement, coronary artery bypass grafting, risk adjustment
MeSH terms: Aged, Atrial Fibrillation, Female, Cardiac Surgical Procedures, Humans, Male, Middle Aged, Patient Readmission, Postoperative Complications, Retrospective Studies, Hospital Costs, Risk Adjustment

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Postoperative Atrial Fibrillation Significantly Increases Mortality, Hospital Readmission, and Hospital Costs

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