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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Background
Plasma Catecholamine Levels on the Morning of Surgery Predict Post-Operative Atrial Fibrillation
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“The composite of complications used in our study was based upon a list of serious complications following cardiac surgery as defined by the Society of Thoracic Surgeons [16], with the addition of AF, which has been shown to significantly affect mortality and morbidity [26].”
Method
Comparison of Risk of Atrial Fibrillation in Black Versus White Patients After Coronary Artery Bypass Grafting
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“Additionally, POAF increases hospitalization length and costs [3].”
Background
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“Early Readmissions (0–7 days) vs. Late Readmissions (8–30 days) (Boxes A vs.”
BackgroundInfluential
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“POAF is the most common complication of CABG, and occurs in approximately 10% to 45% of CABG patients (LaPar et al., 2014; S. H. Lee et al., 2017; Saxena et al., 2012).”
BackgroundResultInfluential
The role of Del Nido Cardioplegia in reducing postoperative atrial fibrillation after cardiac surgery in patients with impaired cardiac function
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“Duration of POAF (h) 14 (4-44) 26 (9-72) .”
Impact of Complications After Cardiac Operation on One-Year Patient-Reported Outcomes
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“[26] reported that the POAF finding could have an impact on reducing the hospital resource utilization, therefore, reducing hospital costs.”
Background
Gut microbiota metabolism disturbance is associated with postoperative atrial fibrillation after coronary artery bypass grafting
Liu, Y., Du, Z., Lu, Y., Ma, Y., Yang, Y., Osmanaj, F., Zhang, Y., Guo, X., Qin, Y., Yang, X., et al. (2024) · npj Cardiovascular Health · doi:10.1038/s44325-024-00003-z · Cited by 9
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Postoperative atrial fibrillation is associated with long-term morbidity and mortality in older adults: Analysis from the SWEDEHEART Registry
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Efird, J. T., Kiser, A. C., Crane, P. B., Landrine, H., Kindell, L. C., Nelson, M.-A. M., Jindal, C., Sarpong, D. F., Griffin, W. F., Ferguson, T. B., et al. (2017) · Pharmacotherapy The Journal of Human Pharmacology and Drug Therapy · doi:10.1002/phar.1894 · Cited by 9
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“Excluded: 12 patients did not complete study measures (4), concomitant surgery (3), non-sternotomy approach (1), no surgery (2), medical comorbidity (1), research conflict (1)”
Background
Doing Simple Things Well: Practice Advisory Implementation Reduces Atrial Fibrillation After Cardiac Surgery
Buerge, M., Magboo, R., Wills, D., Karpouzis, I., Balmforth, D., Cooper, P., Roberts, N., & O’Brien, B. (2020) · Journal of Cardiothoracic and Vascular Anesthesia · doi:10.1053/j.jvca.2020.06.078 · Cited by 9
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“Postoperative AF negatively affects both short-term outcomes and long-term survival [40, 41].”
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“Moreover, multiple previous reports have demonstrated that POAF was strongly linked to increased postoperative mortality [74,75].”
Postoperative atrial fibrillation in mitral valve surgery is not benign
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Defining the Links Between Oxidative Stress–Based Biomarkers and Postoperative Atrial Fibrillation
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“Supporting this hypothesis, NADPH oxidase activity in the right atrium during cardiac surgery is a predictor of development of PoAF.14 Furthermore, serum peroxide levels and atrial myocardial protein oxidation are elevated in patients who develop PoAF.15 Modulation of the oxidative stress pathway may be a potential th…”
Influential
The impact of left atrial mechanics on adverse events and clinical outcome after cardiac surgery
Dalos, D., Haaser, S. S., Hofer, F., Kazem, N., Koller, L., Hammer, A., Steinlechner, B., Laufer, G., Hengstenberg, C., Niessner, A., et al. (2022) · European Journal of Cardio-Thoracic Surgery · doi:10.1093/ejcts/ezac275 · Cited by 7
U-Shaped Association Between Intraoperative Net Fluid Balance and Risk of Postoperative Recurrent Atrial Tachyarrhythmia Among Patients Undergoing the Cryo-Maze Procedure: An Observational Study
Minami, K., Kabata, D., Kakuta, T., Fukushima, S., Fujita, T., Shintani, A., Yoshitani, K., & Ohnishi, Y. (2020) · Journal of Cardiothoracic and Vascular Anesthesia · doi:10.1053/j.jvca.2020.10.023 · Cited by 7
Healthcare resource utilization and costs for patients with postoperative atrial fibrillation in the United States
Park, T., Hansen, R. N., Gillard, P. J., Shah, D., Ferguson, W., Piccini, J. P., Romano, M. A., & Devine, B. (2023) · Journal of Medical Economics · doi:10.1080/13696998.2023.2267390 · Cited by 8
Posterior pericardiotomy and the prevention of post-operative atrial fibrillation and cardiac tamponade in isolated coronary artery bypass grafting – A retrospective analysis
Rathnayake, A., Goh, S. S. C., Fenton, C., & Hardikar, A. (2024) · Journal of Cardiothoracic Surgery · doi:10.1186/s13019-024-02569-2 · Cited by 7
“It is associated with reduced survival, increased rates of cognitive changes and Cerebrovascular Accident (CVA), heart failure, renal dysfunction, infection, and length of stay (LOS) and hospital costs [2].”
Background
Baseline Intraoperative Left Ventricular Diastolic Function Is Associated with Postoperative Atrial Fibrillation after Cardiac Surgery
Rong, L. Q., Franco, A. D., Rahouma, M., Dimagli, A., Patel, A., Lopes, A. J., Walline, M. C., Chan, J. M., Chadow, D., Perezgrovas‐Olaria, R., et al. (2023) · Anesthesiology · doi:10.1097/aln.0000000000004725 · Cited by 7
Cost-effectiveness of colchicine treatment on post-operative atrial fibrillation events in patients of major cardiac surgery
Barman, M., Tantawy, M. A., Sopher, M., & Lennerz, C. (2017) · European Heart Journal - Quality of Care and Clinical Outcomes · doi:10.1093/ehjqcco/qcx043 · Cited by 7
“Patients with no POAF e21335 (16186–28410) Till discharge La par et al.(19)”
Background
Association between postoperative atrial fibrillation after coronary artery bypass grafting and short-term clinical outcomes
Son, Y.-J., Choi, H., & Shim, J. L. (2024) · BMC Cardiovascular Disorders · doi:10.1186/s12872-024-04247-6 · Cited by 6
Left Atrial Appendage Occlusion During Cardiac Surgery to Prevent Stroke: A Systematic Review and Meta-Analysis
Sayed, A., Kamal, A., Kamal, I., Fathallah, A. H., Nourelden, A. Z., & ZAIDI, S. A. (2024) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2024.10.024 · Cited by 7
Association between obstructive sleep apnea and atrial fibrillation and delirium after cardiac surgery. Sub-analysis of DECADE trial
Rivas, E., Shehata, P., Bravo, M., Almonacid‐Cardenas, F., Shah, K., Kopac, O., Ruetzler, K., Troianos, C. A., & Turan, A. (2023) · Journal of Clinical Anesthesia · doi:10.1016/j.jclinane.2023.111109 · Cited by 5
First-in-human use of a continuous real-time atrial electrogram monitoring device after cardiac surgery
Somasundaram, N., Boadu, J. K., & Bergen, N. H. V. (2021) · HeartRhythm Case Reports · doi:10.1016/j.hrcr.2021.01.011 · Cited by 6
Early Thromboembolic Stroke Risk of Postoperative Atrial Fibrillation Following Cardiac Surgery
Pierik, R., Zeillemaker‐Hoekstra, M., Scheeren, T., Erasmus, M. E., Luijckx, G. J., Rienstra, M., Uyttenboogaart, M., Nijsten, M. W., & van den Bergh, W. M. (2021) · Journal of Cardiothoracic and Vascular Anesthesia · doi:10.1053/j.jvca.2021.07.030 · Cited by 6
Risk Factors for Chronic Atrial Fibrillation Following Lung Lobectomy
Halloran, S. J., Martin, S., Jiang, B., Bassiri, A., Sinopoli, J. N., Vargas, L. T., Linden, P. A., & Towe, C. W. (2023) · Journal of Surgical Research · doi:10.1016/j.jss.2023.11.031 · Cited by 5
A posterior pericardial chest tube is associated with reduced incidence of postoperative atrial fibrillation after cardiac surgery: A propensity score–matched study
Rabelo, L. G., Zindovic, I., Åström, D. O., Þorsteinsson, E. G., Sjögren, J. L., Olafsdottir, K. L., Magnusdottir, M. M., Jeppsson, A., & Guðbjartsson, T. (2024) · JTCVS Open · doi:10.1016/j.xjon.2024.09.003 · Cited by 5
The more you look, the more you find
Ha, A. C. T., Verma, A., Mazer, C. D., Yanagawa, B., & Verma, S. (2019) · Current Opinion in Cardiology · doi:10.1097/hco.0000000000000591 · Cited by 5
Postoperative atrial fibrillation is associated with increased resource utilization after cardiac surgery: a regional analysis of the Southeastern United States
Hawkins, R. B., Strobel, R. J., Joseph, M., Quader, M. A., Teman, N. R., Almassi, G. H., & Mehaffey, J. H. (2022) · Vessel Plus · doi:10.20517/2574-1209.2021.116 · Cited by 5
Impact of atrial fibrillation/flutter on the in-hospital mortality of surgical patients – Results from the German nationwide cohort
Keller, K., Hobohm, L., & Engelhardt, M. (2020) · Thrombosis Research · doi:10.1016/j.thromres.2020.10.015 · Cited by 5
Prediction of postoperative atrial fibrillation with postoperative epicardial electrograms
Rasmussen, L. F., Andreasen, J. J., Riahi, S., Lip, G. Y. H., Lundbye‐Christensen, S., Melgaard, J., & Graff, C. (2022) · Scandinavian Cardiovascular Journal · doi:10.1080/14017431.2022.2130421 · Cited by 5
“These patients have a higher morbidity and mortality than patients who do not suffer from this postoperative arrythmia [1,2].”
Background
Targeted Ganglionated Plexi Ablation With Nanoformulated Calcium Suppresses Postoperative AF Via Vagosympatholytic and Anti-Inflammatory Effects
Jafree, E., O’Quinn, M. P., Shoureshi, P., Rose, B., Wang, L., Nguyen, N., Nguyen, T. P., Dormer, K. J., Nguyen, K. T., Das, A., et al. (2024) · JACC. Clinical electrophysiology · doi:10.1016/j.jacep.2024.09.035 · Cited by 4
Which should you choose for post operative atrial fibrillation, carvedilol or metoprolol? A systemic review and meta-analysis
Abouzid, M. R., Vyas, A., Eldahtoury, S., Anwar, J., Naccour, S., Elshafei, S. M., Memon, A., Subramaniam, V., Bennett, W. M., Morin, D. P., et al. (2023) · Current Problems in Cardiology · doi:10.1016/j.cpcardiol.2023.102220 · Cited by 5
Postoperative Atrial Fibrillation Is Associated With High On-Aspirin Platelet Reactivity
Kopjar, T., Petričević, M., Gašparović, H., Svetina, L., Miličić, D., & Biočina, B. (2015) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2015.05.001 · Cited by 4
“It is associated with increased riskadjusted mortality, hospital costs, and readmission rates [4] as well as late mortality [1, 2].”
Background
Increased risk of atrial fibrillation among patients undergoing coronary artery bypass graft surgery while receiving nitrates and antiplatelet agents
Efird, J. T., Jindal, C., Kiser, A. C., Akhter, S. A., Crane, P. B., Kypson, A. P., Sverdlov, A. L., Davies, S. W., Kindell, L. C., & Anderson, E. J. (2018) · Journal of International Medical Research · doi:10.1177/0300060518773934 · Cited by 4
“AF is a common postoperative complication following CABG surgery and is associated with increased mortality, morbidity, hospital costs, and readmission rates.(2,22) The use of PINOT is an established risk factor for POAF.”
Background
Determination of Cerebrovascular Accident Predictors in Patients with New-Onset Atrial Fibrillation After Coronary Artery Bypass Graft Surgery
Demir, A. R., Çelik, Ö., Uygur, B., Somuncu, M. U., Yılmaz, E., Avcı, Y., Bayram, M., & Ertürk, M. (2021) · Journal of Stroke and Cerebrovascular Diseases · doi:10.1016/j.jstrokecerebrovasdis.2020.105591 · Cited by 4
A novel electrocardiographic parameter for the prediction of atrial fibrillation after coronary artery bypass graft surgery “P wave peak time”
Zengin, A., Karataş, M. B., Çanga, Y., Pay, L., Eren, S., Çalık, A. N., & Güzelburç, Ö. (2022) · Irish Journal of Medical Science (1971 -) · doi:10.1007/s11845-021-02894-8 · Cited by 5
“In the past, atrial fibrillation after cardiac surgery was believed to be a benign arrhythmia presumably as a consequence of its self-limiting feature with a median duration of 48 h; however, recent studies and meta-analyses have shown a clear association between POAF and increased short-term mortality and morbidity […”
BackgroundResult
Interleukin-6 Receptor Asp358 A>C Polymorphism Is Associated With Postoperative Atrial Fibrillation
Wu, F., Feng, X., Wu, Y., Yu, M., Ding, S., & Zhao, H. (2020) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2020.04.123 · Cited by 4
Early postoperative statin administration does not affect the rate of atrial fibrillation after cardiac surgery
Khan, J., Laurikka, J. O., Järvinen, O., Khan, N., & Järvelä, K. M. (2019) · European Journal of Cardio-Thoracic Surgery · doi:10.1093/ejcts/ezz365 · Cited by 4
Posterior pericardiotomy: An effective strategy for reducing post-coronary artery bypass grafting complications, with considerations for pleural effusion risk
Khawar, M., Shah, S. A., Khan, A., Waseem, A., Saeed, H. E., Fatima, A., Saifullah, M., Mehdi, A. M., Qadeer, A., & Khawar, M. M. H. (2025) · World Journal of Cardiology · doi:10.4330/wjc.v17.i10.110793 · Cited by 3
Atrial Electrography for Postoperative Tachyarrhythmia Analysis in Patients
Peotter, A. M., BROWN, D., Kalscheur, M. M., & Bergen, N. H. V. (2021) · Journal of Innovations in Cardiac Rhythm Management · doi:10.19102/icrm.2021.121003 · Cited by 3
The aortic knob index as a novel predictor of new-onset atrial fibrillation after off-pump coronary artery bypass grafting
Yamamoto, N., & Onoda, K. (2023) · Surgery Today · doi:10.1007/s00595-023-02717-6 · Cited by 3
“AF itself carries a significant risk of in-hospital mortality or morbidity [15, 16], and the downstream treatments for POAF with anti-arrhythmic and anticoagulant drugs may be associated with further complications, which may increase healthcare costs [16].”
The Effect of Posterior Pericardiotomy on the Incidence of Atrial Fibrillation After Cardiac Surgery–Extended Follow-Up study (PALACS-EF): rationale and design
Gaudino, M. F. L., Harik, L., Redfors, B., Sandner, S. E., Alexander, J. H., Franco, A. D., Dimagli, A., Weinsaft, J. W., Perezgrovas‐Olaria, R., Soletti, G. J., et al. (2023) · European Heart Journal Open · doi:10.1093/ehjopen/oead118 · Cited by 3
Significance of isolated postoperative atrial fibrillation in thoracic aortic aneurysm repair
Chung, M., Pan, C., Hayashi, H., Kandula, V., Zhao, Y., Levine, D., Childress, P., Sutherland, L. C., Raza, S. T., Kurlansky, P. A., et al. (2024) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2023.12.023 · Cited by 3
Real-world anticoagulant use and clinical outcomes in postoperative atrial fibrillation after coronary artery bypass grafting: a nationwide practice-based cohort from The Netherlands Heart Registration
van de Kar, M. R. D., van Brakel, T. J., Houterman, S., de Heer, L. M., Daeter, E. J., Veer, M. V. ’., van Veghel, D., Crijns, H. J. G. M., Dekker, L., & Otterspoor, L. (2025) · European Heart Journal - Quality of Care and Clinical Outcomes · doi:10.1093/ehjqcco/qcaf124 · Cited by 3
Prophylaxis for postoperative atrial fibrillation: A quality initiative study exploring adherence to NICE guidance in a UK tertiary cardiothoracic intensive care unit
Zochios, V., Chandan, J. S., Taverner, T., Babu, A., & Singh, H. K. (2019) · Journal of the Intensive Care Society · doi:10.1177/1751143719872945 · Cited by 3
“However, due to improving perioperative cardiac care and enhanced recovery programmes, LOS is getting shorter.(4) Age has been previously demonstrated as an important factor relating to the development of POAF, with one study suggesting that individuals over the age of 72 were more than five times as likely to develop…”
Background
Protocol for a multicentre, prospective observational cohort study in Japan: association among hospital-acquired disability, regular exercise and long-term care dependency in older patients after cardiac surgery
Saitoh, M., Takahashi, T., Morisawa, T., Sakuyama, A., Watanabe, H., Sakurada, K., Hanafusa, Y., Tahara, M., IWATA, K., Ochi, Y., et al. (2021) · BMJ Open · doi:10.1136/bmjopen-2021-054303 · Cited by 3
Role of fibroblast growth factor-23 (FGF-23) in the prediction of postoperative atrial fibrillation after coronary artery bypass surgery
Jadhav, K. P., Pai, P. G., Nair, I. R., Krishnan, S., & Varma, P. K. (2022) · Indian Journal of Thoracic and Cardiovascular Surgery · doi:10.1007/s12055-021-01328-5 · Cited by 3
Intermediate outcomes following arch reconstruction with frozen elephant trunk, a single centre study
Dahl, T. S., & Lindblom, R. P. F. (2023) · Journal of Cardiothoracic Surgery · doi:10.1186/s13019-023-02140-5 · Cited by 3
Left atrial appendage exclusion during open cardiac surgery in patients without atrial fibrillation reduces 4-year ischemic stroke and mortality
McCarthy, P. M., Mehran, R., Gerdisch, M., Ramlawi, B., Lee, R. J., Ferguson, M. A., Kruse, J. T., & Whitlock, R. P. (2024) · JTCVS structural and endovascular. · doi:10.1016/j.xjse.2024.100032 · Cited by 3
The Economic Impact of Atrial Fibrillation in the US
Sieck, S. G. (2016) · Contemporary cardiology · doi:10.1007/978-3-319-31386-3_3 · Cited by 3
Impact of Interatrial Septal Reconstruction on Atrial Tachyarrhythmia after Surgical Resection of Myxoma
Jang, M. Y., Lee, J. H., Heo, M., Lim, S. K., Chung, S. R., Sung, K., Kim, W. S., & Cho, Y. H. (2023) · The Korean Journal of Thoracic and Cardiovascular Surgery · doi:10.5090/jcs.22.112 · Cited by 3
“Several studies have examined the risk factors for the occurrence of AT after cardiac surgery [22,27,28].”
Background
MicroRNAs and post-operative atrial fibrillation: a step in the understanding of the mechanism and identifying reliable biomarkers
Ad, N. (2016) · European Journal of Cardio-Thoracic Surgery · doi:10.1093/ejcts/ezw285 · Cited by 3
Occurrence of recently diagnosed atrial fibrillation in the immediate postoperative period of myocardial revascularization surgery. Although common, a devalued complication
Pereira, M. D. P., Lima, E. G., Garzillo, C. L., Barbosa, C. T. M., Sampaio, L. P. C., Darrieux, F., & Junior, C. V. S. (2020) · Revista da Associação Médica Brasileira · doi:10.1590/1806-9282.66.11.1473 · Cited by 3
Predicting Postoperative Atrial Fibrillation: The Search Continues
Hassler, K. R., & Ramakrishna, H. (2022) · Journal of Cardiothoracic and Vascular Anesthesia · doi:10.1053/j.jvca.2022.06.007 · Cited by 3
Using preoperative four-dimensional automated left atrial quantification echocardiography to predict postoperative atrial fibrillation in patients undergoing cardiac surgery
Ping, L., Wang, X., Zhou, J., Wang, J., Huang, Y., & Zhang, C. (2025) · Quantitative Imaging in Medicine and Surgery · doi:10.21037/qims-24-1915 · Cited by 2
Multivariable Prediction Models for Atrial Fibrillation after Cardiac Surgery: A Systematic Review and Critical Appraisal
Fields, K. G., Milner, G. D. M., Ma, J., Dhiman, P., Redfern, O., Karamnov, S., He, J., Gerry, S., Alhassan, H. A., Providencia, R. A., et al. (2025) · Anesthesiology · doi:10.1097/aln.0000000000005665 · Cited by 2
The impact of invasive respiratory support on the development of postoperative atrial fibrillation following cardiac surgery
Schnaubelt, S., Stajic, A., Koller, L., Hofer, F., Kazem, N., Hammer, A., Andreas, M., Laufer, G., Steinlechner, B., Richter, B., et al. (2021) · Journal of Clinical Anesthesia · doi:10.1016/j.jclinane.2021.110309 · Cited by 2
Effect of Perioperative Oral Vitamin C Supplementation on In-Hospital Postoperative Medication Costs for Cardiac Surgery Patients: A Prospective, Single-Centre, Randomised Clinical Trial
Heerman, J. R., Boydens, C., Allaert, S., Cathenis, K., Deryckere, K., & Vanoverschelde, H. (2023) · PharmacoEconomics - Open · doi:10.1007/s41669-023-00412-3 · Cited by 2
“POAF is one of the most common arrhythmias after cardiac surgery, with a substantial financial burden on the overall postoperative costs [4, 6, 7, 9].”
Background
Supraventricular ectopic activity predicts postoperative atrial fibrillation, new-onset atrial fibrillation, and worse survival in obstructive hypertrophic cardiomyopathy
Nie, C., Zhu, C., Xiao, M., Wu, Z., Yang, Q., Lu, Z., Lü, T., Meng, Y., & Wang, S. (2024) · European Heart Journal - Quality of Care and Clinical Outcomes · doi:10.1093/ehjqcco/qcae101 · Cited by 2
Does perioperative electroacupuncture reduce the incidence of atrial fibrillation after lung cancer surgery? A randomized, controlled, assessor-blinded clinical trial
Zhou, Z.-Q., Chen, Y.-J., & Xu, H. (2025) · Frontiers in Medicine · doi:10.3389/fmed.2025.1565359 · Cited by 2
Do P-Wave Indices Manifest Atrial Fibrillation after Postoperative Atrial Fibrillation?
Rau, C. P. E., Salzmann-Djufri, M., Böning, A., Rohrbach, S., & Niemann, B. (2025) · The Thoracic and Cardiovascular Surgeon · doi:10.1055/a-2616-3919 · Cited by 2

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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