Pericardial Reconstruction May Help Control Atrial Fibrillation after Coronary Bypass
In
Atrial fibrillation (AFib)
By: James Pitt  Aug. 09, 2018
Atrial fibrillation (Afib) is a major risk of coronary bypass surgery (CABG). Incidence estimates vary greatly depending on study methodology, from 5 to 40% of patients. Among 49,264 patients who underwent CABG from 2001-2012 in the Society of Thoracic Surgeons database, 19% had new-onset atrial fibrillation.
Pericardial reconstruction is a promising technique for preventing atrial fibrillation after CABG. In a retrospective study of 222 patients, Boyd et. al (2010) concluded that pericardial reconstruction with an extracellular matrix (ECM) implant reduced the relative risk of Afib by 54%.
To examine the need for atrial fibrillation prevention after CABG, Dexur analysts examined atrial fibrillation incidence in CABG patients; and atrial fibrillation readmission rates after CABG. The sample included Medicare-eligible inpatients at 23 Ohio hospitals from 2013-2016.
The highest incidence of Afib in CABG patients was 43.94%, at The Christ Hospital (Cincinnati, OH). The lowest incidence was 21.71%, at Springfield Regional Medical Center. Note that these incidence rates include patients who had AFib before the procedure.
The highest 30-day readmission rate was at Trinity Medical Center West (Steubenville, OH), where 15.04% of CABG discharges were readmitted with atrial fibrillation within 30 days. The lowest 30-day atrial fibrillation readmission rate was 3.97%, at Aultman Hospital (Canton, OH).
DEXUR PRO MEMBERS GET ACCESS TO:
- Total Discharges ( Jan 2013 to Dec 2016 )
- Total Atrial Fibrillation Discharges ( Jan 2013 to Dec 2016 )
- Atrial Fibrillation Incidence Rates (%)
- Total Prior Hospitalization in Prior 30 Days
- % of Total Discharges with Condition
- % of Prior Hospitalization with Condition
- Total Discharges After Exclusion
- All Cause 30 Day Readmissions
- 30 Day Atrial Fibrillation Readmissions
- 30 Day Atrial Fibrillation Readmission Rate
- State 30 Day Atrial Fibrillation Readmission Rate
- National 30 Day Atrial Fibrillation Readmission Rate
- % 30 Day Readmissions back to Same Hospital
- 30 to 60 Day Atrial Fibrillation Readmissions
- 30 to 60 Day Atrial Fibrillation Readmission Rate
- State 30 to 60 Day Atrial Fibrillation Readmission Rate
- National 30 to 60 Day Atrial Fibrillation Readmission Rate
For coronary bypass patients at the following hospitals:
- Akron General Medical Center (Akron, OH)
- Trinity Medical Center West (Steubenville, OH)
- Affinity Medical Center (Massillon, OH)
- UH Cleveland Medical Center (Cleveland, OH)
- Kettering Medical Center (Kettering, OH)
- Ohio State University Hospital (Columbus, OH)
- Fairview Hospital (Cleveland, OH)
- Bethesda North Hospital (Cincinnati, OH)
- Aultman Hospital (Canton, OH)
- Promedica Toledo Hospital (Toledo, OH)
- Genesis Hospital (Zanesville, OH)
- Springfield Regional Medical Center (Springfield, OH)
- St Ritas Medical Center (Lima, OH)
- Mercy Medical Center (Canton, OH)
- Ohiohealth - Riverside Methodist Hospital (Columbus, OH)
- Good Samaritan Hospital Dayton (Dayton, OH)
- Summa Akron City Hospital (Akron, OH)
- Cleveland Clinic (Cleveland, OH)
- The Christ Hospital (Cincinnati, OH)
- Hillcrest Hospital (Mayfield Heights, OH)
- Mercy St Vincent Medical Center (Toledo, OH)
- Mercy Hospital Anderson (Cincinnati, OH)
- Mercy Hospital Fairfield (Fairfield, OH)
ABOUT THE AUTHOR
James Pitt
James Pitt is a science writer with experience in medical devices and textbook publishing. His hobbies include reading, flintknapping, and squinting at RStudio. He received a bachelor's in Human Evolutionary Biology from Harvard.