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.

Coronary Bypass Patients, Atrial Fibrillation Incidence Rates (percentage) Ohio Hospitals

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).

REGISTERED USERS & SUBSCRIBERS GET ACCESS TO:

  1. Total Discharges ( Jan 2013 to Dec 2016 )
  2. Total Atrial Fibrillation Discharges ( Jan 2013 to Dec 2016 )
  3. Atrial Fibrillation Incidence Rates (%)
  4. Total Prior Hospitalization in Prior 30 Days
  5. % of Total Discharges with Condition
  6. % of Prior Hospitalization with Condition
  7. Total Discharges After Exclusion
  8. All Cause 30 Day Readmissions
  9. 30 Day Atrial Fibrillation Readmissions
  10. 30 Day Atrial Fibrillation Readmission Rate
  11. State 30 Day Atrial Fibrillation Readmission Rate
  12. National 30 Day Atrial Fibrillation Readmission Rate
  13. % 30 Day Readmissions back to Same Hospital
  14. 30 to 60 Day Atrial Fibrillation Readmissions
  15. 30 to 60 Day Atrial Fibrillation Readmission Rate
  16. State 30 to 60 Day Atrial Fibrillation Readmission Rate
  17. National 30 to 60 Day Atrial Fibrillation Readmission Rate

For coronary bypass patients at the following hospitals:

  1. Akron General Medical Center (Akron, OH)
  2. Trinity Medical Center West (Steubenville, OH)
  3. Affinity Medical Center (Massillon, OH)
  4. UH Cleveland Medical Center (Cleveland, OH)
  5. Kettering Medical Center (Kettering, OH)
  6. Ohio State University Hospital (Columbus, OH)
  7. Fairview Hospital (Cleveland, OH)
  8. Bethesda North Hospital (Cincinnati, OH)
  9. Aultman Hospital (Canton, OH)
  10. Promedica Toledo Hospital (Toledo, OH)
  11. Genesis Hospital (Zanesville, OH)
  12. Springfield Regional Medical Center (Springfield, OH)
  13. St Ritas Medical Center (Lima, OH)
  14. Mercy Medical Center (Canton, OH)
  15. Ohiohealth - Riverside Methodist Hospital (Columbus, OH)
  16. Good Samaritan Hospital Dayton (Dayton, OH)
  17. Summa Akron City Hospital (Akron, OH)
  18. Cleveland Clinic (Cleveland, OH)
  19. The Christ Hospital (Cincinnati, OH)
  20. Hillcrest Hospital (Mayfield Heights, OH)
  21. Mercy St Vincent Medical Center (Toledo, OH)
  22. Mercy Hospital Anderson (Cincinnati, OH)
  23. Mercy Hospital Fairfield (Fairfield, OH)


ABOUT THE AUTHOR

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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.