Incidence and Risk Factors of Postoperative Atrial Fibrillation in Cardiac Surgery Patients
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 275
- 试验地点
- 1
- 主要终点
- Incidence
研究概览
简要总结
This multicenter observational study aims to investigate the incidence and identify risk factors associated with postoperative atrial fibrillation (POAF) in patients undergoing cardiac surgery at three medical centers in Thailand. The study will examine patient characteristics, surgical factors, and anesthetic management practices that may contribute to the development of this common postoperative complication.
详细描述
Postoperative atrial fibrillation (POAF) is a common complication following cardiac surgery, with incidence rates reported between 15-30% after valve surgery and 18-74% after coronary artery bypass grafting. POAF typically occurs within 72 hours after surgery and is associated with increased morbidity, mortality, length of hospital stay, and healthcare costs.
The Society of Thoracic Surgeons has identified five major postoperative complications associated with cardiac surgery, including POAF, which can significantly affect patient outcomes. This multicenter observational study will examine the incidence and risk factors of POAF in cardiac surgery patients across three medical centers in Thailand: Srinagarind Hospital at Khon Kaen University, Northeastern Thailand Cardiac Center, and Surat Thani Hospital.
The study will collect data on patient demographics, comorbidities, preoperative laboratory values, perioperative characteristics, surgical procedures (valve surgery, CABG, combined procedures), and postoperative complications. By identifying risk factors associated with POAF, this study aims to develop preventive strategies and improve management protocols for patients at high risk for this complication.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ≥ 18 years
- •Patients undergoing cardiac valve surgery or coronary artery bypass grafting (CABG) procedures
排除标准
- •Patients undergoing aortic surgery
- •Patients undergoing MAZE procedure
- •Incomplete medical records
- •Patients who required mechanical circulatory support before surgery
- •Patients who died during surgery or within 3 days after surgery
结局指标
主要结局
Incidence
时间窗: 72 hours postoperatively
The incidence of POAF
次要结局
- Risk factors(72 hours postoperatively)
研究者
Thepakorn Sathitkarnmanee
Associate professor
Khon Kaen University