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• W4377014597 abstract "Post-operative atrial fibrillation (POAF) occurs commonly in cardiac surgical patients up to 55% of the time leading to an increase risk of thromboembolic events, stroke, renal and respiratory failure, and an increase in all-cause 30-day and 6-month mortality. Standardization of care through guideline-directed clinical pathways may decrease occurrence of POAF and morbidity associated with it in the post-operative period. A multidisciplinary team including cardiac electrophysiologist, cardiac surgeons, and pulmonary critical care physicians developed a guideline-directed clinical AF pathway for patients with POAF. Patients were consecutively enrolled with the use of the AF pathway. The data of interest has been collected in a REDCap database. A retrospective review was performed of 327 cardiac surgery patients in 2020 as well as 301 cardiac surgery patients in 2021 after the POAF pathway implementation. Baseline characteristics of both groups in addition to the length of stay (LOS), hospitalization from admit to discharge, readmissions recurrent of AF post discharge were collected for both cohorts of patients. Baseline characteristics of patients that utilized the POAF pathway compared to ones in the retrospective review prior to implementation of the POAF pathway demonstrated no no statistical difference in cardiovascular comorbidities including baseline existence of hypertension, diabetes, left atrial size, age and obesity. There was however a significant reduction in LOS in patients that utilized the POAF pathway. The average LOS for patients that were included in the POAF pathway was reduced by 8 days (6 to 14 days) with a p-value of < 0.0001 compared to the conventional cohort. This resulted in an estimated > 2400 hospital days avoided which equates to approximately $1.36M total cost savings based on the calendar year 2021 estimated cost per opportunity day. Additionally, there is was a decrease in hospital readmissions, occurrence of AF during hospitalization and post discharge. POAF clinical pathway utilization for cardiac surgical patients significantly reduced LOS and reduced hospital readmissions for AF as well as recurrence of AF during and after hospitalizations therefore improving overall cardiac surgical outcomes." @default.
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• W4377014597 date "2023-05-01" @default.
• W4377014597 modified "2023-09-27" @default.
• W4377014597 title "PO-03-153 POST-OPERATIVE ATRIAL FIBRILLATION STANDARIZATION OF CARE THROUGH CLINICAL CARE PATHWAYS FOR CARDIAC SURGICAL PATIENTS" @default.
• W4377014597 doi "https://doi.org/10.1016/j.hrthm.2023.03.928" @default.
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