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40
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1161/JAHA.119.013246" target="_blank" rel="noreferrer noopener">http://doi.org/10.1161/JAHA.119.013246</a>
Pages
e013246
Issue
19
Volume
8
ISSN
2047-9980
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<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1161/JAHA.119.013246" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1161/JAHA.119.013246</a>
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Update Year & Number
June2020SubmittedList
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Internal Medicine
Affiliated Hospital
Cleveland Clinic Akron General Hospital
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Association of acute venous thromboembolism with in-hospital outcomes of coronary artery bypass graft surgery.
Publisher
An entity responsible for making the resource available
Journal of the American Heart Association
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-10
Subject
The topic of the resource
venous thrombosis; coronary artery bypass; coronary artery bypass graft surgery; venous thromboembolism
Creator
An entity primarily responsible for making the resource
Panhwar MS; Ginwalla M; Kalra A; Gupta T; Kolte D; Khera S; Bhatt DL; Sabik JF 3rd
Description
An account of the resource
Background While venous thromboembolism (VTE) prophylaxis is a strong recommendation after most surgeries, it is controversial in cardiac surgeries such as coronary artery bypass grafting (CABG), because of perceived low VTE incidence and increased bleeding risk. Prior studies may not have been adequately powered to study outcomes of VTE in this population. We sought to investigate the postoperative incidence and outcomes of CABG patients using a large national inpatient database. Methods and Results We utilized the 2013 to 2014 National Inpatient Sample to identify all patients >18 years of age who underwent CABG (without concomitant valvular procedures), and had VTE during the hospital stay. We then compared clinically relevant outcomes in patients with and without VTE. We identified 331 950 CABG procedures. Of these, 1.3% (n=4205) had VTE. Patients with VTE were more likely to be older (mean 67.2±10.4 years versus 65.2±10.4 years, P<0.001). VTE was associated with higher incidence of inpatient mortality (6.8% versus 1.7%; adjusted odds ratio 1.92 [95% CI 1.40-2.65]; P<0.001) and complications. VTE was also associated with higher cost (mean±SE $81 995±$923 versus $48 909±$55) and longer length of stay (mean±SE 17.06±0.16 days versus 8.52±0.01 days). Conclusions Our analysis of >330 000 CABG procedures suggests that while postoperative VTE after CABG is rare, it is associated with increased morbidity and mortality. Randomized controlled trials are needed to identify optimal strategies for VTE prophylaxis in these patients.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1161/JAHA.119.013246" target="_blank" rel="noreferrer noopener">10.1161/JAHA.119.013246</a>
PMID: 31533551
Rights
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Copyright © 2019. Published by Elsevier Inc.
Format
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journalArticle
2019
Bhatt DL
Cleveland Clinic Akron General Hospital
Coronary Artery Bypass
Coronary artery bypass graft surgery
Department of Internal Medicine
Ginwalla M
Gupta T
Journal of the American Heart Association
journalArticle
June2020SubmittedList
Kalra A
Khera S
Kolte D
NEOMED College of Medicine
Panhwar MS
Sabik JF 3rd
Venous thromboembolism
Venous Thrombosis
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1007/s11325-018-1645-3" target="_blank" rel="noreferrer noopener">http://doi.org/10.1007/s11325-018-1645-3</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
1117-1124
Issue
4
Volume
22
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
High risk for obstructive sleep apnea hypopnea syndrome predicts new onset atrial fibrillation after cardiac surgery: a retrospective analysis
Publisher
An entity responsible for making the resource available
Sleep and Breathing
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-12
Subject
The topic of the resource
arrhythmias; Atrial fibrillation; c-reactive protein; Coronary artery bypass graft surgery; cost; Length of; mortality; Neurosciences & Neurology; outcomes; recurrence; Respiratory System; Screening; Sleep apnea; stay
Creator
An entity primarily responsible for making the resource
Patel S V; Gill H; Shahi D; Rajabalan A; Patel P; Sonani R; Bhatt P; Rodriguez R D; Bautista M; Deshmukh A; Gonzalez J V; Patel S
Description
An account of the resource
Purpose Obstructive sleep apnea hypopnea syndrome (OSAHS) is highly prevalent in patients undergoing coronary artery bypass surgery (CABG). OSAHS is a risk factor for the development of atrial fibrillation (AF), but the risk of AF in patients who are high risk for OSAHS is unclear. Methods A retrospective study was conducted on consecutive patients undergoing CABG from 2013 to 2015 without AF pre-operatively. Patients were categorized as low risk for OSAHS, high risk for OSAHS, or diagnosed OSAHS based on medical records review. All diagnosed OSAHS patients were on active treatment with positive airway pressure. Outcomes assessed were postoperative AF (POAF), postoperative length of stay, re-intubation, in-hospital mortality, and cost of hospitalization. Results Out of 209 eligible patients, 66.5% were low-risk for OSAHS, 18.7% high-risk for OSAHS, and 14.8% diagnosed/treated for OSAHS. POAF developed in 96 patients (45.9%) with greater frequency in high-risk OSAHS patients (69.2% high risk, 41.9% low risk, 40.3% diagnosed/treated, p = 0.01). In analyses adjusted for age, sex, ethnicity and comorbidities, high risk for OSAHS was associated with 2.9 greater odds (95% CI [1.2, 7.3], p = 0.02) for POAF while diagnosed/treated OSAHS was not associated with elevated risk (OR = 1.4, 95% CI [0.6, 3.6], p = 0.50) compared to patients at low risk for OSAHS. Conclusions High risk for OSAHS is an independent predictor for POAF in patients undergoing CABG. In contrast, patients diagnosed and treated for their OSAHS are not at elevated risk of POAF. These findings support evaluation of a standardized OSAHS screening and treatment program as part of the pre-operative evaluation for elective CABG.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1007/s11325-018-1645-3" target="_blank" rel="noreferrer noopener">10.1007/s11325-018-1645-3</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2018
Arrhythmias
Atrial fibrillation
Bautista M
Bhatt P
C-Reactive Protein
Coronary artery bypass graft surgery
Cost
Department of Family & Community Medicine
Deshmukh A
Gill H
Gonzalez J V
Journal Article
Length of
Mortality
NEOMED College of Medicine
Neurosciences & Neurology
outcomes
Patel P
Patel S
Patel S V
Rajabalan A
Recurrence
Respiratory System
Rodriguez R D
screening
Shahi D
Sleep and Breathing
Sleep apnea
Sonani R
stay