Cardiothoracic & vascular anesthesia
In operating room extubation after cardiac surgery is associated with decreased incidence of in hospital new postoperative atrial fibrillation
Authors' conclusion
In-OR extubation is associated with decreased index hospitalization length of stay and decreased new onset in-hospital atrial fibrillation.
Study context
- Population
- Adult cardiac surgical patients (>18 years), single tertiary care hospital; excluded: extubated after 6 h in ICU, congenital heart disease, intubated before OR, circulatory arrest and/or selective cerebral perfusion, cardiothoracic transplantation, intraoperative death
- Participants
- 726 patients
- Exposure
- In-OR extubation vs fast track extubation
- In-OR extubationn = 303
- Outcome
- Index hospitalisation LOS and in-hospital new postoperative AF
Methodological detailsretrospective chart review, single-centre, multivariable regression
- Retrospective chart review
- Single-centre
- Multivariable regression
Main finding
As reported in the abstract
In-OR extubation vs Fast track extubationOdds ratio (95 % CI)P value
In-hospital new postoperative AF
0.56(0.37–0.86)
P < 0.01- Index hospitalisation LOS
- −1.74 (95 % CI −2.22 to −1.08); P < 0.001
Observational data: associations, not effects.
Safety
Persistent vasoactive therapy requirement, postoperative mechanical circulatory support, extubation failure
- No differences
Original publication
In operating room extubation after cardiac surgery is associated with decreased incidence of in hospital new postoperative atrial fibrillation. J Clin Anesth. Published 10 October 2024. doi:10.
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