Key result
Surgical ablation during CABG shows no link to worse mortality or readmissions versus CABG alone.
Why the study?
The utilization rate of surgical ablation during CABG and its comparative outcomes in patients with nonparoxysmal atrial fibrillation were not well established in a national cohort.
Does surgical ablation during CABG improve mortality and readmissions in patients with nonparoxysmal atrial fibrillation?
Cohort
Yes
Does surgical ablation during CABG improve mortality and readmissions in patients with nonparoxysmal atrial fibrillation?
p-value: p== .2
Concomitant surgical ablation during CABG in patients with nonparoxysmal atrial fibrillation does not adversely affect mortality or short-term readmissions, supporting its increased use.
No short-term harm seen with ablation during CABG; leaves open randomized confirmation of outcome benefit in nonparoxysmal AF.
Objective: We determined the utilization rate of surgical ablation (SA) during coronary artery bypass grafting (CABG) and compared outcomes between CABG with or without SA in a national cohort. Methods: The January 2016 to December 2018 Nationwide Readmissions Database was searched for all patients undergoing isolated CABG with preoperative persistent or chronic atrial fibrillation by using the International Classification of Diseases, 10th Revision classification. Propensity score matching and multivariate logistic regressions were performed to compare outcomes, and Cox proportional hazards model was used to assess risk factors for 1-year readmission. Results: = .2). Conclusions: In patients with nonparoxysmal atrial fibrillation, utilization of SA during CABG remains low. SA during CABG did not adversely influence mortality or short-term readmissions. These findings support increased use of SA during CABG.
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Treffalls et al. (2023) conducted a cohort in Nonparoxysmal atrial fibrillation undergoing isolated CABG. Surgical ablation vs. CABG without surgical ablation was evaluated on Mortality and readmissions (p== .2). Surgical ablation during CABG in patients with nonparoxysmal atrial fibrillation did not adversely influence mortality or short-term readmissions compared to CABG alone (P=.2).
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