Key result
Off-pump coronary artery surgery significantly reduces the incidence of postoperative atrial fibrillation with a number needed to treat of 20.
Why the study?
Does off-pump coronary artery surgery reduce the incidence of postoperative atrial fibrillation?
Systematic Review
Does off-pump coronary artery surgery reduce the incidence of postoperative atrial fibrillation?
Number Needed to Treat: 20
Number Needed to Treat: 20
Off-pump coronary artery surgery is associated with a clinically significant reduction in postoperative atrial fibrillation, with an NNT of 20.
Supports off-pump CABG to lower postoperative AF risk; confirms benefit in Level 1 evidence synthesis.
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether off-pump coronary artery surgery reduces the incidence of postoperative atrial fibrillation. Altogether 107 papers were found using the reported search, of which 18 presented the best evidence to answer the clinical question. The author, journal, date and country of publication, patient group studied, study type, relevant outcomes, results, and study weaknesses of these papers are tabulated. We conclude that off-pump coronary artery surgery significantly reduces the incidence of postoperative atrial fibrillation with a number needed to treat of 20 to prevent one case of AF.
No takes yet. Share an insight, caveat, or question.
Raja et al. (2004) conducted a systematic review in Coronary artery surgery. Off-pump coronary artery surgery was evaluated on Postoperative atrial fibrillation (NNT 20). Off-pump coronary artery surgery significantly reduces the incidence of postoperative atrial fibrillation with a number needed to treat of 20.
Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context: