Predicting postoperative atrial fibrillation after cardiac surgery using the Naples prognostic score

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dc.contributor.authorOkşen, Doğaç
dc.contributor.authorGüven, Barış
dc.contributor.authorDönmez, Ayça
dc.contributor.authorYeşiltaş, Mehmet Ali
dc.contributor.authorKoyuncu, Ahmet Ozan
dc.contributor.authorGülbudak, Seran
dc.contributor.authorOktay, Veysel
dc.date.accessioned2024-12-04T12:32:55Z
dc.date.available2024-12-04T12:32:55Z
dc.date.issued2024en_US
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalıen_US
dc.description.abstractIntroduction The Naples prognostic score (NPS) is a novel indicator of nutritional and inflammatory statuses in cancer patients. Development of atrial fibrillation after cardiac surgery (POAF) is a common complication that increases the incidence of adverse events. Numerous studies have investigated predictors of POAF. Yet, this study is the first to evaluate the prognostic value of NPS in predicting the development of POAF. Materials and methods The population of this retrospective single-center case-control study consisted of all consecutive patients who underwent cardiac surgery between January 2021 and December 2023. The patients included in the study sample were divided into two groups according to whether they had POAF (group POAF) or remained in sinus rhythm (group RSR). Univariate and multivariate analyses were conducted to identify the variables that significantly predicted the development of POAF. Results This study consisted of 860 patients with a mean age of 61.77 ± 9.13 years and 77.5% (n = 667) were male. The incidence of POAF in the sample was 24.8% (n = 214). NPS was significantly higher in group POAF than in group RSR (2.18 ± 0.99 vs. 1.96 ± 1.02, P = 0.008). Multivariate analysis revealed age [odds ratio (OR): 1.242, 95% confidence interval (CI): 1.020-1.304, P < 0.001] and high NPS (OR: 1.698, 95% CI: 1.121-1.930, P < 0.010) as independent predictors of POAF. Conclusion High NPS values, along with advanced age, were found to be strongly associated with an increased risk of developing POAF. Therefore, it is concluded that NPS is a significant and independent predictor of POAF in patients undergoing cardiac surgery.en_US
dc.identifier.citationOkşen, D., Güven, B., Dönmez, A., Yeşiltaş, M. A., Koyuncu, A. O., Gülbudak, S., Oktay, V. (2024). Predicting postoperative atrial fibrillation after cardiac surgery using the Naples prognostic score. Coronary Artery Disease. 10.1097/MCA.0000000000001438en_US
dc.identifier.issn0954-6928
dc.identifier.scopus2-s2.0-85209366971
dc.identifier.scopusqualityQ3
dc.identifier.urihttps://hdl.handle.net/20.500.12939/5070
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorOkşen, Doğaç
dc.language.isoen
dc.publisherLippincott Williams and Wilkinsen_US
dc.relation.ispartofCoronary Artery Disease
dc.relation.isversionof10.1097/MCA.0000000000001438en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCardiac surgeryen_US
dc.subjectInflammationen_US
dc.subjectNaples prognostic scoreen_US
dc.subjectNutritionen_US
dc.subjectPostoperative atrial fibrillationen_US
dc.titlePredicting postoperative atrial fibrillation after cardiac surgery using the Naples prognostic score
dc.typeArticle

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